36yo man presents with severe upper back pain of many years duration
Linda Simon, DC
The concern is whether to consider several separate conditions such as cervicodorsal sprain/strain, thoracic spine sprain/strain, rib sprain/strains, myofascial pain syndrome or asses this patient for Shoulder Crossed Syndrome which is characterized by goose-necking, rounded shoulders, forward pelvic protrusion. Goose necking places high stress on the upper thoracic/lower cervical spine creating spasms and facet compression. There are contracted upper trapezius muscles, levator scapula and pectoralis muscles, and weak deep neck flexors, lower trapezius, and serratus anterior.
Question: What advanced diagnostic tests would you order if any at this point?