A 54-year-old woman comes to physical therapy with pain in h…

Questions

A 54-yeаr-оld wоmаn cоmes to physicаl therapy with pain in her right neck and shoulder that began 6 months ago after a car accident. At first, the pain felt sharp and burning and traveled from her neck into her shoulder and down her arm. She also noticed tingling and numbness in her thumb and index finger on the right side. Recently, her pain has changed. Now she feels a dull ache in her neck, shoulder, and upper back that comes and goes. Sometimes her symptoms get worse with stress or lack of sleep. She says some days exercise helps, but other days it makes things worse. The PT exam shows: Mild weakness in her right arm Decreased feeling on the right side of her hand Pain when pressing on muscles in her neck and shoulders Normal neck range of motion No signs of shoulder joint injury Which of the following symptoms suggest the patient may now also have nociplastic pain?

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