Upper Quarter Clinical Practice Patterns Push Up Pain Mini Case

Looking for Clinical Practice Patterns and common areas of motion loss is a way to get to treating the patient faster. One of the CPPs I teach in MMT Seminars is a loss of ability to load the involved side in the cervical spine. 

In this case, the PT had pain with gripping and push ups. Both were quickly pre-tested. He had a loss of cervical retraction and SB to the ipsilateral side of arm pain (to the right). I taught him to repeatedly load cervical retraction and SB to the right with end range overpressure. After several repetitions, he was able to modulate his right arm pain, and grasping and push ups were much better. No manual therapy was used, and the test becomes the homework.