Dashboard
Monday, March 16, 2026
Frank Comeau
physio
Service Category
physio
Referral Source
Self-referral
Started
Feb 12
Primary Therapist
James Chen
Site
78 Ochterloney St
Status
Active
Visits
SOAP Notes
Subjective
Initial assessment. Patient 6 weeks post R rotator cuff repair. Reports pain 3/10 at rest, 5/10 with reaching above shoulder. Still wearing sling intermittently. Self-referred — not covered by MSI.
Objective
R shoulder: flexion 120 deg (passive 140), abduction 100 deg, ER 30 deg (limited by surgical precautions). Scapular dyskinesis present. Grip strength R 22 kg (L 30 kg). No signs of infection at portal sites.
Assessment
Recovery on track for 6 weeks post-op. Passive ROM near normal but active ROM limited by rotator cuff weakness and guarding. Scapular stability needs addressing. Patient motivated and compliant.
Plan
2x/week for 8 weeks. Phase: active-assisted to active ROM. Scapular stabilization exercises. Progressive rotator cuff strengthening starting week 8. HEP: pendulum exercises, wall walks, scapular squeezes. Private pay — $95/session.
Signed by c_james on Feb 26
Claims
| Payer | Amount | Status |
|---|---|---|
| Private Pay | $95.00 | Not Submitted |
| Private Pay | $0.00 | Cancelled |
| Private Pay | $95.00 | Paid |
Authorizations
No authorizations on file.
Notes
Internal case notes.
Frank is self-pay. Very motivated — former recreational hockey player. Wants to get back to golf by summer. Keep sessions focused and goal-oriented.