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Medical history (the patient tells the doctor about an injury). For shoulder problems the medical history includes the patient's age, dominant hand, if injury affects normal work/activities as well as details on the actual shoulder problem including acute versus chronic and the presence of shoulder catching, instability, locking, pain, paresthesias (burning sensation), stiffness, swelling, and ...
The range of motion at the shoulder may be limited by pain. A painful arc of movement may be present during forward elevation of the arm from 60° to 120°. [4] Passive movement at the shoulder will appear painful when a downward force is applied at the acromion but the pain will ease once the force is removed. [2]
This syndrome can begin with severe shoulder or arm pain followed by weakness and numbness. [5] Those with Parsonage–Turner experience acute, sudden-onset pain radiating from the shoulder to the upper arm. Affected muscles become weak and atrophied, and in advanced cases, paralyzed. Occasionally, there will be no pain and just paralysis, and ...
Pain can also be in the side of the neck, the pectoral area below the clavicle, the armpit/axillary area, and the upper back (i.e., the trapezius and rhomboid area). Discoloration of the hands, one hand colder than the other hand, weakness of the hand and arm muscles, and tingling are commonly present.
An upper brachial plexus lesion, which occurs from excessive lateral neck flexion away from the shoulder. Most commonly, improper use of forceps during delivery [ 18 ] or falling on the neck at an angle causes upper plexus lesions leading to Erb's palsy . [ 7 ]
Significant pain, sometimes felt along the arm past the shoulder. Sensation that the shoulder is slipping out of the joint during abduction and external rotation. [6] Shoulder and arm held in external rotation (anterior dislocation), or adduction and internal rotation (posterior dislocation). [6] Resistance of all movement. Numbness of the arm.