Mistakes as a New Grad PT | Day in the Life as a Physical Therapist

I am a new Grad-PT and I make frequent mistakes. I'm not going to deny that. But that's all a part of the learning journey! I EMBRACE IT ALL!!

Here is a dive down my clinical decision-making-process as a new grad physical therapist.

It is common when shoulder pain is reproduced with movement, especially with rotator cuff pathology. So when the patient complained of shoulder pain with internal rotation of the humerus, I figured the subscapularis was the source tissue, since it is the only internal rotator of the rotator cuff muscle group.

Then after 10 sessions of trying, I had no luck in helping the patient get better. So then I had to take a step back and decide... do I want to continue down this path, or should I decide to look elsewhere.

I figured since I have not had any luck or improvement in 10 session, it might be a good idea to move on to a different source tissue. That is when I thought: "what other muscles internally rotate the humerus?" 2 muscles came to mind: Lats and Teres Major.

And that is how I found out that the Teres Major was the muscle that was causing the patient's pain.

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