JMW: Left Thoracic Pain with History of Neck Injury/Disc Herniation: In Office Patient (11-12-18)

  • Day 1 Review
    • Limitations:
      • Sidelying Rotation to the left compared to the right
      • Ability to support the left side by pressing into the Left arm which activates the Left lateral trunk
      • Left hip stability with heavier squatting
      • thoracic flexion limiting chin to chest motion and ability to lay back and reach legs overhead
    • Mobility Sequence to be completed daily as a warm up/cool down to decrease risk of injury/pain
      • Try each 10-15 reps
    • Movement #1: Thoracic flexion and extension: Choose 1
      • Option #1: Seated
      • Option #2: Kneeling
    • Movement #2: Sidelying or Standing Overhead reach with Breathing
      • Lying Down
    • Movement #3: Cat Position Thoracic Flexion and Abdominal Activation
    • Movement #4: Thoracic Rotation
  • Strength Circuit
    • These are movements you want to feel are fairly symmetrical
    • This can be done 2-4x per week with a rest day in between
    • You should not have any increase in pain, if you do email me and I will make adjustments
    • Complete as a circuit, 2-3x through the circuit
    • Single Leg Deadlifts
      • 8-15 reps
    • Side plank Test
      • Start at Higher surface
      • Goal 30-90sec
      • If you are able to get to 90sec without pain, go to a lower surface
      • If you get pain, don’t do it
    • Single Leg Squats
      • 8-15 reps