Summary: Dan is a 40-year-old man who used to play tennis over 20 years ago. One day he decided to pick up his racket and join his friend Kevin for a match. Dan went all out and played an intense match. A week later Dan experience right shoulder pain but still decided to help Kevin move some heavy furniture out of his house. A few days later Dan’s right shoulder got worse and he went to see an orthopedic specialist. The specialist told him that he probably overstretched a ligament or muscle during his tennis match and that lifting of heavy furniture only aggravated his condition. Afraid that he had torn his rotator cuff, the specialist sent Dan for a MRI. Dan is concerned if he will ever be able to play tennis again.
Background: The four articulations
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This confers some stability to the shoulder joint, however it is less significant than the surrounding skeletal muscle and the help of their associated tendons and ligaments, which provide the most stability to this joint. Between tendons of this joint there also exist bursas, which are extensions of the synovial membrane outside of the capsule, forming a sack filled with synovial fluid. The four main bursas found are the subacromial bursa, the subdeltoid bursa, the subcoracoid bursa, and the subscapular bursa. These help reduce friction between the tendons and other tissues at the joint (Martini et al.). Sometimes after rotator cuff tendons are injured the bursa can also become inflamed and painful, augmenting the soreness of the …show more content…
In the future, I envision myself working in family medicine practice and caring for patients from the whole life span spectrum. Given that shoulder joint injuries are very common, I foresee encountering a significant number of these cases. Being very familiarized with the structures that make up and give stability to the shoulder will be very useful, as it will better equip me in diagnosing and offering the least invasive treatment options. Just basic knowledge like tendons and ligaments are avascular and thus heal extremely slowly is a great start to making sense of recovery times and determining when more invasive approaches are needed. Having a basic understanding of anatomy and physiology at the most basic level is an essential building
Many factors like patients age, symptoms, size of the tear, and nature of onset (traumatic or degenerative) are responsible for determining the prognosis of the physical therapy treatment 9. Since it’s a partial thickness tear of the rotator cuff, the non-operative treatment is reasonable unlike, a full thickness tear where surgery will be required to treat the patient 9. The patient shows symptoms of moderate irritability without significant functional deficit which makes him a good candidate for conservative treatment 10. The pain reported by the patient is 6/10 so the patient participates well in physical therapy exercise to increase shoulder strength, and flexibility. There was a study done from Finland which asserted that physical therapy alone can produce results which are equal to those produced by arthroscopic surgery and open surgical repair in cases of rotator cuff tears 11. In this case, with three weeks of physical therapy the patient has showed a decrease in pain and reported it as 4/10 on pain rating scale and showed improvements in abduction (140̊) and external rotation (65̊). The MMT for shoulder abduction was 4-/5 and external rotation is still same as
Gawande talks about how he came up with the idea of hiring a coach to watch him perform surgery after an experience he had playing tennis. Years of playing the game and not improving, Gawande incidentally finds himself play tennis with a young man who is a tennis couch. The young man gives Gawande a tip about keeping his feet under his body when hitting the ball. At first he is uncertain, stating, “My serve had always been the best part of my game…..With a few minutes of tinkering, he’d added at least ten miles an hour to my serve. I was serving harder than I ever had in my life” (Gawande, 2011, p.3). Gawande is so greatly impacted by this experience that he decides to hire a coach to help him with is professional endeavors.
A rotator cuff is simply a group of four tendons and muscles that are located right on the shoulder and on top of the humerus bone. (Source 1) The rotator cuff is what controls the shoulder and allows it to move and be mobile. The four main muscles that consist of the tendons are the supraspinatus, infraspinatus, teres minor, and subscapularis muscles. (Source 2). Too much wear and tear on these muscles (such as too many thrown fastballs) is precisely what causes the rotator cuff to begin to tear, as well as swelling in the tendons.
The athlete plays softball, and she plays short stop. She is eighteen years old. She has had no previous injuries. The injury that she sustained was an ACL tear, and she tore both the medial and lateral meniscus. She was injured while playing in a softball tournament. She was running to first base after bunting the ball, and the second baseman that was coving first base was trying to find the base. The second baseman was actually all the way over the safety base, and when the athlete went to touch the base, she hit the second baseman’s leg in full stride. She felt a pop in her knee, and she immediately was on the ground. She said that she didn’t have much pain; she just had a lot of instability in her knee. The athletic
Snap, crackle, pop. That is the horrific sound a baseball pitcher hears after throwing a pitch. The UCL tear used to haunt pitchers forever until 1974, when a man named Tommy John had a surgery to repair his UCL tendon and it was successful causing this surgery to transform baseball. Before his arrival, Tommy John Surgery was known as a “dead arm” injury (Tommy John Surgery). When doctors diagnose players with this injury, it’s no longer a total shock as today you are easily able to come back from this surgery as when 30 years ago, you couldn’t. In my paper I will talk about the basics of the injury, history of the UCL, ways to diagnose a UCL tear, and how to recover from Tommy John surgery along with some unbelievable facts about this distressing injury. This injury and surgery has revolutionized baseball and prolonged the careers of many great players in the MLB.
People have created a hectic and busy world, that includes careers and daily activities that require physical activity. While attempting to attain the required physical conditioning, people often take chances with their personal health as they try to stretch their physical limits. Sometimes, people can surpass their current limits and form new boundaries; however, other times people are not so fortunate. These unfortunate times often lead to injury, including workplace accidents, sporting incidents, disease afflictions, as well as others; any or all of which could bring about the need of rehabilitation services. Many of these require physical therapy, which includes assisting injured or otherwise impaired patients as they recover to their pre-injury status or to recover as much as is physically possible. The field of physical therapy is a choice career for those who enjoy helping people recover from injury, and the following text will provide reason for choosing this profession.
Once I could bend my knee again, I started playing sports again. I took a break from basketball, but I kept up with softball and volleyball. My knee didn’t feel quite the same, but I thought that would pass. During my volleyball camp at Olivet Nazarene University, I was jumping up to block and when I landed my knee buckled and I knocked over my friend Christie. I could not believe this happened again! After I couldn’t get up, once again, the coach insisted that I go and see Ozzy, the trainer. He checked out my knee and thought I had torn my meniscus(the cartilage in the knee joint) and possibly had a small tear in my MCL(the inside tendon of the knee). He insisted that I go to O.A.K. Orthopedics (a health care office that includes 8 orthopedic surgeons) to see Dr. Ellis.
Patient returned the next day still complaining of pain. The PT applied heat, then initiated the exercise program, but the patient could not perform theem to same extent as previously, secondary to pain. Therefore, the PT told the patient to schedule an appointment with his physician. The patient was seen by the MD the next day and an arthrogram performed that revealed a reinjure to the repaired site. And a second surgery repaired the rotator cuff.
To achieve a degree in Athletic Training, there are many tasks and skills to be learned. The Education Council under the National Athletic Training Association put together an education program filled with a set of guidelines of what has to be taught to graduate with a degree in Athletic Training. Before you can learn and understand Athletic Training, you must know the Anatomy and Physiology of the human body. This includes bones, muscles, levels of organization, tissue levels, systems of the body, skeletal structure, articulations, integrative functions, sensory function, blood, and embryology (Martini, 2001). Besides Anatomy and Physiology, the methods of taping is also extremely critical to this career. Before you can understand what each taping techniques are used for, you must also know about sports injuries. Athletic Training is all about the prevention, treatment, rehabilitation, and evaluation of athletic injuries. Another skill that must be learned in the Athletic Training Education Program is how to provide immediate emergency care. That includes everything from background information to actually being able to save an athlete’s or any one else’s life. You must be aware of legal considerations, how and when to approach a victim, the human body systems, examining the victim, basic life support, bleeding and shock, identifying wounds, sudden illnesses, injuries, and how to care for them; also you must be aware of cold and heat related injuries, and how to rescue and move victims (Thygerson, 2001). Other information to be learned includes nutrition, health, and professional development. There are several other topics of Athletic Training; however, there are just to many to s...
They also need to know the body so they can tell you what the problem is. You must know about the muscles and know if it is hurt. If someone tears their ACL you need to know that they tore it and know what to do to sustain them until they get to a hospital.
During the ninth grade, I injured my knee playing soccer. The initial MRI did not show any tears, but the orthapedic surgeon did notice I was weak medially and that my patella was tracking laterally. He sent me to therapy to strengthen the inside of my leg and hopefully pull my kneecap medially. I started going to therapy and I adored my therapist, Kelley. Even though the exercises weren’t always fun or pain free I looked forward to therapy. She made things fun, and since I was interested in the field, would explain why I was doing certain exercises compared to others. The pain didn’t go away and she worked to help figure ...
Rotator cuff tear – The muscles adjoining the shoulder joint are required for rotating the shoulder, amid other movements. The tendons of these muscles furthermore influence the structural strength of the shoulder joint. Harsh, rapid actions, for example in tennis and baseball, can result in tearing of one of these tendons. This then causes pain as well as a decline in range of motion. Surgery possibly will be necessary to repair a torn
The identity of a physical therapist is essentially an expert in movement. In order to optimize patient movement, a strong foundation of biomechanical knowledge is required. In order to ensure that I build a strong knowledge base, I will put forth my best efforts into all of my course work. Although book knowledge is important to have, practical knowledge can be considered to be of slightly greater value in certain cases.2 For instance, it is more valuable to have performed and experienced a patient care technique, than only to have read about it. Furthermore, it is the responsibility of
Tennis is a sport that many people love to play. It is not the hardest sport in the world to learn. When playing against someone, it is called a match. Tennis can be played one on one or a doubles match. The main object of the game is to hit the ball over the net, inside of the lines so that the opponent can't get to it. There are two lines about two feet parallel to each other that outline the court. In a singles match, the inner line is the out of bound line, while the outer line is out of bounds in a doubles match. If you want to play, take a look at my two favorite tennis players because they are masters at serving and scoring, a few key aspects of the game.
The GSIRC highly encourage hands on experience for student interns. In order to have a sympathetic notion on what to do as an intern, the PEES courses taken previous semesters were remarkably accommodating when assisting the clients through rehabilitating workouts. In order to understand which anatomical part the patient is rehabilitating, anatomy and physiology were one of the vital subjects to be acquainted with. Having the understanding of the anatomy terms helped me, as an intern, to understand majority of the diagnosis shown on the patients’ charts. As the patients goes through their exercises it were also essential to understand the movements of each exercise such as abduction with external rotation or knee flexion. The course that corre...