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| Hpathy Ezine - October, 2005 | ||||
A Case of frozen shoulder with wasting of the deltoid muscle-- Dr. Santosh Joshi |
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| This patient came to me at 11pm at night to my
residence with severe jerking pain in the left shoulder with radiation
to the arm. He said there is also numbness and heaviness in the
hand. Ameliorated by He has been suffering from the above complaints since the past 1 year and he has already taken 3 steroid injections with little relief. The orthopedic has advised him to undergo surgery but the patient cannot afford the cost of surgery. There was also wasting of the deltoid muscle and the arm. He also experienced weakness in the left arm. This patient by profession is a Banjo player (Drums) so it was a very desperate situation for him to get alright because he was unable to play the drums. The patient is a dropout from the school and has not bothered to do anything in his life now he is 37 years old but still doesn’t have a steady income. He felt very bad when people asked him what he has done in his life. You have wasted all these years. So now he wants to prove himself and do something in life. He weeps when he is alone, sometimes also weeps in front of others. Earlier he never used to express himself after his marriage he has started expressing himself. He becomes very angry and afterwards feels guilty for the same. He controls himself and will try and not to do the same thing again. If someone tries to console him he doesn’t like it at all. The patient has also attempted to commit suicide by jumping in a well. The patient is a chronic smoker and alcoholic. He likes music a lot which also ameliorates his complaints. This was a brief mental picture that I took as the patient had to go home and his little daughter who accompanied him was very restless and wanted to go home. Personal history Diet: Non vegetarian Appetite; good Aversion: Sweets Cravings: Fish +3, Mutton+2, Curds, Cold drinks Thermals Urine: N Stools: N Sleep and dreams: Sleeplessness Past history Peptic ulcer, Hemetemesis - was operated as he developed peritonitis O/E 20/8/2004 Rx Dioscorea villosa 30 Sac.Lac 21/8/04 The patient was put on placebo. 29/8/04 Continue the same treatment for 2 weeks 7/9/04 It’s been a year and no complaints have reoccurred he is now able to play his drums and perform well.
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