The patient may not realize it yet, but from my experience, chronic 
pain and functional deficits go hand in hand.  People avoid 
tasks/activities that result in pain or increased pain, which leads 
to muscle atrophy and then joint instability.  The less they do, the 
less they become able to do.

Pat

At 07:14 PM 8/27/2008, you wrote:
>I probably would also refer to PT ....because I don't treat pain to 
>treat pain if there is not a functional deficit and outcome 
>needed...just my 2 cents!
>
>
>
>----- Original Message ----
>From: Ron Carson <[EMAIL PROTECTED]>
>To: OTlist <[email protected]>
>Sent: Tuesday, August 26, 2008 4:15:40 PM
>Subject: [OTlist] Would You Treat For Refer to PT?
>
>Received  a  new  home  health  referral. Patient's diagnosis is right
>shoulder  pain.  Patient  presents with bicep tendon pain during AROM,
>PROM  and  palpation.  She lives alone and is independent with all her
>daily living tasks.
>
>I  referred  the patient to PT for the shoulder pain. Would you, as an
>OT, treat this patient?
>
>Thanks,
>
>Ron
>
>
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