SlideShare a Scribd company logo
1 of 28
PRESENTED BY-
SHRUTI SINGH
NAME OF THE PATIENT : ABC
AGE : 50 YRS
SEX : MALE
RELIGION : MUSLIM
MARITAL STATUS : MARRIED
OCCUPATION : FARMER
ADDRESS : BORAJ
 PAIN IN SHOULDER JOINT
 DURATION : 2 YRS
 LOCATION : RIGHT SHOULDER
 EXTENSION : SHOULDER TO BACK
 SENSATION : STICHING PAIN
 MODALITIES : < MORNING, MOVING
> PRESSURE
 PATIENT WAS WELL BEFORE 2 YEARS.
FIRSTLY THERE WAS MILD PAIN ON RIGHT
SHOULDER WHICH WAS RELIEVED BY
TAKING PAINKILLERS. GRADUALLY THE
PAIN INCREASED IN RIGHT SHOULDER
JOINT AND IT EXTEND TO BACK. HE IS
TAKING PHYSIOTHERAPY FOR HIS
COMPLAINTS. AS THE PAIN WAS
UNBEARABLE HE APPROACHED TO
HOMOEOPATHY.
DISEASE/
OPERATION/
INJURY ETC.
AGE/YEAR TREATMENT
TAKEN
OUTCOME
DOG BITE 3YRS OF AGE ALLOPATHIC
TREATMENT
RECOVERY
FRACTURE ON
BOTH
FOREARMS
15 YRS OF AGE ALLOPATHIC
TREATMENT
RECOVERY
FRACTURE ON
RIGHT FIBULA
16 YRS OF AGE ALLOPATHIC
TREATMENT
RECOVERY
HYPERTENSION 46 YRS OF AGE ALLOPATHIC
TREATMENT
COUNTINUES
RELATION ALIVE/DEAD ILLNESS
SUFFERED/
SUFFERING FROM
FATHER DEAD HEART ATTACK
MOTHER ALIVE HYPERENSION
BROTHER ALIVE HEALTHY
SISTER ALIVE HEALTHY
CHILDREN (4) ALIVE HEALTHY
 ECONOMIC STATUS : MIDDLE SOCIO-
ECONOMICS GROUP
 DIET AND FOOD HABITS : NON
VEGETARIAN
 HABBITS : NOT SPECIFIC
 EDUCATION : ILLITRATE
 VACCINATION HISTORY : ALL DONE
CONSTITUTION LEAN, THIN, TALL, DARK COMPLEXION
APPETITE 2 TIMES/DAY, 2 CHAPATTI, 1 BOWL VEGETABLE,
1 BOWL DAL , 1 GLASS BUTTERMILK
THIRST 2-3 LITS/DAY, NORMAL TAP WATER
DESIRE SALT
AVERSION NOT SPECIFIC
STOOL ONCE IN A DAY, NON- OFFENSIVE, NO
STRAINING
SATISFACTORY
URINE 4-5 TIMES/DAY, 1 TIME/NIGHT, STRAW COLOUR,
NO BURNING, NON-OFFENSIVE
SWEAT GENERALISED, NON-OFFENSIVE, NO STAINING
SLEEP / DREAM 7-8 HRS, 9 PM- 6 AM, IN SUPINE POSITION,
REFRESHING/ NS
THERMAL HOT PATIENT
 HE IS VERY MILD BY NATURE.
 HE WAS VIOLENT ON SMALL THINGS.
 HE WAS MORE ANGRY AT THE TIME OF
CONSOLATION.
 HE ALWAYS WANTS SOMEONE TO BESIDE
HIM.
 HE IS VERY TALKATIVE.
 HIS MEMORY IS ACTIVE.
CONSCIOUS / UNCONSCIOUS : CONSCIOUS
HEIGHT : 180 CM WEIGHT : 68 KG
ANEMIA : NOT PRESENT JAUNDICE : NOT PRESENT
CYANOSIS : NOT PRESENT OEDEMA : NOT PRESENT
SKIN : HEALTHY NAILS : SLIGHTLY PINKISH
GAIT : STEADY LYMPHADENOPATHY : NOT
PALPABLE
BLOOD PRESSURE : 140/90 MM
OF HG
PULSE : 72 BEATS/ MIN.
TEMPERATURE : 98.6 DEGREE
F
RESPIRATORY RATE : 18/ MIN
TONGUE : CLEAN, MOIST
 RESPIRATORY SYSTEM : NO
ABNORMALITY FOUND
 CARDIOVASCULAR SYSTEM : S1 AND S2
AUDIBLE
 NERVOUS SYSTEM : ALL CRANIAL NERVE
FUNCTION ARE WELL ORIENTED
 GASTROINTESTINAL SYSTEM : NO
ABNORMALITY FOUND
 LOCOMOTOR SYSTEM :
---SHOULDER IMPRINGEMENT TESTS
1. NEER’S TEST
2. HAWKIN’S KENNEDY TEST
3. DROP ARM TEST
 X-RAY RIGHT SHOULDER (AP & LATERAL
VIEW)
 MRI
 FROZEN SHOULDER
 BURSITIS
 PARSONAGE-TURNER SYNDROME
 OSTEOARTHRITIS
 POSTERIOR DISLOCATION OF SHOULDER
JOINT
 FROZEN SHOULDER
MENTAL GENERAL
 HE IS VERY MILD BY NATURE.
 HE WAS VIOLENT ON SMALL THINGS.
 HE WAS MORE ANGRY AT THE TIME OF
CONSOLATION.
 HE ALWAYS WANTS SOMEONE TO BESIDE
HIM.
 HE IS VERY TALKATIVE.
 HIS MEMORY IS ACTIVE.
 DESIRE : SALT
 THERMAL REACTION : HOT
PARTICULAR
 PAIN IN RIGHT SHOULDER JOINT SINCE 2 YRS
 EXTENSION : SHOULDER TO BACK
 SENSATION : STICHING PAIN
 MODALITIES : < MORNING, MOVING
> PRESSURE
1. HE IS VERY MILD BY NATURE.
2. HE WAS VIOLENT ON SMALL THINKGS.
3. HE WAS MORE ANGRY AT THE TIME OF
CONSOLATION.
4. HE ALWAYS WANTS SOMEONE TO BESIDE
HIM.
5. HE IS VERY TALKATIVE.
6. DESIRE : SALT
7. THERMAL REACTION : HOT
8. PAIN IN RIGHT SHOULDER JOINT FOR LAST 2
YRS.
9. EXTENSION : SHOULDER TO BACK
10. SENSATION : STICHING PAIN
11. MODALITIES : < MORNING, MOVING
> PRESSURE
1. HE IS VERY MILD BY NATURE. (P)
2. HE WAS VIOLENT ON SMALL THINGS. HE
WAS MORE ANGRY AT THE TIME OF
CONSOLATION. (P)
3. HE ALWAYS WANTS SOMEONE TO BESIDE
HIM. (P)
4. HE IS VERY TALKATIVE. (P)
5. DESIRE : SALT (SY)
6. PAIN IN RIGHT SHOULDER JOINT EXTEND
TO BACK. (P)
7. SENSATION : STICHING PAIN (P)
 PSORA IS PREDOMINANT.
ACCORDING TO KENT
S.N
O.
CHAPTER RUBRIC SUBRUBRIC PAGE
NO.
1. MIND ANGER VIOLENT 3
2. MIND COMPANY DSIRE FOR 12
3. MIND CONSOLATI
ON
AGGRAVATION 16
4. MIND MILDNESS 65
5. MIND LOQUACITY 63
6. STOMACH DESIRE SALT 486
7. EXTERMITIE
S
PAIN SHOULDER, RIGHT 1052
S.N
O.
CHAPTER RUBRIC SUBRUBRIC PAGE
NO.
8. EXTERMITIES PAIN SHOULDER ,
EXTENDING TO BACK
1053
9. EXTERMITIES PAIN MORNING 1052
10. EXTERMITIES PAIN PRESSURE 1053
 ARSENICUM ALBUM – 13/7
 LYCOPODIUM CLAVATUM – 13/7
 PHOSPHORUS – 13/6
 CALCAREA CARBONICUM – 12/7
SELECTION OF POTENCY :
200/1 DOSE STAT
PRESCRIPTION :
Rx LYCOPODIUM 200/1 DOSE
STAT
PL 30/TDS 5 GLOBULES FOR
7 DAYS
 ADVICE TO PATIENT FOR EXERSISES TO
HELP RECOVERS OF HIS MOBILITY.
PENDULUM STRETCH FINGER WALK
CROSS-BODY
REACH
ARMPIT STRETCH
TOWEL STRETCH OUTWARD
ROTATION
INWARD ROTATION
Frozen shoulder

More Related Content

What's hot

Physiotherapy Case presentation
Physiotherapy Case presentation Physiotherapy Case presentation
Physiotherapy Case presentation Syed Adil
 
Case presentation 221(2) sandamail
Case presentation 221(2) sandamailCase presentation 221(2) sandamail
Case presentation 221(2) sandamailAyaz Iqbal
 
A case presentation on lateral epicondylitis by prasanjit shom
A case presentation on lateral epicondylitis by  prasanjit shomA case presentation on lateral epicondylitis by  prasanjit shom
A case presentation on lateral epicondylitis by prasanjit shomPRASANJIT SHOM
 
Spine examination-Part 2
Spine examination-Part 2Spine examination-Part 2
Spine examination-Part 2Archit Jain
 
Assessment of cervical spine
Assessment of cervical spineAssessment of cervical spine
Assessment of cervical spinekhushali52
 
Adhesive capsulitis case presentation physiotherapy
Adhesive capsulitis case presentation physiotherapyAdhesive capsulitis case presentation physiotherapy
Adhesive capsulitis case presentation physiotherapymanisha thakur
 
Chengdu instability clinical examination
Chengdu instability clinical examinationChengdu instability clinical examination
Chengdu instability clinical examinationShoulder Library
 
Carpal tunnelsyndromea patientcase
Carpal tunnelsyndromea patientcaseCarpal tunnelsyndromea patientcase
Carpal tunnelsyndromea patientcaselebeynon
 
Shoulder examination
Shoulder examinationShoulder examination
Shoulder examinationAhmad Sulong
 
Subjective Examination Cervical spine Amir
Subjective Examination Cervical spine AmirSubjective Examination Cervical spine Amir
Subjective Examination Cervical spine AmirDr. Alam Zeb Amir (PT)
 
Impingement syndrome rehabilitation
Impingement syndrome rehabilitationImpingement syndrome rehabilitation
Impingement syndrome rehabilitationIli Diyana
 
Back Pain Made Ez! Dr Ammar March 2nd
Back Pain Made Ez! Dr  Ammar March 2ndBack Pain Made Ez! Dr  Ammar March 2nd
Back Pain Made Ez! Dr Ammar March 2ndEM OMSB
 
case presentation- bell's palsy.pptx
case presentation- bell's palsy.pptxcase presentation- bell's palsy.pptx
case presentation- bell's palsy.pptxAvaniAkbari
 
Musculoskeletal Assessment (Principles and Concepts for Physiotherapists)
Musculoskeletal Assessment (Principles and Concepts for Physiotherapists)Musculoskeletal Assessment (Principles and Concepts for Physiotherapists)
Musculoskeletal Assessment (Principles and Concepts for Physiotherapists)Sreeraj S R
 
Presentation on frozen shoulder
Presentation on frozen shoulderPresentation on frozen shoulder
Presentation on frozen shoulderZahirulkhan1
 

What's hot (20)

Physiotherapy Case presentation
Physiotherapy Case presentation Physiotherapy Case presentation
Physiotherapy Case presentation
 
Case presentation 221(2) sandamail
Case presentation 221(2) sandamailCase presentation 221(2) sandamail
Case presentation 221(2) sandamail
 
10. ortho (1)
10.  ortho (1)10.  ortho (1)
10. ortho (1)
 
A case presentation on lateral epicondylitis by prasanjit shom
A case presentation on lateral epicondylitis by  prasanjit shomA case presentation on lateral epicondylitis by  prasanjit shom
A case presentation on lateral epicondylitis by prasanjit shom
 
Spine examination-Part 2
Spine examination-Part 2Spine examination-Part 2
Spine examination-Part 2
 
Bells palsy
Bells palsyBells palsy
Bells palsy
 
Assessment of cervical spine
Assessment of cervical spineAssessment of cervical spine
Assessment of cervical spine
 
Adhesive capsulitis case presentation physiotherapy
Adhesive capsulitis case presentation physiotherapyAdhesive capsulitis case presentation physiotherapy
Adhesive capsulitis case presentation physiotherapy
 
Chengdu instability clinical examination
Chengdu instability clinical examinationChengdu instability clinical examination
Chengdu instability clinical examination
 
Shoulder Pain
Shoulder PainShoulder Pain
Shoulder Pain
 
Carpal tunnelsyndromea patientcase
Carpal tunnelsyndromea patientcaseCarpal tunnelsyndromea patientcase
Carpal tunnelsyndromea patientcase
 
Shoulder examination
Shoulder examinationShoulder examination
Shoulder examination
 
Subjective Examination Cervical spine Amir
Subjective Examination Cervical spine AmirSubjective Examination Cervical spine Amir
Subjective Examination Cervical spine Amir
 
Impingement syndrome rehabilitation
Impingement syndrome rehabilitationImpingement syndrome rehabilitation
Impingement syndrome rehabilitation
 
Scoliosis examination
Scoliosis examinationScoliosis examination
Scoliosis examination
 
Back Pain Made Ez! Dr Ammar March 2nd
Back Pain Made Ez! Dr  Ammar March 2ndBack Pain Made Ez! Dr  Ammar March 2nd
Back Pain Made Ez! Dr Ammar March 2nd
 
case presentation- bell's palsy.pptx
case presentation- bell's palsy.pptxcase presentation- bell's palsy.pptx
case presentation- bell's palsy.pptx
 
Shoulder examionation
Shoulder examionationShoulder examionation
Shoulder examionation
 
Musculoskeletal Assessment (Principles and Concepts for Physiotherapists)
Musculoskeletal Assessment (Principles and Concepts for Physiotherapists)Musculoskeletal Assessment (Principles and Concepts for Physiotherapists)
Musculoskeletal Assessment (Principles and Concepts for Physiotherapists)
 
Presentation on frozen shoulder
Presentation on frozen shoulderPresentation on frozen shoulder
Presentation on frozen shoulder
 

More from DR. SHRUTI SINGH (13)

SHRUTI SINGH.pdf
SHRUTI SINGH.pdfSHRUTI SINGH.pdf
SHRUTI SINGH.pdf
 
Vaicose vein
Vaicose veinVaicose vein
Vaicose vein
 
Osteoarthritis
OsteoarthritisOsteoarthritis
Osteoarthritis
 
HTN
HTNHTN
HTN
 
Warts
WartsWarts
Warts
 
Whooping cough
Whooping coughWhooping cough
Whooping cough
 
Oral ulcer
Oral ulcerOral ulcer
Oral ulcer
 
Hemorroids
HemorroidsHemorroids
Hemorroids
 
Diarrhea
DiarrheaDiarrhea
Diarrhea
 
Antepartum hamorrhage
Antepartum hamorrhageAntepartum hamorrhage
Antepartum hamorrhage
 
Alumina
AluminaAlumina
Alumina
 
Homeopathic treatment for pneumonia
Homeopathic treatment for pneumoniaHomeopathic treatment for pneumonia
Homeopathic treatment for pneumonia
 
Knee joint ps3
Knee joint  ps3Knee joint  ps3
Knee joint ps3
 

Frozen shoulder

  • 2. NAME OF THE PATIENT : ABC AGE : 50 YRS SEX : MALE RELIGION : MUSLIM MARITAL STATUS : MARRIED OCCUPATION : FARMER ADDRESS : BORAJ
  • 3.  PAIN IN SHOULDER JOINT  DURATION : 2 YRS  LOCATION : RIGHT SHOULDER  EXTENSION : SHOULDER TO BACK  SENSATION : STICHING PAIN  MODALITIES : < MORNING, MOVING > PRESSURE
  • 4.  PATIENT WAS WELL BEFORE 2 YEARS. FIRSTLY THERE WAS MILD PAIN ON RIGHT SHOULDER WHICH WAS RELIEVED BY TAKING PAINKILLERS. GRADUALLY THE PAIN INCREASED IN RIGHT SHOULDER JOINT AND IT EXTEND TO BACK. HE IS TAKING PHYSIOTHERAPY FOR HIS COMPLAINTS. AS THE PAIN WAS UNBEARABLE HE APPROACHED TO HOMOEOPATHY.
  • 5. DISEASE/ OPERATION/ INJURY ETC. AGE/YEAR TREATMENT TAKEN OUTCOME DOG BITE 3YRS OF AGE ALLOPATHIC TREATMENT RECOVERY FRACTURE ON BOTH FOREARMS 15 YRS OF AGE ALLOPATHIC TREATMENT RECOVERY FRACTURE ON RIGHT FIBULA 16 YRS OF AGE ALLOPATHIC TREATMENT RECOVERY HYPERTENSION 46 YRS OF AGE ALLOPATHIC TREATMENT COUNTINUES
  • 6. RELATION ALIVE/DEAD ILLNESS SUFFERED/ SUFFERING FROM FATHER DEAD HEART ATTACK MOTHER ALIVE HYPERENSION BROTHER ALIVE HEALTHY SISTER ALIVE HEALTHY CHILDREN (4) ALIVE HEALTHY
  • 7.  ECONOMIC STATUS : MIDDLE SOCIO- ECONOMICS GROUP  DIET AND FOOD HABITS : NON VEGETARIAN  HABBITS : NOT SPECIFIC  EDUCATION : ILLITRATE  VACCINATION HISTORY : ALL DONE
  • 8. CONSTITUTION LEAN, THIN, TALL, DARK COMPLEXION APPETITE 2 TIMES/DAY, 2 CHAPATTI, 1 BOWL VEGETABLE, 1 BOWL DAL , 1 GLASS BUTTERMILK THIRST 2-3 LITS/DAY, NORMAL TAP WATER DESIRE SALT AVERSION NOT SPECIFIC STOOL ONCE IN A DAY, NON- OFFENSIVE, NO STRAINING SATISFACTORY URINE 4-5 TIMES/DAY, 1 TIME/NIGHT, STRAW COLOUR, NO BURNING, NON-OFFENSIVE SWEAT GENERALISED, NON-OFFENSIVE, NO STAINING SLEEP / DREAM 7-8 HRS, 9 PM- 6 AM, IN SUPINE POSITION, REFRESHING/ NS THERMAL HOT PATIENT
  • 9.  HE IS VERY MILD BY NATURE.  HE WAS VIOLENT ON SMALL THINGS.  HE WAS MORE ANGRY AT THE TIME OF CONSOLATION.  HE ALWAYS WANTS SOMEONE TO BESIDE HIM.  HE IS VERY TALKATIVE.  HIS MEMORY IS ACTIVE.
  • 10. CONSCIOUS / UNCONSCIOUS : CONSCIOUS HEIGHT : 180 CM WEIGHT : 68 KG ANEMIA : NOT PRESENT JAUNDICE : NOT PRESENT CYANOSIS : NOT PRESENT OEDEMA : NOT PRESENT SKIN : HEALTHY NAILS : SLIGHTLY PINKISH GAIT : STEADY LYMPHADENOPATHY : NOT PALPABLE BLOOD PRESSURE : 140/90 MM OF HG PULSE : 72 BEATS/ MIN. TEMPERATURE : 98.6 DEGREE F RESPIRATORY RATE : 18/ MIN TONGUE : CLEAN, MOIST
  • 11.  RESPIRATORY SYSTEM : NO ABNORMALITY FOUND  CARDIOVASCULAR SYSTEM : S1 AND S2 AUDIBLE  NERVOUS SYSTEM : ALL CRANIAL NERVE FUNCTION ARE WELL ORIENTED  GASTROINTESTINAL SYSTEM : NO ABNORMALITY FOUND
  • 12.  LOCOMOTOR SYSTEM : ---SHOULDER IMPRINGEMENT TESTS 1. NEER’S TEST 2. HAWKIN’S KENNEDY TEST 3. DROP ARM TEST
  • 13.  X-RAY RIGHT SHOULDER (AP & LATERAL VIEW)  MRI
  • 14.  FROZEN SHOULDER  BURSITIS  PARSONAGE-TURNER SYNDROME  OSTEOARTHRITIS  POSTERIOR DISLOCATION OF SHOULDER JOINT
  • 16. MENTAL GENERAL  HE IS VERY MILD BY NATURE.  HE WAS VIOLENT ON SMALL THINGS.  HE WAS MORE ANGRY AT THE TIME OF CONSOLATION.  HE ALWAYS WANTS SOMEONE TO BESIDE HIM.  HE IS VERY TALKATIVE.  HIS MEMORY IS ACTIVE.
  • 17.  DESIRE : SALT  THERMAL REACTION : HOT PARTICULAR  PAIN IN RIGHT SHOULDER JOINT SINCE 2 YRS  EXTENSION : SHOULDER TO BACK  SENSATION : STICHING PAIN  MODALITIES : < MORNING, MOVING > PRESSURE
  • 18. 1. HE IS VERY MILD BY NATURE. 2. HE WAS VIOLENT ON SMALL THINKGS. 3. HE WAS MORE ANGRY AT THE TIME OF CONSOLATION. 4. HE ALWAYS WANTS SOMEONE TO BESIDE HIM. 5. HE IS VERY TALKATIVE. 6. DESIRE : SALT 7. THERMAL REACTION : HOT 8. PAIN IN RIGHT SHOULDER JOINT FOR LAST 2 YRS.
  • 19. 9. EXTENSION : SHOULDER TO BACK 10. SENSATION : STICHING PAIN 11. MODALITIES : < MORNING, MOVING > PRESSURE
  • 20. 1. HE IS VERY MILD BY NATURE. (P) 2. HE WAS VIOLENT ON SMALL THINGS. HE WAS MORE ANGRY AT THE TIME OF CONSOLATION. (P) 3. HE ALWAYS WANTS SOMEONE TO BESIDE HIM. (P) 4. HE IS VERY TALKATIVE. (P) 5. DESIRE : SALT (SY) 6. PAIN IN RIGHT SHOULDER JOINT EXTEND TO BACK. (P) 7. SENSATION : STICHING PAIN (P)
  • 21.  PSORA IS PREDOMINANT.
  • 22. ACCORDING TO KENT S.N O. CHAPTER RUBRIC SUBRUBRIC PAGE NO. 1. MIND ANGER VIOLENT 3 2. MIND COMPANY DSIRE FOR 12 3. MIND CONSOLATI ON AGGRAVATION 16 4. MIND MILDNESS 65 5. MIND LOQUACITY 63 6. STOMACH DESIRE SALT 486 7. EXTERMITIE S PAIN SHOULDER, RIGHT 1052
  • 23. S.N O. CHAPTER RUBRIC SUBRUBRIC PAGE NO. 8. EXTERMITIES PAIN SHOULDER , EXTENDING TO BACK 1053 9. EXTERMITIES PAIN MORNING 1052 10. EXTERMITIES PAIN PRESSURE 1053
  • 24.  ARSENICUM ALBUM – 13/7  LYCOPODIUM CLAVATUM – 13/7  PHOSPHORUS – 13/6  CALCAREA CARBONICUM – 12/7
  • 25. SELECTION OF POTENCY : 200/1 DOSE STAT PRESCRIPTION : Rx LYCOPODIUM 200/1 DOSE STAT PL 30/TDS 5 GLOBULES FOR 7 DAYS
  • 26.  ADVICE TO PATIENT FOR EXERSISES TO HELP RECOVERS OF HIS MOBILITY. PENDULUM STRETCH FINGER WALK CROSS-BODY REACH
  • 27. ARMPIT STRETCH TOWEL STRETCH OUTWARD ROTATION INWARD ROTATION