Shubhash Mishra
52 Years Old | Male
Presenting Complaints
- Left shoulder pain, specifically exacerbated by overhead movement.
- Significant difficulty with activities of daily living requiring reaching or lifting above shoulder height.
Medical Diagnosis
- Left shoulder rotator cuff tear.
Mechanism of Injury
- Direct impact on the left shoulder due to a road traffic accident while riding a two‑wheeler.
Surgical / Medical Management
- Medical management as advised by the orthopedic surgeon
- Pain‑relieving medications and activity modification
Assessment & Clinical Findings
Clinical Findings
- Pain: Present over the left shoulder, aggravated during overhead movements
- Mobility: Reduced active range of motion of the left shoulder
- Strength: Decreased shoulder muscle strength affecting functional activities
Physiotherapy Intervention Plan
Pain Management
- Pain management techniques including ice/heat therapy and TENS
Shoulder Mobility
- Shoulder mobility exercises to restore range of motion
Strengthening
- Progressive strengthening exercises for rotator cuff and scapular stabilizers
Treatment Outcomes
Significant reduction in shoulder pain
Improved shoulder mobility and strength
Able 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.