Er, this is… ah yes, Michael Abbott, forty years old, came in today complaining of, um, left shoulder pain… it’s been going on for about, well, maybe four, five weeks, can’t quite remember exactly, but he says it’s been worse in the last ten days. No, uh, no trauma as such, but he did start doing some DIY at home and, uh, was painting the ceiling for two days straight which might be related. Pain’s mostly at the front, sometimes a bit into the upper arm, and he says he feels it when, um, reaching up into cupboards or putting on a jacket. On exam, I found reduced abduction, painful arc around ninety degrees, and tenderness over the bicipital groove. Rotator cuff strength seems okay but there’s mild discomfort on resisted supination. I’m thinking biceps tendinopathy. I’ve advised him to ease off overhead work, start some isometric biceps loading, and we’ll review in… let’s say two weeks.
Subjective:
Michael Abbott reports left shoulder pain persisting for approximately 4-5 weeks, with a recent worsening over the last ten days. He mentions no specific trauma but has been engaged in DIY activities at home, including painting the ceiling continuously for two days, which may be related to his symptoms. The pain is primarily situated at the front of the shoulder, occasionally radiating into the upper arm. Symptoms exacerbate when reaching upwards or when putting on a jacket.
Objective:
Upon examination, Michael exhibits reduced abduction and a painful arc around ninety degrees. There is noted tenderness over the bicipital groove. Rotator cuff strength is adequate, but there is mild discomfort on resisted supination. These findings suggest possible biceps tendinopathy.
Assessment:
The clinical presentation and symptoms are indicative of biceps tendinopathy, likely exacerbated by recent overhead activities.
Plan:
Michael has been advised to reduce overhead activities and commence isometric biceps loading exercises. A follow-up appointment is scheduled in two weeks to review progress and adjust the treatment plan as necessary.
From those notes and from other details contained within his Physiodiary record, Physio-AI produced the following with just a few mouse clicks:
Demonstration Practice
21 The Street
Anytown
Telephone: 0123 456789
11/08/2025
18 Ings Lane
DEERHURST
Anyshire
GL19 0HS
Dear Michael,
I hope this message finds you well. I am writing to update you on the findings from your recent consultation regarding the persistent pain in your left shoulder.
During our assessment, it was noted that you have been experiencing increased discomfort, particularly when engaging in activities that involve reaching upwards or repetitive overhead movements. This is likely due to your recent home improvement projects. Upon examination, we observed a limitation in your shoulder movement and tenderness in specific areas, which suggests a condition known as biceps tendinopathy.
To address this, we have recommended that you temporarily limit any activities that require overhead motions to prevent further aggravation of your symptoms. Additionally, we have prescribed specific exercises aimed at strengthening the affected area without exacerbating your pain.
We will re-evaluate your condition in two weeks to see how you are progressing and make any necessary adjustments to your treatment plan. It is important to follow the prescribed exercises and activity modifications to aid in your recovery.
Thank you for your attention to this matter, and I look forward to seeing you at your follow-up appointment. Please feel free to contact the clinic if you have any questions or concerns in the meantime.
Kind regards
Fred the Physio
Demonstration Practice
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