Mr. X (50+ year old) was diagnosed with Cancer about 10 years ago and he had a substantial amount of muscles and various structures removed on the anterior and posterior right side of his neck. According to him, he did not have any sort of Rehab following that and he restricted most of his neck movements because someone told him that he should not move or it will cause his wound to open up. His right UL is generally weak. An observable right UFT, MFT and rhomboid atrophy. His

Does posture, weak muscles, tight muscles, misaligned joints and compensation really cause pain? I am not a pain expert but I do not think so. I am still trying to understand pain as much as everybody else so read up more about pain here. Take home message: Pain is a complex subject; it is multifactorial and it is still widely in research. What we can do is encourage our clients to move pain free and offer movement variability. #Pain #Concept #Exercise

Not sure if this is a clinical pearl but it has managed to help improve Sh flexion for two of my pts. Both of them had limited post op Sh flexion . They were mainly able to lift up till about 160 degrees. Their limitation was probably caused by over- activation of their traps. It was visible that they Sh shrug or side bend their neck on the affected side when they performed Sh flexion. Below is a picture showing the difference in ROM (Sorry for my bad photography skills) Wit

Purpose: To predict neck pain patients that are likely to improve with cervical traction and exercise. Rule: Age > 55 Positive shoulder abduction test Positive upper limb tension test A Symptom peripheralisation with central posterior–anterior motion testing at lower cervical (C4–7) spine Positive neck distraction test Interpretation: Treatment given: 2-3 times a week for 3 weeks Traction Angle of pull: 24 degrees if patient had full Cx flexion; otherwise it was set at 15 deg

I have been seeing a variety of LBP patients for some time now. Most of them would demonstrate a DN/DP when assessed for MSE or MSF. When they show a lack of Lx mobility during the assessment, I would ask them to perform the Mckenzie exs or Repeated Extension in Lying (REIL) for about 10 repetitions. More often than not, their ability to extend or flex their spine would improve by an average of 30%! Here's a video of the exercise: The fact that they could regain mobility with