AYMAN THE SWIMMER

AYMAN THE SWIMMER

1. Demographics: Name: Ayman Age:19 Occupation: student,freestyle swimmer

   • Presents with:nagging pain in his right shoulder, getting worse,throbs after training and during the night, sleep disturbance
     • -Pain when: lifting/lowering arm (swimming, combing hair,reaching up) -
       • Distressed and anxious about competing
       • Physical examination:
         • Inspection
           • Skin
             • Discoloration
             • Scars
             • Abnormal creases
           • Joint
             • Shape e.g.swelling
             • Position
           • No abnormality
         • Palpation
           • Bonny surface landmarks
           • localized tenderness(greater tuberosity)
           • Muscles e.g. Biceps for tenderness
           • Check for temperature, creptius
         • Range of motion
           • Active
             • externol rototion
               • poinful restricted movement
             • flexion
             • abduction
               • painful restricted movement
               • painful arc
             • internol rototion
             • extension
             • adduction
           • Passive
         • Impingement test
       • Biopsychosocial aspect of pain
         • Factors affects the degree of pain felt
           • genetic composition
           • prior learning experiences, and situation
           • current psychological status
           • sociocultural influences
         • Pain Catastrophization
           • Magnification, rumination, helplessness
             • complications: depression, anxiety, somatic symptom disorder, and substance abuse
               • Treatment
                 • exposure therapy
       • Treatment & Managment
         • Apply ice
         • Medication e.g pain killers
         • physiotherapy
         • Rest
         • Alternative Treatment
           • Electrotherapy
             • using electrical current to treat acute or chronic pain and muscular atrophy.
           • Laser acupuncture
             • using laser to stimulate acupuncture points
     • Anatomy of the shoulder
       • Bones
       • Muscles
       • Nerves
         • Brachial plexus
       • Blood vessels
     • Possible causes of joint pain e.g
       • Sport Injuries
         • Acute
           • Contact
             • Contution
             • laceration
           • Ligament Sprains
           • Dislocations/ sublaxation
           • Fractures
         • Chronic
           • Tendinopathy
             • e.g.swimmer's shoulder
               • painful shoulder overuse injuries that occur in swimmers
             • Stages
               • Stage 1: Some torn fibers and feeling of pain
               • Stage 2: Partial thickness tear and increase in the feeling of pain
               • Stage 3: complete tear in the tendon and increase in the pain
           • Muscle strains
           • Bursitis
           • Osteoarthritis
           • Stress fractures
       • referred pain
       • Osteoarthritis

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