Skip to Main Content




  • Chronic lymphocytic thyroiditis

  • Autoimmune thyroiditis




  • 244.0 Postsurgical hypothyroidism

  • 244.1 Other postablative hypothyroidism

  • 244.2 Iodine hypothyroidism

  • 244.3 Other iatrogenic hypothyroidism

  • 244.8 Other specified acquired hypothyroidism

  • 244.9 Unspecified acquired hypothyroidism

  • 245.0 Acute thyroiditis

  • 245.2 Chronic lymphocytic thyroiditis

  • Associated ICD-9-CM PT diagnoses/treatment diagnoses that may be directly related

    • 315.4 Developmental coordination disorder

    • 718.45 Contracture of joints of pelvic region and thigh

    • 719.70 Difficulty in walking involving joint site unspecified

    • 728.2 Muscular wasting and disuse atrophy, not elsewhere specified

    • 728.89 Other disorders of muscle, ligament, and fascia

    • 729.9 Other and unspecified disorders of soft tissue

    • 780.7 Malaise and fatigue

    • 781.2 Abnormality of gait

    • 782.3 Edema

    • 786.0 Dyspnea and respiratory abnormalities

    • 786.05 Shortness of breath




  • E06.0 Acute thyroiditis

  • E06.3 Autoimmune thyroiditis

  • E89.0 Postprocedural hypothyroidism




  • 4E: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Localized Inflammation

  • 6A: Primary Prevention/Risk Reduction for Cardiovascular/Pulmonary Disorders

  • 6B: Impaired Aerobic Capacity/Endurance Associated with Deconditioning


The human thyroid. (Redrawn with permission from Ganong WF. Review of Medical Physiology. 22nd ed. McGraw-Hill; 2005.)

Graphic Jump Location

Thyroid cell. Left: normal pattern. Right: after TSH stimulation. The arrows on the right show the secretion of thyroglobulin into the colloid. On the right, endocytosis of the colloid and merging of a colloid-containing vacuole with a lysosome are also shown. The cell rests on a capillary with gaps (fenestrations) in the endothelial wall. (From Barrett KE, Barman SM, Boitano S, Brooks HL. Ganong’s Review of Medical Physiology. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)

Graphic Jump Location


A 46-year-old female has been referred to PT for sarcopenia and fatigue. She is a high school teacher, and describes barely being able to get through a day. She complains of generalized achiness and has been treated for depression over the past 3 months but has not seen any improvement. Up until about a year ago she was an avid walker, and walked with colleagues at least three to four times a week. Her history indicates weight gain without change in diet. During postural assessment, the PT notes what appears to be a swelling in her neck, which she attributes to the weight gain. There is a nontender palpable mass in her neck. When tested, her muscle performance demonstrated extremity and core weakness, with easy fatigability.




  • Autoimmune disease

  • Thyroid gland is gradually destroyed

  • Results in hypothyroidism

  • Enlargement of the thyroid

Essentials of Diagnosis

  • Thyroid gland becomes lobulated

  • Decreased activity tolerance

  • Sensitivity to cold

  • Abnormal ...

Want remote access to your institution's subscription?

Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.


About MyAccess

If your institution subscribes to this resource, and you don't have a MyAccess profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.

Subscription Options

AccessPhysiotherapy Full Site: One-Year Subscription

Connect to the full suite of AccessPhysiotherapy content and resources including interactive NPTE review, more than 500 videos, Anatomy & Physiology Revealed, 20+ leading textbooks, and more.

$595 USD
Buy Now

Pay Per View: Timed Access to all of AccessPhysiotherapy

24 Hour Subscription $34.95

Buy Now

48 Hour Subscription $54.95

Buy Now

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.