ABSTRACT
The individual in question is a 25-year-old male enrolled as a student at Delhi University. There is no history of falls. He visited our clinic seeking physiotherapy assistance. Upon assessment, the patient complained of pain and restricted range of motion in his right shoulder joint, particularly during movements involving reaching overhead and behind the back (cross-body movements). He experiences dull, discomfort and deep pain within the shoulder joint or at the back of the shoulder, along with tenderness along the joint line and pain during the throwing. Physical examination further revealed limitations in shoulder flexion, abduction, and predominantly internal rotation, with slightly reduced external rotation. Additionally, weakness was noted in the external rotators (infraspinatus, teres minor) and rotator cuff muscles (supraspinatus), along with tightness in the posterior capsule and internal rotators (subscapularis, pectoralis major, and latissimus dorsi). We offered a six -week rehabilitation program at our clinic. Our physiotherapy treatment adopted a comprehensive strategy to address the condition, incorporating physical activity treatment, hands-on therapy, electrical therapy, advice on ergonomic practices, and strategies for patients to manage their own care.
KEYWORDS: Internal impingement, Posterior impingement, Rotator cuff, Sleeper stretch