Pain decreases with rest and lying down. She also complains of numbness, swelling and insomnia. She was placed in physical therapy and she has attended six sessions. She was taken off work on 5/30/14. She has allergy to cortisone. Her past surgical history is significant for left shoulder surgery on 3/4/15. Examination of left shoulder reveals three arthroscopic scars status-post distal clavicle surgery. There is tenderness to palpation of the greater tuberosity. There is also tenderness to palpation anteriorly and over the distal clavicle. She has limited range of motion of the left shoulder including 50 degrees of extension, 135 degrees of flexion, 70 degrees of internal rotation, 60 degrees of external rotation, 110 degrees of abduction and 50 degrees of adduction. There is some weakness of the subscapularis on the left. The patient has a positive Hawkin’s impingement maneuver. As per progress report dated 6/10/16, then patient returns for evaluation of the left shoulder. She has been authorized for evaluation of the left shoulder. Her right shoulder continues to be painful as well. The patient describes her pain as a constant aching pain that is rated at
Pain decreases with rest and lying down. She also complains of numbness, swelling and insomnia. She was placed in physical therapy and she has attended six sessions. She was taken off work on 5/30/14. She has allergy to cortisone. Her past surgical history is significant for left shoulder surgery on 3/4/15. Examination of left shoulder reveals three arthroscopic scars status-post distal clavicle surgery. There is tenderness to palpation of the greater tuberosity. There is also tenderness to palpation anteriorly and over the distal clavicle. She has limited range of motion of the left shoulder including 50 degrees of extension, 135 degrees of flexion, 70 degrees of internal rotation, 60 degrees of external rotation, 110 degrees of abduction and 50 degrees of adduction. There is some weakness of the subscapularis on the left. The patient has a positive Hawkin’s impingement maneuver. As per progress report dated 6/10/16, then patient returns for evaluation of the left shoulder. She has been authorized for evaluation of the left shoulder. Her right shoulder continues to be painful as well. The patient describes her pain as a constant aching pain that is rated at