Reply To: Bilateral shoulder restriction/medical side effect

Exit forum Bilateral shoulder restriction/medical side effect Reply To: Bilateral shoulder restriction/medical side effect

#5459

Scott Glidden
Participant

Well gentlemen, I had some very interesting findings.

UCF: 12
CF: 45
CTF 62
CR-L 69%
CR-R 82%

adhesion present at several locations, but none were provocative of problem.
At each end range I also passively abducted his arms to 120 degrees and here is the level of discomfort at each test:
UCF: 8-9/10
CF: 6-7/10
CTF: 4/10
All ranges elicited a jump by 2 points when adduction reached 90 degrees and then quickly went away.

The pain pattern is achy/weak into both arms but NOT forearms.
Arm flexion is 170 degrees and painless bilaterally.
The symptoms are the worst when abducting to 90 degrees with straight arms.
The symptoms are much better when abduction to 90 degrees with forearms flexed anteriorly 90 degrees.
When he adducts his arms across midline at chest level it elicits a 1-2/10 level of symptoms.

I suggested we get an MRI and he is on board for that.

At this point my best ddx is early central cord syndrome, which could be confirmed by MRI.