Approach to Posterior Shoulder and Upper Back Pain: Case Based Discussions-Session Presentation

Video Transcription

Video Summary

The video discusses several cases involving shoulder and upper back pain. In the first case, a 21-year-old football player experiences burning pain near the scapula border after a game. The panel suggests a thorough shoulder evaluation, including imaging such as an x-ray or ultrasound, to look for any tears or injuries. Physical therapy is recommended, with a focus on scapular mechanics and strengthening exercises. If the patient does not improve after therapy, an MRI may be considered to assess the muscles and labrum. In the second case, a 17-year-old baseball pitcher has pain and weakness with throwing. The panel suggests a full shoulder evaluation, including imaging such as an x-ray or MRI to look for any issues with the rotator cuff or labrum. Physical therapy is recommended, along with a possible scapulothoracic bursa injection. The third case involves a patient with acute upper trapezius and periscapular pain. The panel considers cervical radiculopathy and suggests physical therapy and medication options such as anti-inflammatories or muscle relaxants. If the pain persists, an MRI may be considered. In the fourth case, a patient with chronic back pain is reassured by normal x-rays and the panel suggests physical therapy and stress management techniques. In each case, the goal is to assess the patient and tailor treatment accordingly, considering imaging, therapy, and medications as appropriate.

Keywords

shoulder pain

upper back pain

football player

scapula border

shoulder evaluation

imaging

physical therapy

strengthening exercises

MRI