[jacinta]

hello,

thanks for all the informative posting.
how about a pt with problem mentioned above, who developed chronic fibromylagia over the years. Palaption reveals
- 'lumps' on right C2-C3,
- cord-like right upper trapz from C2 all the way to spine of right scapula.
- occasional numbness, right shd to right arm
generally Cx spine quality of movement is poor.
postural problem: poke-chin.

in 2/12, various sessions of manual therapy, stretching and strengthening ex ( continued as home ex prog) doesnt produce significant improvement.
pt c/o Upp Cx flx(retraction) ex as tough as ' fighting against my own neck'.

kindly share your idea. thanks.