Shoulder and neck syndrome - Osteopathic treatment

Shoulder-neck syndrome (M54) - OSTEOPATHY

Patient:

Woman, 52 years old, medium height with athletic figure

Annotation:

The patient was medically cleared; no further diagnostic workup was initiated at this time.

Occupation: Teacher

Reason for consultation:

Severe pain originating in the upper cervical spine with marked limitation of movement.

After a fall and subsequent extraordinary additional stress.

Period of complaint:

2 days

Symptoms:

Severe pain high cervically, pain-free range of motion in the cervical spine approximately 5° in rotation left and right, and 15° flexion and 5° extension. The patient describes mainly nocturnal pain with accompanying sleep disturbances.

Medical history:

The patient reports having had a similar pain approximately 25 years ago and states that she has been largely symptom-free in the cervical spine since then.

Approximately 2 years ago, she was treated intensively for a herniated disc in the lumbar spine.

Osteopathic examination:

Visual findings:

1. fixed cervical spine

2. Shoulder inclination

3. limited freedom of movementt

Function test:

1. Cervical spine restriction in all directions of movement

2. C1 from the optimum position

3. Shoulder joint free

4. Mobility in the thoracic and lumbar vertebrae due to muscular fixation of the cervical spine, sometimes painful and restricted at the end of the movement

5. Pelvis functionally without findings

6. Lower extremity without findings

Palpation:

1. Lymphatic accumulation in the venous angle (thoracic inlet)

2. clear muscular fixation of the shoulder/neck muscles

3. Trigger points in the shoulder muscle and neck area

4. unilateral tension in the lumbar region

5. Trigger points in the gluteal and hip muscles

Craniosacral findings:

1. Lateral tilt (left rotation)

2. Occlusionsdysfunktion

Osteopathic treatment:

First therapy session 45 min.

1. Compensation of craniosacral dysfunction via masticatory apparatus and skull base

2. Sacrum correction

3. Center C1 via gentle myofascial treatment techniques.

4. Treatment thoracic inlet

5. Lymphatic drainage head and vein angle

6. Treatment of the fascia pulls in the shoulder/neck area

Second therapy session 60 min > Result:

The described symptoms have improved by about 70% since the first treatment.

In the survey of findings, the mobility in the area of the cervical spine is free. The range of motion is still slightly painful. There is no craniosacral active dysfunction.

The lymphalic strain is largely relieved.

The treatment focus in the second treatment refers to gentle mobilization and myofascial techniques.

The lymph was decongested; the nerves were treated with milking techniques.

After the treatment, the patient no longer expresses any discomfort.

Final comment:

Each case must be viewed individually. The described therapeutic approach cannot be easily transferred to other cases.

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