Weekend 3 Case Presentation

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Here is a brief overview of the case I will be presenting:

The patient is a 52 y/o female referred to physical therapy with the diagnosis of cervical radiculopathy following a fall onto the R wrist and R knee 2 weeks prior. She states she does not understand why the referral is for her neck since she does not have pain there. Her chief complaints include constant aching/burning pain in the ulnar distribution from the R shoulder to the 4th/5th digits of the hand as well as soreness in the lower cervical region, R scapula, R shoulder, elbow and wrist.

Initial hypotheses included: cervical radic, peripheral nerve lesion(s)/multiple crush, TOS, mid/lower facet arthropathy and rotator cuff pathology.

She presents with mod/high severity and irritability causing limited amount of objective data captured on initial eval. Objective measures include: decreased cervical R SB ROM, (-) findings for cervical radiculopathy cluster, decreased hand grip, and decreased shoulder IR.

Treatment focused on manual therapy at cervical, thoracic, GHJ and wrist, education regarding positioning, and therapeutic exercise including shoulder isometrics and self-mobilizations.

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