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<br><br>I think I'd want to know who "no one" is. Is she talking about multiple docs, or just general people she mentioned her shoulder hurts to?<br><br>To be honest, if she's had it for years, and it looks like what you are describing, it would be best to send her to an orthopod have him do the work up and give you clearance to work on her. You may loose the client (if for nothing else that she doesn't like you telling her this), but may save yourself some pain in the longrun (working with someone or something that you are not really sure of). <br><br>Did she have any trauma in the past "years"? I know I'd want to know an answer to that question.<br><br>Better to delve in deep now, than find a hidden item later.<br><br>Something I was just reading about today, a "non-displaced greater tuberosity fracture from 4 years prior (the guy complained of shoulder pain on and off for 4 years). Couldn't see it on x/r, but it showed up on the MRI. This has nothing to do with your case of course, except that the guy had pain for 4 years, and they just found it so many years later. Something to think about regarding clients with longstanding complaints and no one has dx'd it.<br><br>Good luck on it! People like this always make me nervous! *wipes a few beads of sweat from my brow*Clients had this for YEARS and said that no one has been able to diagnose it, though she hasn't had an MRI.
. I can reach under the lump at the acromium process and biceps tendon
I can slide my finger under the lump and massage mm attachments at the acromium process and feel the ropiness of the bicep tendon at the head of the humerus.
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