Here is a quick case from the recent Pitt-Marquette Challenge Eclectic Approach to Spinal Manipulation (or High Speed Mobilization in Pennsylvania - Boo!)
Will is a young therapist who had "first rib" pain and wanted me to take a look at it. Instead of looking at his first fib, I asked him what bothered him. His limitations were
- doing SOAP notes (a complaint I heard several times that weekend)
- and this weird self testing movement
- someone did ask me if this was a first rib test movement, and perhaps it is, but not one that I've learned
|rot R, SB L... painful and limited or DP|
|oooo, that's a nice cervical retraction and SB right!|
|would be "normal" if not for the asymmetry compared to the uninvolved/right side|
Upon retest, the cervical retraction with SB left and OP was symmetrical, pain free, and that weird head movement was also now pain free and symmetrical. Homework was naturally repeated cervical retraction with SB left to be performed hourly. The next day he was still pain free, and his "first rib" felt much better!
Another bonus! This particular PT emailed me and stated on Monday, he used techniques I presented at the weekend course on 3 patients who he had stalled with previously and all 3 were completely pain free by the end of their visit!
A full vid of this Quick Case can be found on the OMPT Channel, Eclectics Channel.
Staying Eclectic and Easy all at once...