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 prognosis with just a few mouse clicks:
Demonstration Practice
21 The Street
Anytown
Telephone: 0123 456789
Report in respect of Mr Michael Abbott
09/08/2025
Clinical ReportDate: 10 August 2025 Patient: Michael Abbott
Michael Abbott presents with a complaint of left shoulder pain persisting for approximately 4-5 weeks, with an increase in severity over the last ten days. He denies experiencing any specific trauma but has been engaged in DIY activities, including painting the ceiling, which involved repetitive overhead movements. The pain is primarily located at the front of the shoulder and occasionally radiates into the upper arm. Symptoms worsen when reaching upwards or while dressing.
Physical examination reveals reduced shoulder abduction with a painful arc around ninety degrees and noticeable tenderness over the bicipital groove. While rotator cuff strength appears adequate, there is mild discomfort during resisted supination.
The clinical findings are indicative of biceps tendinopathy, likely exacerbated by recent overhead activities. Michael has been advised to curtail overhead activities to prevent further exacerbation of symptoms. He is to commence isometric biceps loading exercises aimed at strengthening the affected area. A follow-up consultation is scheduled in two weeks to evaluate progress and modify the treatment plan as necessary.
This report should be reviewed and the treatment plan adjusted based on the patient's progress and any new findings at the follow-up consultation.
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