Hi
i am a new grad so any help will will be appreciated!
I have a 75+ old pt who on reports has C4-5 Wikipedia reference-linkspondylosis and has neural foraminal degen changes at C4,5,6 levels. however, there is no nerve encrouchment.
She complains of severe pain post neck (L>R) and post head, on top of head and front of face (L>R) worsening past 2weeks. she has no radiating arm/hand changes
She is very irritable so i didnt push her much.
On Cx movements, had about 1/4 normal L and R rotation, LF, Ext and flex. These were her comfortable ROM, but she was uncomfortable at EoR.
Sx and Ox she didnt complain of Dizziness etc
SHe had very tense para musculature of SCM, traps, LS etc. Has FHP and IR shoulders.
I had 1 session with her in which i gave her a heat pack and the a soft tissue msg to the cervical musculature which she found helped relax her a lot, also taught Cx retraction ex.
i was wondering whether in this case, would it be safe for me to perhaps trial gentle PA mobs, or at least gentle PPIVMs on rotation...im suspecting the joints to be stiff, so maybe some gentle PPIVMs may loosen her up as well? Do you think these could be indicated given her irritability?
Looking forward to your ideas!!
Thanks
V

Similar Threads: