Case study ( 5374 views as of July 21, 2017 )
On exam, he has a head-forward sitting posture. There is limitation in his range of motion in all directions, with tenderness of his facets and neck muscles. He has no radiating pain, and his Spurling’s test is negative. His upper extremity neurovascular exam is normal.
This patient could benefit from a consultation with a physiotherapist to work on posture, and to reduce muscle and joint tension in his neck. He could also benefit from an ergonomic assessment at work, and possibly for his vehicle, to reduce environmental factors that could worsen neck pain. He could also consider chiropractic adjustment if his facet joint pain doesn’t improve. Massage therapy may also help loosen tight muscles.Author: Dr. Grant Lum