Cervical Spondylosis with left sided breast/chest heaviness?

[jacinta]

Hi msk101,

thanks for bringing up the idea of relieving brachial plexus.
I shall look into that in her next rx.
appreciate that.

sincerely,
jacinta

[jacinta]

hi all,

some update here.
the pt returned 2/7 ago and claimed pain reduced.
She went for swimming and kept up strecthing ex at home 2x/day
said that generally symptoms eased off a lot as compared to previous.
able to sleep well.

on examination,
- bilat. upp traps less spasm.
- generalized spasm on the whole upp. to low. back had reduce
- lumps med. to both scapulae still present. only less sensitive to touch and MFR.- SIJ mobility increased
- AROM mildly improve

tests:
adson's : -ve
neural tension: +ve
----------------------------------------------------------
Previous Ax:
PPIVMs: (P-A glide)
Level & Pain at
C2-C5 G II
C6-C7 G I
T1-T3 G II
T4-T9 G I
T10 - L2 G II
L2 - SIJ G III

A-P on clavicle & costocondral joints
-pain at G II

Inf. glide of 2nd - 4th ribs
- pain at G II
-------------------------------------------------------------
Latest Ax

PPIVMs: (P-A glide)
Level & Pain at
C2-C5 G III
C6-C7 G II
T1-T3 G III
T4-T8 G II
T9 - L2 G III
L2 - SIJ G IV

A-P on clavicle & costocondral joints
-tolerate G III

Inf. glide of 2nd - 4th ribs
- not done due to breast tenderness as pt having menses

I continue
-joint mob (PPIVMs)
-MFR
-Manual neck traction & stretch
- nerve glide was introduce. initially with only Lt. UL. in shd. 90 dg abd. elb. ext; then progress both ULs; then progress with head loading by Rt. lat flx
- On posture part, I re-enforce correction and education.
encourage a lot of head retraction ex. in upright sitting ( so that pelvic in neutral to avoid Cx spine malalign)

feedback:

-initially c/o pain increase ++ on nerve glide, slowly reduce after 20 glides.
-c/o 'tightness' when 2 ULs gliding together,
- on loading, pain eased off by half after 50glides. (of course, she c/o ULs tired but feel much relief)

pt been advised to keep up swimming & stretching. As long as her Tx spine mobility gradually improve, i thk her prob with Lt. chest shd be solve soon.



jacinta