CASE STUDY: Supraspinatus Tendon Tear
This is a case of TF, a 66 year old male, presented with (R) shoulder pain. Condition started last November 5, 2016 after he tried to open a big container from his back using (R) arm without proper trunk rotation.
Pt immediately went to his family doctor for diagnosis and management. Ultrasound done on November 8, 2016 revealed FULL- THICKNESS COMPLETE TEAR OF (R) SUPRASPINATUS TENDON WITH MUSCLE ATROPHY AND TENDON RETRACTION; (R) GLENOHUMERAL JOINT OSTEOARTHRITIS WITH ACROMIOCLAVICULAR JOINT SPURRING; MINIMAL SUBDELTOID/SUBACROMIAL BURSITIS. His doctor did not consider neither cortisone shot nor surgical repair in his condition. He was told that recovery might be difficult since he has Diabetes and other medical problems. He was then referred for Laser Therapy also know as Photobiomodulation Therapy (PBM) for pain management instead.
Pt came to ALBERTA LASER REHABILITATION CENTRE (ALRC) on November 8, 2016 for assessment with chief complaint of constant, sharp pain on anterior (R) shoulder with pain scale of 2/10 at rest and 8-10/10 upon movement. Mobility of the shoulder was very limited thus, he used his (L) arm more in activities of daily living. He couldn’t even lift his (R) arm even up to certain degrees due to severe pain.
Pt started PBM at ALRC 3 times per week then, decreased frequency to 2 times per week. After 4 sessions, pt noted decreased pain in the area though range was still limited. Pain got less as the treatment went on, and pt also got more mobility of the shoulder. After 9 sessions, noted no more soreness on the area and the shoulder joint started to gain more mobility.
At the end of 13 sessions, pt reported full resolution of pain at rest and was able to move the shoulder at full range with assistance. At the moment, pt already completed 18 sessions and upon re-assessment, he has already full range of motion and now able to use (R) arm in activities of daily living. However, because of muscle weakness, he still avoids carrying heavy things using (R) arm.
Aside from laser treatment, the pt was also given proper rehab program depending on the stage of his condition to prevent stiffness of the shoulder joint and prevent muscle wasting. At this point, pt is doing some strengthening exercises in conjunction with laser treatment. It is in order to make the muscle strong and to be able to fully integrate the (R) arm in all his activities.
PBM/Laser Therapy played a major role in the rehab program, without the intervention of laser therapy, healing will be delayed which may lead to development of complications such as stiffness and eventually, joint contracture due to immobility. ALRC uses BioFlex Laser exclusively at their clinic.
This pt is very happy with his improvement without sacrificing his health if he chose the other treatment options that may give him side effects.
Why Suffer? Let NOT Your Pain Hold You Back!