Patient reports about issues with the lower back, left shoulder and arm, neck. It starts after felt down to the stairs on Apr 2018. MRI shows spinal stenosis at the level L4-L5, C4-C5. Also there was a left shoulder surgery on March 2020, complicated with the pain in a left shoulder on Apr 24, 2020.
Lower back area is stiff and swallow, palpation is painful. Left shoulder external rotation is limited (ex.r. 25). Neck muscles is tight
Lower back area stiffness and swelling. Neck muscles tightness. Left shoulder pain and ROM restriction.
1 hr/session, 20 min MOB, 20 min SST, 20 min cranial, visceral OMT