This topic contains 4 replies, has 4 voices, and was last updated by 
Scott Glidden May 20, 2019 at 5:18 pm.
-
Posts
-
Jamie Hansen
Hey Everyone,
Has anyone seen a pt whos right shoulder hikes during CF?1st Order HX
Male
36
SX Loc: Chronic R upper Cervical pain 10+yrs (occipitals) occasional bilateral ring and pinky numbness with prolonged flexion (cpu, reading, texting)
SX Q: upper Cervical-> Deep pressure/throbbing at times/ tension
SX I: Rest: 2/10 Avg: 4/5/10 Worst: 8/10 (only when has HA ~ 1-2x/wk, HA is localized to right sub-occipital area
Pro: prolonged flexion, sleeping position (belly sleeper but working on changing)
Pal: self adjusting his neck, CBD balm, massage)2nd HX points:
2 concussions both abt 15yrs ago, no other significant head/neck trauma.
No MRI or XrayROM:
UCF: 20
CF: 58 (right shoulder hikes up with CF)
CTF: 68 (right shoulder hikes up)
Rot: L=73 R=62Thank you guys
James Phipps
Yes that is a compensation, he can go further into CF and CTF because hiking the shoulder takes tension off of that area. Retest CF and CTF and make sure that shoulder stays down to get a more accurate assessment.
Based on your history sounds like a perfect patient for ID.
Brandon Cohen DC, CSCS
Right. Sounds protective. Does he have symptoms during the exam? You have a diagnosis?
Jamie Hansen
Thank you guys for the feed back i was thinking my self that it was some type of reflexive compensation.
Brandon, S/X during the exam are only slight pulling along the R-upper C spine.
Scott Glidden
What is your diagnosis? It looks like disc degeneration at C7 could be on the table.
You must be logged in to reply to this topic.