Natural Medicine Options for Chronic Pain
and Musculoskeletal Injuries
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Thoracic Outlet Syndrome Tests have poor validity, as there is a false positive rate of 53-92%. So if someone does this test on you and you have a positive result (usually a + is elicited pain/numbness/tingling or loss of a pulse), it doesn't mean anything for sure. Positive tests should be "assessed cautiously".
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1) Observe pt, posture (standing)
2) Palpate c-spine (sitting)
3) Test ROM: (sitting) active (AROM), resisted (RROM)
4) MRS: muscle testing
5) MRS: reflex: DTR: deep tendon reflexes
6) MRS: sensory: sharp/dull and light touch to dermatomes
7) Spinal Percussion (still sitting)
8) Valsalva maneuver (to confirm suspicion of herniated disc or SOL in spinal cord or IVF)
9) Special orthopedic tests (cervical compression test & variations, cervical distraction test, shoulder depression test)
10) Passive ROM (PROM) (supine)
11) Soto Hall Test
12) Vertebral basilar artery insufficiency tests
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1) Increase L hip extension using PIR stretch: what ms group is stertched?
2) Using PIR corect a hypertonic R quad.
3) Increase L hip adduction with PIR strectch (which muscles?)
4) Perform a grade 4 mobilization to correct a L tibia internal rotation restriction
5) Correct a R calcaneus anterio glide restriction using grade 2 mob.
6) Correct a L navicular superior glide restriction.
7) Use strain/counterstrain to correct a hypertonic R piriformis.
8) Use s/cs to correct a L biceps femoris hypertonicity.
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