Parsonage–Turner Syndrome or neuralgic amyotrophy is a peripheral neuropathy typically characterized by an abrupt onset of pain, followed by progressive neurological deficits (e.g. weakness, atrophy, occasionally sensory abnormalities) that involve the upper limb, mainly the shoulder, encompassing an extensive spectrum of clinical manifestations, somehow difficult to recognize. This case report describes the proper management of a 35-year-old, bank employee and sports amateur who reported subtle and progressive upper limb disorder with previous history of neck pain. SARS-CoV-2 pandemic era made patient's access to the healthcare system more complicated. Nevertheless, proper management of knowledge, relevant aspects of telerehabilitation-based consultation for musculoskeletal pain, advanced skills, tools and technologies led the physiotherapist to suspect an atypical presentation of Parsonage–Turner Syndrome. Further, neurologist consultation and electromyography suggested signs of denervation in the serratus anterior and supraspinatus muscle. Therefore, an appropriate physiotherapist's screening for referral is conducted to correct diagnosis and thorough treatment.

Our review want to identify most incident risk factors that determine the persistence of PGP at 3-6 months after childbirth in women with PPGP or PPGP and PLBP, because of about 1/3 does not recover after childbirth and continues to experience symptoms after three months and in some cases up to two years. The research was performed on the databases ofMedline, Cochrane, Pedro, Scopus, Web of Science and Chinal from December 2018 to January 2022 following the indications of the PRISMA statement 2009 - and updated according to the PRISMA 2020- including observational cohort studies and prospective questionnaires in English. Two authors independently selected studies excluding specific, traumatic, gynecological / urological cause PGP or isolated PLBP and studies that did not include the primary outcome (presence / absence of PGP); studies with an initial assessment in pregnancy / within one month of delivery and with at least a follow-up at least 3 months after delivery were included. Two independent authors then performed an evaluation of the ROB using the QUIPS tool. Finally, in-depth qualitative analysis was conducted, since due to high degree of heterogeneity in the data collection of the included studies and lack of raw data suitable for quantitative analysis, it was not possible to carry out the originally assumed meta-analyzes for subgroups. High levels of pain in pregnancy, high number of positive provocative tests, history of LBP / LPP, high levels of disability in pregnancy, neurosis and high levels of Fear Avoidance Belief are main predictors of PPGP.

Shoulder pain is often attributable to a musculoskeletal disorder, but in some instances, it may be linked to pathologies outside the physiotherapist’s area of expertise. Specifically, some intracranial problems can cause pain and disability to the shoulder complex. This case report aims to describe the clinical presentation, history taking, physical examination, and clinical decision-making procedures in a patient with an intracranial epidermoid cyst mimicking a musculoskeletal disorder of the shoulder girdle. A 42-year-old man complained of pain and disability in his left shoulder. Sudden, sharp pain was reported during overhead movements, associated with intermittent tingling of the left upper trapezius and left scapular area. Moreover, the patient reported reduced hearing in his left ear and left facial dysesthesia. The physical examination led the physiotherapist to hypothesize a pathology outside the physiotherapist’s scope of practice and to refer the patient to another health professional to further investigate the patient through imaging. It is essential for the physiotherapist to recognize when the patient’s clinical condition requires a referral to another healthcare professional. Therefore, the physiotherapist must be able to, in a timely manner, identify signs and symptoms suggesting the presence of medical pathology beyond his expertise, through appropriate medical history collection and physical evaluation.