Wondering if there is anybody out there who can help with a patient i having having some trouble with

Brief history, 26yo female, no med hx, fall from a horse approx 10weeks ago, fell head first out over front of horse unable to recall exact landing position, believes onto neck and right shoulder. Mild concussion - no bony injury post fall

Has reponded well to neck and shoulder treatment but continues to have anterior chest pain on the right, corresponding to the apex of the lung in position. I have tried, 1st 2nd and 3rd rib mobilizations, clavicular mobs with limited success. AC joint is normal. No remaining shoulder impingement symptoms. No peripheral symptoms however on my last appointment i was able to reproduce the chest symptoms with a radial nerve stretch.

Just wondering if anyone has come across something similar. My hypothesis is that she has a local neural impingement through the impact and posistion of landing with the original fall, but slightly puzzled about the lack of peripheral symptoms if the neurology is the cause.

I treated her with the radial nerve stretch on her last appointment and there with a reduction in symptoms and a corresponding improvement in neural length

Any feedback, suggestions, comments appreciated

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