PREVALENCE OF SHOULDER PAIN AND ADHESIVE CAPSULITIS IN POST MASTECTOMY PATIENT
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Abstract
Objectives: To determine the prevalence of shoulder pain and adhesive capsulitis in post mastectomy patients.
Material and Methods: This cross sectional study was conducted in IRNUM hospital Peshawar and Khyber Teaching
Hospital Peshawar from September 2015 to January 2016. A Self modified Questionnaire was used to collect data
from 150 post mastectomy patients.
Results: The mean age of the participants was 44.7 ± 13.7 years. 142/150 (94.7%) patients suffered from some type
of pain and disability on operated site. Clinical examination revealed that 11/150 (7.3%) patients were having adhesive
capsulitis. Analysis of question regarding pain with different activities showed that in 27.5% patients, pain was sever
when lying on the involved side and 30.3% was having severe pain when reaching for something on a high shelf.
Analysis of question regarding disability showed that 21.2% patients were having difficulty in washing back, and
23.3% patients were having difficulty in placing an object on a high shelf.
Conclusion: Majority of patients who underwent mastectomy are prone to shoulder pain and disability and adhesive
capsulities. Proper referral to rehabilitation settings should be practiced to prevent musculoskeletal problems in post
mastectomy patients.
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