Reshma Mistry
33 Years Old | Female
Presenting Complaints
- Right shoulder pain accompanied by significant difficulty with overhead movements and activities.
- Impaired tolerance for weight-bearing activities, specifically standing and walking.
Medical Diagnosis
- Left tibial shaft fracture with associated foot drop
- Right shoulder dislocation
Mechanism of Injury
- Road traffic accident causing a left tibial shaft fracture with neurological involvement leading to foot drop
- Slip and fall in the bathroom resulting in right shoulder dislocation
Surgical / Medical Management
- Surgical fixation of the left tibial shaft fracture
- Medical and orthopedic management of right shoulder dislocation
Assessment & Clinical Findings
Clinical Findings
- Pain: Pain present in the right shoulder, aggravated during overhead movements
- Motor Function: Weakness of left ankle dorsiflexors resulting in foot drop
- Mobility: Difficulty in standing and ambulation
- Functional Limitations: Reduced independence in walking and overhead activities
Physiotherapy Intervention Plan
Bed Mobility
- Bed mobility exercises to improve independence and prevent complications
Electrical Stimulation
- Electrical stimulation to improve muscle activation in the affected lower limb
Robotic Rehabilitation
- Robotic-assisted rehabilitation for gait and functional training
Strengthening
- Progressive strengthening exercises for upper and lower limbs
Gait Training
- Gait training to restore independent ambulation
Treatment Outcomes
Reduction in right shoulder pain
Regained ability to stand and walk independently
Improved shoulder function with ability to perform overhead activities independently
Clinical Conclusion
This case highlights the effectiveness of a comprehensive physiotherapy approach in managing cervical spondylosis with lumbar radiculopathy. The treatment plan successfully addressed the patient’s symptoms through a combination of therapeutic exercises, pain management techniques, and postural correction strategies. The significant improvement in pain levels and functional abilities demonstrates the value of targeted rehabilitation in managing work-related musculoskeletal disorders. The patient’s ability to return to prolonged two-wheeler driving without significant discomfort underscores the success of the intervention in restoring functional independence and quality of life.