5d • General discussion
Case study Neck client
Hey guys,
I have a case with a client of mine. He has had a history of lower back pain for a long time. We worked on that years ago and resolved it. He came back to me a few years later and now struggles with neck pain.
Mainly on the right side, his right shoulder and neck are very flared up and aggravated.
His assessment findings are as such.
He has a significant lateral hip shift to the right. His right foot in inverted and left foot everted. He has no stability in both in any plane of motion. His left lateral hip causes a lot of issues because he cannot load it at all. So any type of load hurts him tremendously.
His right side is very compressed and right shoulder sits lower than the left.
His t spine doesn't move well at all and nor do his ribs.
T spine lateral flexion is worse on the right side. T spine rotation is worse on the right as well.
Shoulder flexion is very limited, especially due to his lack of t spine extension.
Both shoulder are winging but his right one is tipped anteriorly pretty excessively.
He works on a desk and his sitting habit gets him flared up all the time. He is unable to focus at work, his neck tenses up and starts hurting him. What happens is he starts of well and about an hour in he ends up very rounded in the spine and shoulders and starts hurting. He then "fixes" his posture by tensing his t spine into extension and just hold it there. Making things much worse.
I have been working with him for 2 months and he still gets lots of flare up and is hurting. His stress levels are high and sleep isn't great.
lol quite a lot isn't it.
So what i have done is i taught him about his capacity. That stress, sleep, diet, recovery all play a role in flare ups. So now when a flare up happens he doesn't get as stressed. I have given him some t spine extension work which helped him a lot with his overhead shoulder movement. I urged him not to brace his t spine as he exercises and sits.
I also gave him some neck drills such as shrugs with more protraction and a long neck when he executes. We work on breathing drills to down regulate his nervous system and general push and pull exercises to increase his load capacity.
He still gets flare ups and still get lots of neck pain when sitting. Am i missing something? I told him to change position of his computer and bring it higher. But at this point he isn't getting much btter although he is getting stronger at the gym and with all the movements.
I'm a little puzzled or maybe it's so obvious that sitting is just going to create chaos in his body and offset all of our work.
What's your advice guys any insight from outside the box?
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Case study Neck client
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