Progress Summary

Sarah sustained a partial tear in her right rotator cuff due to overuse while playing tennis. The treatment plan involves a combination of strengthening exercises, stretching, and therapeutic modalities. The primary goals are pain reduction, restoring shoulder mobility, and regaining strength.

Physiotherapist’s Notes

• November 1: Initial assessment showed limited mobility and severe pain. Sarah was hesitant to move her shoulder due to fear of worsening the injury.

• November 8: Pain levels decreased slightly, and Sarah gained confidence in performing basic exercises.

• November 22: Significant improvement in mobility and strength, with reduced pain during activities of daily living (e.g., reaching overhead).

• November 29: Sarah reported feeling nearly pain-free. ROM measurements are close to normal, and strength is progressing well.

Next Steps

• Continue current exercise program with added resistance.
• Begin sports-specific training to prepare for a return to tennis.
• Schedule follow-up in 4 weeks for a final assessment.

Sarah’s pain levels were assessed weekly using a Visual Analog Scale (VAS) from 0 (no pain) to 10 (worst pain imaginable).

Pain Reduction Graph

Sarah’s shoulder ROM was measured during her weekly sessions using a goniometer.

Sarah was provided with a home exercise program and tracked her adherence using a daily checklist.