Hey,
i got this patient.. he has painful spinous process D8-9.. the pain increases with rotation.. both side. Flexion, Extension, Lat bending produce no pain orrestriction.. the patient was having Pt done at some government setup with Short wave diathermy and Ultrasound which gave no relief..

I've manipulated him using CYRIAX.. Distraction to spine then force on problem segment.. the patient had immediate relief.. his rotation range increased and became non painful.. but after 3-4 hrs the pain returned.. he has had 3 sittings with me.. wat do i do??

patient is 35 yr old male and has had the pain for 8-9 months now.. PLZ HELP????

Thanks..