CERVICOTHORACIC THRUST MANIPULATION IN AN ACUTE PAINFUL SHOULDER - A CASE REPORT

Purpose: The purpose of this case study was to determine whether cervicothoracic osteopathic thrust manipulation can improve a patient with shoulder pain and restriction. Case: This is a case of 35-year autorickshaw driver who complained an acute onset of shoulder pain and restriction. The therapist had several differential diagnoses according to the patients findings, however, since the cervical spine accessory movement findings were significantly associated with the patients complaints, wet ried a cervicothoracic-directed thrust manipulation. And we noticed an immediate improvement in the patients symptoms following the manipulation procedure. Outcomes: The pain perception improved 4 point in10-point Numeric pain rating scale. Similarly, there were 60 degrees and 90-degree improvements in the active flexion and abduction range respectively immediately following the intervention. Conclusion: This case study concludes that a spinal thrust manipulation targeted at the cervicothoracic region can immediately alleviate shoulder pain and discomfort.