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She Believes that nothing will ever help ever 

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She Believes that nothing will ever help ever 

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Worry that pain is spreading

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nothing will help"

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“nothing will ever help her”
“only surgery will help”
believes pain will worsen/spread with movement
chronic + depression
unemployed

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"She believes surgery is the only thing that will ever help her"

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"She believes surgery is the only thing that will ever help her"

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Depression
limiting beliefs
lack of support system
unemployed - wants to go back to work but feels like she is not able to due to pain

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Fear avoidance, unemployed, movement aggravates her 

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Fear avoidance, unemployed, movement aggravates her 

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anxious about ability to go back to work

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Not much social support from husband/family

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1 level home

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-Believes nothing will help
-Pain Catastrophizing (IDK HOW TO SPELL IT)
-Work Absenteeism
-Fear Avoidance

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6 siblings

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lives w/ husband (afraid of leaving)
has daughter + 6 siblings
not concerned with support system
housewife/ enjoys TV+bible study
unemployed
sedentary lifestyle

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Pain catastrophizing, thinks nothing will help her pain and thinks her pain is spreading. Fear avoidance, is afraid to work d/t fear of pain

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Easing factor : movement throughout the day. Aggravating: early am, late pm 

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Easing factor : movement throughout the day. Aggravating: early am, late pm 

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UQS

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History of Chronic Pain

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Believes nothing will help, any type of movement hurts, concerned that pain is spreading and worsening, only thinks surgery will help, has a history of depression

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Cervical PROM/AROM

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-Support from husband
-Not physically active
-Significant past medical history

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Support system, feels like they aren't concerned about any of her feelings of fear and pain

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easing: medication, cervical retraction, no movement, better in middle of the day
aggravating: any cervical movement, worse in AM/PM, sitting for prolonged periods

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Aggrevating: sitting
Easing: medications

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Unemployed, no significant hobbies, doesn't believe support system is concerned with her feelings, attends bible study/social outlet

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FABQ

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Ag Factors: Movement, prolonged weight bearing, sitting
Re Factors: Medication, rest, inactivity

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Believes nothing will help her, only thing relieving her pain is medication, believes surgery is only thing that can help her

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Depression Screen
NDI
Quick DASH
OSPRO-YF

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Cervical deep neck flexor endurance, 6min WT for endurance

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Fear-Avoidance scale
DASH

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Unemployed but wants to return to work

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Pain is spreading, movement of any kind aggravates, medication eases

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cranial nerve
UQ screen + red flag
cervical, shoulder, thoracic ROM/MMT
palpation/flexibility of cervicothoracic
passive accessories
nerve testing

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Any type of movement, certain medications, time of day influences aggravating/easing, repeated cervical ext aggravates

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-Cervical and UE AROM initially

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OSPRO-YF, DASH

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CSI

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Cervical AROM, cervical endurance test, neurodynamics, dynamic light touch, 5XSTS,

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FABQ, Yellow flag and depression screening tools

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Recent traumatic surgery

“Nothing will ever help”

Unemployed

Worried that her husband will leave her

Feels like her support system is not concerned about her feelings

Fearful of movement

Currently on a lot of medications which are her only relieving factors

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ROM, MMT, sensation

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Limited social engagement

hobbies: bible study/watching television

Expectations as a mom, wife