Professor X wrote:
For example, the OPs dad will not get much success from going to see his MD, but instead should see a good ortho PT or manual therapist with a background in treating athletes/recreational lifters, etc.
I’m sorry, but the MD is exactly where he should start at. Maybe you missed it, but shoulder pain does not always relate to a “shoulder injury”. It could literally be ANYTHING considering the info given. We have entire classes on things like this which do nothing but teach us that just because you hear hoof beat, it doesn’t mean you aren’t looking for a zebra.
Some of you need to quit with this “almost a chiropractor only without the schooling” take on everything you read.
Yeah yeah, we have the same classes too. But, given the history (what there is of it), the serious pathologies are effectively ruled out. Even if they weren’t, in the UK, chiropractors, osteopaths and physiotherapists are primary healthcare practitioners which means we are taught to eliminate red flags before anything else.
Kind of like dentists, except we specialise in the musculoskeletal system.
Most MDs (not all I grant you) would take a quick look (possibly. Some may not even do that) and a brief history, then either prescribe painkillers and anti-inflammatories or possibly refer to a musculoskeletal specialist, which given the state of the NHS in this country could take a long time.
The OP made no mention of night pain, corticosteroid use or vascular pathology, so I’m curious as to what “ANYTHING”, you think it could be.
I am not sure what doctors you’ve been around, but I don’t know many who would avoid palpation or movement of the area and simply prescribe anti-inflammatories unless all signs pointed to that as the cause and nothing else. In fact, if you actually run into one who does something like that, simply find a new doctor.
The first place most will start is by taking a blood pressure. The reason should be obvious to anyone who has a clue what they are doing given which shoulder it is. If he needs to be referred, he will be.
This current hatred of those in the medical field makes no sense to me.