A patient arrives in your clinic with symptoms of severe cer…

A patient arrives in your clinic with symptoms of severe cervical pain of 8 days with no specific cause, but states that she has severe pain of an 8/10 that “comes and goes”.  The patient states that she is very worried because these symptoms can come on without any real warning and that the pain is in the suboccipital region and will “stop her in her tracks”.   What following objective finding would heighten your suspicion of VBI?

The patient also reports that she is beginning to have sympt…

The patient also reports that she is beginning to have symptoms at work and intermittently throughout the day while using her computer. She was advised by her primary care physician to try a “wrist splint.” What type of orthosis (wrist splint) is indicated at this point?

Use the below case information to answer the next 4 question…

Use the below case information to answer the next 4 questions  A 45 year old male patient reports in your clinic with complaints of bilateral cervical and shoulder pain.    He states that he has had a “stiff neck” for years, but that it has increased in the past 6-9 months.  VAS scores are a 2-3/10 at best, and 6/10 at the worst which occurs after long days at the wheel as a driver for UPS.  The patient denies any increased pain with most lifting activities, but that it really is worse after a 10 hour day.  To relieve pain the patient goes into his la-z-boy chair at home and rests his head.    The patient states that he has been in three car accidents during the course of his job, and had to go to the hospital once for observation after hitting his head during the incident.   NDI is 16%.    During the physical exam observation demonstrates a moderate forward head position with increased muscle bulk in bilateral sternocleoidmastoid muscles, mild forward shoulder, moderate thoracic kyphosis and approx 10 degrees right rotation noted.     ROM measures demonstrate 40 degrees of flexion with pain and anterior head position increasing, extension of 35 degrees with pain and rotation to the right noted, side-bending is 25 degrees bilateral with ipsilateral rotation noted.  Cervical rotation is 55 degrees bilateally with ipslateral sidbending noted.     The patient’s main goal is to reduce pain towards the end of the day and after work. 

Use the below case information to answer the next 3 question…

Use the below case information to answer the next 3 questions  A 57‐year‐old female is referred to physical therapy for evaluation and treatment of numbness and tingling in her right dominant hand. She works as a legal secretary and began experiencing night pain and paresthesia in the long finger approximately 8 weeks ago. Her medical history includes type II diabetes and hypothyroidism. She demonstrates full active range of motion (ROM) throughout the upper extremity.