click here
find a Practitioner
To get our monthly newsletter,
Sign up here
My email address
First Name
Last Name
Dan Perez, DC
Pain and Injury Treatment Center of San Ramon
(925) 855-5525
2641 Crow Canyon Rd. #4
San Ramon , CA 94583 United States
Successful Treatment for Bilateral Shoulder Pain in Nurse
The patient is a 41 year old female nurse. She complains of pain rated as a 7 on a VAS scale of 10. It is affecting her shoulder, joints, with accompanying hand and joint swelling. The symptoms are new and started a few days earlier. The patient denied recent trauma and recreational activities that might explain her pain. She does have a large frame and is overweight by about 50 pounds. She does not smoke or drink. As part of her job, she sometimes turns various knobs on machines and IV catheters, raising her arms often. When asked her sleeping position, she replied that she was mostly a side sleeper.

Palpation of the soft tissues around the shoulder joint elicited pain, enough for her to jump during test. Especially anterior. Probably the pectorals major insertion point. Also, the supraspinatous tendon. She report pain ranging to the back and down of the upper arm along biceps. Shoulder ROM appeared normal. The hands were stiff due to capsular swelling. There was reduced sensation to pinwheel in hand dermatomes. Grip strength was decreased.

The diagnosis was bilateral shoulder tendonitis and capsulitis or bursitis. The patient was treated with 15 min. of LiteCure deep tissue laser therapy with instrument. It assisted soft tissue mobilization using a surgical steel edged instrument and was seen three times a week, for two weeks and two times a week for the following two weeks. She was also shown stretches for the anterior chest wall. In the second week, she was prescribed a series of four (4) Herbal Patches and was told to apply them directly over the anterior shoulder joint. She was also given one bottle of a liquid herbal formula to improve local circulation.

Result: after the second week, her condition improved dramatically. The hand swelling and pain disappeared but the shoulder pain was still present. After the third week, most of the original shoulder pain was gone. She was able to take deep palpation to the areas without feeling much pain.

Bussiness Hours: M-F 9:00 am - 6:00 pm
Phone Consulting: Yes
Fees Schedule: call for information
You may be interested in the discussion group of
Sign in to post a comment.
Sign in to post a private message.
lower extremity edema San Ramon CA,dependent edema San Ramon CA,causes of lower extremity edema San Ramon CA,edema lower extremities San Ramon CA,lymphedema treatment San Ramon CA,leg swelling causes San Ramon CA,edema swelling San Ramon CA,ankle edema San Ramon CA,lower leg swelling San Ramon CA,facial edema San Ramon CA,leg lymphedema San Ramon CA,edema symptoms San Ramon CA,swollen legs and feet San Ramon CA,edema feet San Ramon CA,swelling feet and ankles San Ramon CA,edema in feet San Ramon CA,edema foot San Ramon CA,cause of edema San Ramon CA,lower extremities edema San Ramon CA,swelling in lower leg San Ramon CA,edema cures San Ramon CA,swelling lower leg San Ramon CA,edema of lower extremities San Ramon CA,edema after surgery San Ramon CA,edema causes of San Ramon CA,unilateral edema lower extremity San Ramon CA,lower extremity edema 94583,dependent edema 94583,causes of lower extremity edema 94583,edema lower extremities 94583,lymphedema treatment 94583,leg swelling causes 94583,edema swelling 94583,ankle edema 94583,lower leg swelling 94583,facial edema 94583,leg lymphedema 94583,edema symptoms 94583,swollen legs and feet 94583,edema feet 94583,swelling feet and ankles 94583,edema in feet 94583,edema foot 94583,cause of edema 94583,lower extremities edema 94583,swelling in lower leg 94583,edema cures 94583,swelling lower leg 94583,edema of lower extremities 94583,edema after surgery 94583,edema causes of 94583,unilateral edema lower extremity 94583