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1. jpassmore
   Member

   TO discuss: What diagnosis would you use?
   Case:
   c/o shooting numbness that is on and off, worse with sitting and overhead reaching, or prolonged arm use along the C5, C6, C7 dermatomes, C6 primarily.

   NO reflex deficits, NO myotomal deficits.

   increase symptoms with bilateral rotation.

   + compression test with SB

   elevated 1st rib
   TTP pec minor, scalenes, UT, SIT rotator cuff muscles, levator scap.

   slight ddcrease side glide/downl glide on the mid cervical region on the right.

   decreased L rot and L SB secondary to pain/tightness

   - ADSON's with arm abd 90 and elbow 90
   NT adson's with arm extended
   + hyperabduction test
   + military brace test

   What is your primary diagnosis?

   Posted 15 years ago #

2. apmesa
   Member

   Have a few questions:

   + compression test with SB --> to which side

   elevated 1st rib
   TTP pec minor, scalenes, UT, SIT rotator cuff muscles, levator scap. ---> which side?

   decreased L rot and L SB secondary to pain/tightness --> on the left or right?

   - ADSON's with arm abd 90 and elbow 90
   NT adson's with arm extended
   + hyperabduction test (just to be sure, the symptoms did NOT go away?)
   + military brace test

   Posted 15 years ago #

3. jpassmore
   Member

   Right affected side...Not always present, but depends on position and activity.

   + compression test with SB --> to which side (RIGHT)

   elevated 1st rib
   TTP pec minor, scalenes, UT, SIT rotator cuff muscles, levator scap. ---> which side? (RIGHT)

   decreased L rot and L SB secondary to pain/tightness --> on the left or right? (LEFT)

   - ADSON's with arm abd 90 and elbow 90
   NT adson's with arm extended
   + hyperabduction test (just to be sure, the symptoms did NOT go away? NOPE)
   + military brace test

   Posted 15 years ago #

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