Is it the Shoulder or is it the Neck?

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Category: CME
Sub-Category: ORTH
Date: 5/28/2006
Time:11:00 AM to 11:45 AM
Facility: Moscone Convention Center
Location: Gateway Ballroom 103
Description: At the conclusion of this presentation, participants will be able to:
Discuss various cervical pathologies that can manifest as pain in the shoulder region
Recognize “red flag” hints that suggest cervical rather than shoulder sources of shoulder region pain
Discuss appropriate radiologic and neurologic tests used in the evaluation of shoulder vs. cervical pain along with their indications and limitations
Formulate a “first line” approach to management of shoulder pain that is cervical in nature
Recognize when referral to a specialist is indicated

Shoulder pain is one of the most common musculoskeletal complaints presenting to the primary care practice. Due to the intricacies of the shoulder anatomy, finding the exact source of the pain can sometimes be perplexing. The fact that cervical spine pathology can also manifest itself as shoulder pain serves only to confuse the issue. This presentation will discuss a streamlined approach to differentiating between shoulder and cervical spine sources of pain in the shoulder region including clues in the history and physical exam. Appropriate radiologic and neurologic tests will be discussed along with an approach to initial treatment and referral considerations.
Speaker(s): Richard B. Schultz M.D. 


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