When is shoulder pain from the C/sp? When a patient presents with shoulder pain and stiffness, how can C/Sp referral be identified? If a patient has full neck range of movement, and neck movements don’t reproduce shoulder pain, can their pain still be from the C/sp?
Recent research shows that including treatment of the C/sp can improve results in up to ⅓ of shoulder pain patients. In this video with Jo Gibson (Clinical Physiotherapy Specialist) discover how to identify, assess and treat patients with cervical referral, including:
- What history and pain features will patients with cervical referred shoulder pain report?
- What assessment tests can be performed to diagnose or rule out the C/Sp involvement in shoulder pain?
- What information does palpation and repeated movements in the objective assessment provide?
- What does the research reveal about cervical referred shoulder pain?
- What biopsychosocial factors may be involved in cervical referred shoulder pain?
- How can manual therapy to the C/Sp improve shoulder range of movement?
- What education can be provided to patients with cervical spine referral?
- What exercises and exercise variations may be used to improve cervical referred shoulder pain?
- Are upper muscle fibres of trapezius “overactive” or are these muscles actually weak?
- What exercises can be used for upper traps in C/sp referred shoulder pain?
- What manual therapy can be used for C/sp referred shoulder pain?
- Does the thorax get “stiff”, and what exercises help improve thoracic range of movement?
Get your access to free videos with Jo Gibson on acute shoulder pain & stiff shoulder assessment & diagnosis at clinicaledge.co/shoulder
The handout for this podcast is articles referenced in the podcast. There is no additional transcript or handout available.
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Articles associated with this episode:
- CLICK HERE to download the articles associated with this podcast
- Alonso-Perez JL, Lopez-Lopez A, La Touche R, Lerma-Lara S, Suarez E, Rojas J, Bishop MD, Villafañe JH, Fernández-Carnero J. Hypoalgesic effects of three different manual therapy techniques on cervical spine and psychological interaction: A randomized clinical trial. Journal of Bodywork and Movement Therapies. 2017 Oct 1;21(4):798-803.
- Hauswirth J, Ernst MJ, Preusser ML, Meichtry A, Kool J, Crawford RJ. Immediate effects of cervical unilateral anterior-posterior mobilisation on shoulder pain and impairment in post-operative arthroscopy patients. Journal of back and musculoskeletal rehabilitation. 2017 Jan 1;30(3):615-23.
- Katsuura Y, Bruce J, Taylor S, Gullota L, Kim HJ. Overlapping, Masquerading, and Causative Cervical Spine and Shoulder Pathology: A Systematic Review. Global Spine Journal. 2020 Apr;10(2):195-208.
- Vicenzino B, Collins D, Benson H, Wright A. An investigation of the interrelationship between manipulative therapy-induced hypoalgesia and sympathoexcitation. Journal of manipulative and physiological therapeutics. 1998 Sep 1;21(7):448-53.