Shoulder and arm pain

[Amaj]

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 can´t remember how it started, maybe woke up with it. He especially feels the symptoms when he´s 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

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[linbin]

hi amaj
in such cases we should also think about mechanosensitivity of the nerve roots. his symptom presentation is that of mechanocensitivity of c5nerve root.the nerve was sensitive to compression more,thats why movement of extension,same side flexion and rotation causing pain.treatment technique described by elvey and hall is effective insuch cases.

[Petero]

I found a great pillow at http://contourpillow.co.uk
Its got a unique moulded shape that causes pressure to be relieved. Its made from memory foam which is a special foam designed to relieve pressure.
Additional Comment I forgot:
I found a great pillow at Contour Pillow, Contour Pillows
Its got a unique moulded shape that causes pressure to be relieved. Its made from memory foam which is a special foam designed to relieve pressure.