DSP: Right Sided Neck Pain, Upper Cross Syndrome, Patellofemoral Pain: Patient Subjective Information (1-29-18)

  • Works at a sedentary job, although very active
  • Diagnoses from physician
    • R sided neck pain
    • Upper cross syndrome with fairly good ROM
    • Anterior knee pain of patellofemoral origin
      • MD wrote hams and glutes which likely refer to areas that need strength more so then flexibility
  • Neck pain began 2 years ago when kicked in the back of the neck by a crowd surfer (haven’t heard that one before)
    • Pain gradually improved over a few months
    • ROM improved but would come back occasionally after sleeping or with lifting
    • Radiates from middle of neck to shoulder blade running along the R side of the spine
    • MD reported and patient agrees increased rounded shoulders
    • Feels he could have the typical muscle imbalance from his training regimen involving pec and anterior deltoid dominance
  • Goals
    • Get rid of pain for longer period of time, possibly forever
    • Improve cervical curvature (MD reported straightening of cervical lordosis)
    • Improve muscle imbalances
  • Knee Problems
    • Began May 2017
    • pain over the top of the knee going up and down stairs, getting into car, and running
    • Improves with a gradual warm up
    • Goal:
      • Reduce pain and improve potential problematic patellar tracking