Mrs X presented with right shoulder pain after falling off a step a few weeks earlier. She landed onto her outstretched hand and felt pain in her shoulder. On examining Mrs X, it was clear that she did not have full movement of the shoulder. She had difficulty with overhead movements, carrying objects in her hand and with dressing herself. Her right shoulder was noticeably positioned too far to the front of the body. Mrs X attended four physiotherapy treatment sessions. Treatment included mobilization of the shoulder joint, taping to hold the shoulder in the correct position, strengthening exercises for the rotator cuff muscles (shoulder stabilizers) and soft tissue massage. Mrs X had complete relief of her pain, following a combination of both hands-on treatment and home exercises. She was now able to dress herself and perform her daily activities as normal. If you would like more information on this or other case studies send an enquiry via this site.
Mr D presented to our practice with a sharp pain in his right shoulder when he lifted anything away from his body, and he had a dull ache while he rested. He didn’t remember any specific injury to his shoulder. He stated it gradually became worse over 3 weeks. He works in a local mine as a fitter and stated it was getting more difficult to work without pain. On examination Mr D had restricted movement in his shoulder and was unable to resist a gentle pressure against the arm. Further testing highlighted an injury involving some muscles of the rotator cuff. Mr D attended the practice a total of 10 times. Through treatment Mr. D received specific rotator cuff exercises focusing on returning correct movement in the shoulder as well as reducing his pain. Mr. D was able to return to work with no pain and full function of the shoulder and was able to return to cricket trials as a fast-bowler.
Mr T attended our practice 1 week after receiving left knee replacement surgery. He was using a pick up frame to walk with and had quite a bit of swelling in his knee. He wanted help returning his knee to normal and was curious which exercises he should do after surgery. Examination revealed that Mr T had very limited knee range of motion and that he was weak in all his leg muscles. His knee was very painful for some months before the surgery so his muscles got very weak during this period. He still had a bandage on his knee and was seeing his surgeon again next week. Mr T attended our practice 8 times. Treatment consisted of knee range of motion exercises, stretching of the appropriate muscles, strengthening and education about his knee operation, swelling and rehabilitation progression. Mr T had a home exercise program that he conducted independently every day. Once his wound healed and he had permission from his surgeon, we took Mr T to our hydrotherapy pool and demonstrated some easy exercises for strengthening his knee and improving his gait. Mr T now continues hydrotherapy independently and has returned to walking his grandchildren to school without the use of an aid.
Mr J attended our practice with severe lower back pain with shooting pain down his right leg. He mentioned that all he did was bend down to pat the dog and the pain shot across his back and down his leg. He was not able to go to work that day due to the discomfort. He stated that he had back pain in the past but not as bad as this. After examination of Mr J’s back we discovered that the pain down his leg was due to his lower back. He had some pins and needles in his foot that increased with certain movements of his back. Mr J had weakness in his right leg due to his pain and was very limited in bending forward. Mr J attended our practice for a total of 6 treatments. Treatment included mobilization of the spine, traction, strengthening of the core and education regarding proper posture. A home exercise program was provided which included simple strengthening and movement exercise. Mr J was able to feel the difference in his back and was 80% better by his third treatment session. He was able to return to work in 3 days and is currently a participant in our fit to function class that focuses on core control and strengthening.
Miss H attended our practice after she had rolled her left ankle at her basketball semi-final the day before. She stated she jumped for the ball and landed on her team-mate’s foot causing her ankle to roll sharply. Miss H has done an injury like this before and knows to ice it, however it was a lot more swollen compared to last time. After examination, we discovered that she had sprained 2 ligaments in her ankle with no signs of a fracture. She had a large bruise along her foot and severe swelling around her ankle. She had limited range in her ankle and was finding it difficult to walk. Her calf strength was limited due to her pain. Treatment consisted of range of motion exercises and swelling reduction with ice, elevation, ultrasound and compression. Miss H purchased a set of crutches to rest her foot for a couple of days. After 48 hours we commenced Miss H on a strengthening and balance exercise program. We used stretchy Thera-Band for these exercises. Her swelling reduced in a week and she had only limited discomfort when walking within 2 weeks. After 6 weeks, Miss H was strong enough to return to her new indoor basketball competition. She was taught special taping techniques and ankle exercises to help keep her ankles strong as she continued to dominate her opposition. If you are a patient or a physiotherapist and would like further information about any of these case studies please make an enquiry via our enquiry box on this website.