EC Clinical and Medical Case Reports

Background: Shoulder injury related to vaccine administration (SIRVA) is a significant musculoskeletal issue that causes shoulder pain and disabilities and leads to low productivity and poor quality of life. Physiotherapy is one of the treatments of SIRVA; however, there is limited evidence in this area. This case study is therefore aimed at providing a better understanding of physiotherapy management of SIRVA.

Method: This is a single case report of a patient with SIRVA that was treated with education and advice on scapular retraction during elevation, pendulum exercises, isometric exercises, supported and unsupported shoulder movements. These exercises were performed slowly in pain-free range, 2 × 5 repetitions, 3 times per day and 4 - 5 times per week.

Results: Baseline shoulder pain (VAS) and SPADI scores were 8 (out of 10) and 87% respectively. At 3-month follow-up, the patient made significant improvements with pain resolved 0 (out of 10), achieved normal shoulder movements restored and he could perform his shoulder daily activities such as lying on it and lifting pain free.

Conclusion: This study has shown that using evidence based conservative treatment improves clinical outcomes of SIRVA at 3 months. However, further randomised control trial is needed to provide long term effectiveness.

Keywords: SIRVA; Covid-19 Vaccine; Shoulder Pain; Rotator Cuff Tendinopathy; Physiotherapy

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