CASE STUDY: MANAGEMENT OF PATIENT WITH SHOULDER PAIN BY GENERAL PRACTITIONER

Author:

Nazarian V. M.,Velichko V. I.,Synenko V. I.,Kovalenko S. F.

Abstract

Shoulder pain is one of the most common presentations of musculoskeletal pain with population prevalence of between 7 and 26 %. The most common pathology that affects the shoulder joint is rotator cuff syndrome. The most important aspects in the management of patient with shoulder pain by general practitioner are to ensure an accurate diagnosis and to start the appropriate treatment on time. The main direction of rotator cuff syndrome treatment includes a period of rest from the exacerbating activity and taking nonsteroidal anti-inflammatory drugs. In some cases the use of the NSAIDs is not possible, so we decided to suggest an alternative non-pharmacological method of treatment. We treated a patient with rotator cuff syndrome by injections of autologous plasma into the affected muscles and projections of entheses that were involved in the pathological process. We obtained positive results. The shoulder pain had been reduced, mobility and movement had been improved after a course of autologous plasma injections. In our opinion, it is expedient to consider such treatment of the rotator cuff syndrome both as an additional method and separately in case of impossibility of prescribing the main therapy.

Publisher

Odessa National Medical University

Reference4 articles.

1. Danielle A. van der Windt, Danielle L. Burke, Opeyemi Babatunde et al. Predictors of the effects of treatment for shoulder pain: protocol of an individual participant data meta-analysis. Pubmed. 2019. Published online 2019 Aug 8. doi: 10.1186/s41512-019-0061-x.

2. Lee DYL, Haas R, Wallis JA, et al. Clinical practice guidelines for the management of atraumatic shoulder conditions: protocol for a systematic review. BMJ Open. 2021;11:e048297. doi:10.1136/bmjopen-2020-048297.

3. Nastanova 00405. Rozlady rotatsiinoi manzhety plechovoho suhloba. Martti Vastamдki. 2018. Elektronnyi resurs: http://guidelines.moz.gov.ua/documents/2918?id=ebm00398&format=pdf. [In Ukraine]

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