Would like to hear some other opinions on a client I have started seeing recently. Two months ago she sustained an injury unlocking a heavy mechanism on a caravan (this is the best description she can give me) which should have had two people operating it. She felt a "pop" and then had pain which steadily got worse over the top of her left shoulder. She saw a PT a couple of times who did some needling which helped a little bit, and has now started at my clinic two months post injury. She describes burning over her upper shoulder area, and tingling in her whole arm, and says it feels heavy. The symptoms seem glove-like over the whole arm and hand. Her reflexes appear intact and she has decent strength but it is a bit weaker generally, possibly from pain inhibition however. She has normal neck range of motion now (this is what we worked on at first). Her CT says narrowing at C5/6 foramen on the same side but she also has a history of a whiplash injury. I can give her some relief by taping the shoulder into elevation from its dropped position but everything else either doesn't help or makes it feel worse (needling, attempts at postural exercises). She is in tears from the pain when she tries to work (nursing) and is only on Mobic. Any ideas???

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