case Discussion: Neck Pain with N&T in L Forearm

I recently presented an interesting case to my fellowship class. On 4/3/15 the patient presented to my PT clinic with L medial scapular border and L cervical pain with N&T along radial border of L forearm. The patient was a 45 year old female. The symptoms were intermittent symptoms and began 4 months prior with insidious onset. Symptoms were increased by sleeping, prolonged sitting, and having her L arm unsupported. Symptoms were improved with arm support and being active. Pain intensity was described as dull and was 2/10 at the time of the evaluation on NPRS and 6/10 at its worst. Patient denied any N&V, fever, significant changes in weight in last 6 months, B&B problems, and S&S of cauda equina syndrome. Patient’s job requires prolonged sitting at a computer, with turning her head to the L frequently. Patient also has to fly across the country every week for work. Patient denied any significant PMHx, past surgical history, and taking any medications. CONTINUE READING...

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