Clinician: Tanzi Antonio
A 26-year-old male patient, employed as an office worker, presented to the clinic reporting pain localized to the anterior aspect of the right shoulder, corresponding to the AN HU RT region. The pain occurred during circumduction movements of the upper limb and while performing biceps exercises at the gym. Concomitantly, the patient reported bilateral cervico-dorsal pain, present intermittently for approximately seven years.
From the anamnesis of the right upper limb, a scaphoid fracture sustained five years earlier emerged, while no significant traumatic events involving the trunk were reported. Further investigation of visceral conditions revealed a history of asthma since childhood.
During Motor Verification (MoVe), upper limb sequence tests were performed, which elicited pain during IR and LA movements at the level of the right shoulder. The AN CU test was positive, reproducing the patient’s reported symptoms. The cervical region (CL) was also assessed, revealing discomfort and movement limitations, more evident during rotational movements.
During Palpatory Verification (PaVe), the Level III model was adopted, considering the patient as Respiratory System (RS); the analysis identified the oblique catenary as the most altered.
Treatment initially focused on the distal tensors, addressing the AN-ME CA1 bilaterally points. At the trunk level, the IR CP3 bilaterally and IR LU Pr RT points were treated, in accordance with the oblique catenary identified as the most compromised.
At the end of the session, motor verification tests were repeated: those related to the upper limb demonstrated complete remission of painful symptoms at the right shoulder, while tests on the cervical region showed improved range of motion, particularly during rotational movements.