Cervical Spondylosis with left sided breast/chest heaviness?

[jacinta]

Hello all,

I have a 43yo, female pt. with Cervical Spondylosis at C4/C5, C5/C6, C6/C7 and C7/C8.
Symptoms are more Lt. sided orientated. Mild on the Rt. side
Had been on & off for physio elsewhere for since 1 yr ago.

Today she attended her 3rd wkly treatment here.
c/oLt. chest/breast heaviness<--- which had been persisted for long time since having the Cx. spond. but never informed any physio.

Few scanning down last week due to heaviness increase & Lt arm swelling.
mammogram show NO abnormality detected.
Chest X-ray is clear.
Describe of FUNNY feeling on Lt chest/breast and underneath Lt axilla.
Her prob at the left chest is what I am unable to solve...

On Assessment:
- neck mvmnt of poor quality; flx from lower Cx
- pocked-chin posture still not corrected; habitually sitt. slouch/round back
- ROM: 1. mild limitation of Rt. rotation & Rt. lat flx
2. ext -AFROM with ERP
- bilat upp. traps, neck muscle spasm; worse on Lt sd
- mild colour diference n change of skin texture (dry) noted in Lt. arm & chest


Treatment given my Evaluation

neck traction Relieve bilat. neck tightness
MFR high resistance towards my hand mvtment
Manual Upp. Trap Stretch Lt. sd. still tight as previous week; Rt. sd. reduced
& Lev. Sca

* pt. claims to do stretching at home <???>
* I have not ax Tx spine mobility as pt was rushing off for doctor appointment.

Any guidance is very much appreciated.
Thanks!

jacinta

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