Self-referred to outpatient physical therapy

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ICF Case Study Dx: Adhesive Capsulitis (Frozen shoulder) A 36-year-old female self-referred to an outpatient physical therapy clinic with a 2-month history of right (dominant) shoulder pain. She reports first experiencing pain while fastening her bra. The patient denies any trauma; this is the first time she has sought care for a shoulder injury. Pain intensity has increased since onset and regularly affects her ability to sleep on her right side. In addition to pain, she reports limited ability to reach behind her back and reach overhead, which makes getting dressed and reaching into high cupboards while cooking difficult, if not impossible. After extended periods of use, she reports her arm feels weak and this has affected her ability to clean her house and fold laundry. She is a mother of 3 small children and reports her shoulder pain has affected her ability to go grocery shopping and take her kids on outings because she is not able to lift and carry heavy things. She reports being worried about not being able to pick up her youngest child, as he is only 1-year-old and often becomes upset (or more upset) when she is not able to hold him and comfort.

Reference no: EM133785819

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