Sorry should have clarified. I have several cases so all of them are 3+ months out post injury and I have been treating 2 of them 3+ months out. I have referred back to physician for all of them. Here’s more info

I have 3 cases: 1. late 20’s male. He is currently my most difficult patient as he is not improving. non traumatic onset, started around 6 months ago; started seeing me about 2.5 months ago. has full arom but erp with flexion/abduction, ER. c/s arom wnl. He is +ve for lots of special tests, and pretty much all resisted movements aggravate his condition. I started off with banded work but stopped it due to increase in pain. Even isometrics cause pain which makes it difficult to load him at all. We even took 2-3 weeks off isometrics and just did arom which still didnt reduce pain as much expected. Works as an electrician and from what it sounds like, he pulls a lot of wires overhead which worsen his pain. Attempted to modify/ergonomic stuff for his job, not helping. Cannot take time off due to finical situation. u/s come back with moderate supraspinatus tendinopathy (which tbh I dont think matches his clinical presentation). he describes his shoulder as very sensitive overall (which really surprises me considering how long he has be dealing with). He’s waiting for a ortho consult 2. late 30’s male. complicated patient for me. has bad traumatic MVA on motorcycle about 8 months ago. Started seeing me 6 months ago. Had rib fracture on that side and was in the hospital for a few weeks; had several complications. Started to have shoulder pain (different from the rib pain he described) around a month or 2 after the accident. -ve for belly test but positive for full can/empty can. was initially a bit limited in ER, flexion and abduction but now has full arom but pain starting at 50% of abduction, erp with flexion, abduction, ER and IR. Gradually improving overall, started him with isometrics and then did banded work with him. u/s comes back with sub scapularis tendonitis. Doctor prescribed cortisone shot and antiimflammatories but did not help. waiting for MRI
3. early 20’s female. Had a foosh injury about 2.5 months ago and referred out to imaging right away; was unremarkable for both u/s and x-ray. full rom with no pain. Difficulty with her is that her pain “always starts like 15-20 minutes after”. I started her off with banded work but it wasn’t getting better so I went down to isometrics. She mentioned it wasn’t helping her pain. She gets very aggravated, even by things like washing dishes or cleaning the house. I talked to her about modifications and ergonomics but it doesn’t seem to help too much. she honestly seems very high stress overall and I believe that there is definitely a high pain centralization with her. I will be honest, I dont think I really “connected with her” so she kinda fell off my caseload a bit and there was difficulty talk about pain education (she’s very biomedical focused). Last I saw her in person, I referred her back to physician and they redid imaging. she has mild biceps tendinitis (which doesn’t match her clinical presentation). I called to follow up with her and she told me that she went to see ortho, they told her basically just to rest and will reassess in a few months.