Hi all

I have a patient with pain and numbness down the lateral side of the right arm and hand (palmart and dorsalt + fingers). He canīt remember how it started, maybe woke up with it. He especially feels the symptoms when heīs using the pc-mouse.

Ojectives:
- Lower right shoulder
- Normal strength in flex+ext in shoulder, elbow and wrist
- Normal movement in Fflex, abd and ext.
- Stiffness in med. and lat rotation
- The median nerve is not painfull
- Very active triggerpoints in mm. scalenii, upper m. trapezius, m. infraspinatus and m. pectoralis minor. (all produces strong pain down in the fingers)
- Palpationsoreness in long biceps tendon

Tretment:
(I have been treating him for 3 weeks)
- Streching and deep massage of the "active muscles"
- Pressing down 1. rib
- Advises about how to use the pc-mouse

It has been helping a little bit, but some days are still very painfull for him.

Have you got an idea for another aproach? All sugestions are very welcome

Thanks
Amaj

Similar Threads: