Sharp pain - upper T-spine when swimming

[sporty151]

Hi,

I currently have a patient who is complaining of sharp pain in the upper T-spine area during the downward pull phase of frontcrawl when swimming. When the patient swims breastroke, there is no reproduction of this pain.

Any thoughts as to what could be causing this sharp pain in his spine? Could it be the facet joints? Referred pain?

Any thoughts would be greatly appreciated!

Thanks in advance!

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