#124 The Shoulder - Simplify Your Approach

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 12 November 2018

⏱️ 72 minutes

🔗️ Recording | iTunes | RSS

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Summary

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 [email protected].

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

Transcript

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0:00.0	The first Irish podcast is for entertainment education and information process only.
0:09.2	At the top of this class, it should not be used only by industry,
0:10.7	your orbit and industry is more conditioned.
0:12.0	For more of the views and success on this podcast,
0:13.2	for solo-dose, it should not be interpreted perfectly
0:14.4	for official post-election of the agency, the psychrompossil,
0:16.0	cash-like morons, and affiliate outreach programs.
0:17.3	Indeed, there are any in fact there are none.
0:18.9	Pretty much, we are responsible for this throughout,
0:19.9	which we should always do our homework and let's know when we're done.
0:21.4	Welcome back to the Curbsiders and Paul, me not being interrupted right there,
0:39.8	let you know that unfortunately Stuart could not join us tonight.
0:43.0	Oh, it's wonderful to hear you uninterrupted.
0:47.0	We will still get a good put in though.
0:49.9	Yeah, I was on fire with the puns tonight.
0:53.0	Thank you Stuart for texting those in to me.
0:57.4	As you can hear, Dr. Molly Hoybline is returning yet again on the show.
1:02.5	Molly, thanks for being with us.
1:03.8	Glad to be back.
1:06.0	We talked for a long time with our guests and got a lot of great information.
1:10.1	So I'll just let you kind of set up the show and get to reading her.
1:13.2	Oh no, wait, I'm forgetting my own show, Paul.
	...

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