Hi
I have a client who I first saw yesterday. His right Biceps Brachii is rock solid in spasm and has been for 9 months! He has had X-rays and Wikipedia reference-linkMRI's of the arm and nothing shoes up...other than some "inflammation" of the tendon which the Consultant just ignored.

He has see a chiropractor who manipulated his shoulder (from his recollections only) and then said she didn't want to see him anymore. Also NHS Physio who just massaged the arm and gave some stretches which make it worse.

He can't think of how it started, just was there one morning.
From my own assessment, his posture is awful, the right shoulder is drawn anteriorly considerably more than the left and his shoulders are elevated to the point of appearing to have no neck!

Neck movement is severely restricted although not painful. Same with shoulder movement. Elbow extension is limited also. No pain on palpation of the biceps or shoulder area or contraction of biceps. No pain on resisted neck or shoulder movements. Sometimes some tingling in the hand and he says often the big movements aren't painful, it'll just be something small that triggers it.

Am I wrong in thinking that this could be referred from the neck? All investigations so far have concentrated on the arm and shoulder, but showed nothing. I know pain can be referred down the arm from the neck, but can it cause bicep spasm to this extent?

Any help appreciated!

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