I am a newly graduated physio and and would appreciate advice with one of my new patients.

33 year old female with intermittent right arm pain lateral upper arm to elbow. Full cervical movement with slight end range stiffness with right side flexion/right rotation. Small amount of tenderness C5/6 with no reproduction of symptoms. Reflexes, dermatomes, muscles strength all normal on testing. However she reports a sensation of weakness occasionally when carrying. Positive median and ulnar nerve test. (median more notably) Symptoms arise when carrying an object in left arm with arm by her side, or stretch arm behind her head, then they resolve within 30 seconds. The onset was 3 months ago, when she lifted a weight at the gym resulting in severe neck pain on the right side, she was seen by an osteopath initially and this improved the neck pain fairly quickly however the arm pain remains unchanged.
Since I have seen her I have been mobilising C5/C6 , and she has been doing a home stretch into left side flexion. Symptoms have improved slightly but no significant difference.

Thanks for your help!!

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