Shoulder pain made simple. Develop your confidence and skills with tips from sports medicine specialist Dr. Carlin Senter MD. We discuss her simplified approach to the basic shoulder exam, including when and how to do special tests, high yield exam maneuvers, when to refer shoulder pain patients to orthopedic surgery, and who can be managed conservatively.

Full show notes available at http://thecurbsiders.com/podcast. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

Credits

Written and produced by: Molly Heublein MD and Nora Taranto MS4

Editor: Matthew Watto MD

Hosts: Molly Heublein, MD, Paul Williams MD, Matthew Watto MD

Guest: Carlin Senter, MD

Time Stamps

00:00 Disclaimer, intro, and guest bio
03:15 Guest one liner, book recommendation, career advice, and some picks of the week
13:20 Clinical case of shoulder pain; helpful historical features
18:54 Differentiating referred pain from c-spine pathology from shoulder pathology
21:00 A framework for shoulder pain, HIP-ROT, and using ROM to generate a differential
27:40 Frozen shoulder aka adhesive capsulitis
31:57 Glenohumeral joint arthritis
33:52 Rotator cuff disease
40:53 Specific testing for rotator cuff tears
51:45 Impingement syndrome versus bursitis
56:25 Counseling patient with shoulder pain or injury
59:03 Steroid injections, topical therapy, and AC joint arthritis
65:18 When to refer to surgery and some take home points

#124 The Shoulder - Simplify Your Approach

The Curbsiders Internal Medicine Podcast