Lesson 1Medication and prior treatment history: analgesics, physiotherapy, imaging, response to treatmentsDis section review current an past medications, physiotherapy, injections, an imaging, focusin pon treatment responses, side effects, adherence, an red-flag clues dat influence clinical reasonin an guide safe, effective management choices.
Current analgesics and dosage detailsPast physiotherapy and manual therapyPrevious injections or surgical proceduresImaging findings and clinical relevanceTreatment response and side effectsAdherence, beliefs, and self-managementLesson 2Patient goals and expectations: short- and long-term functional goals and preferred outcomesDis section clarify di patient’s short- an long-term goals, preferred outcomes, an expectations a physiotherapy, alignin assessment an treatment plans wid meaningful functional targets an shared decision-makin principles.
Patient narrative of main concernsShort-term symptom relief prioritiesLong-term functional and role goalsReturn-to-work and sport expectationsAcceptable pain levels and timelinesShared decision-making and preferencesLesson 3Precautions and contraindications: anticoagulants, inflammatory conditions, cervical instabilityDis section identify medical precautions an contraindications, includin anticoagulant use, inflammatory disease, cervical instability, an osteoporosis, to adapt manual techniques, exercise dosin, an referral urgency fi safe practice.
Anticoagulants and bleeding riskInflammatory and autoimmune disordersSuspected cervical instability signsOsteoporosis and fracture risk factorsCardiovascular and vertebrobasilar riskRed-flag symptoms requiring referralLesson 4Neurological symptom exploration: radicular symptoms, paresthesia, weakness, distributionDis section investigate neurological symptoms such as radicular pain, paresthesia, weakness, an sensory changes, mappin distribution an irritability to identify nerve root involvement an potential serious pathology.
Radicular pain pattern and severityParesthesia, numbness, and tinglingSubjective weakness and clumsinessDermatomal and myotomal distributionBowel, bladder, and gait changesSymptom irritability and latencyLesson 5Functional impact questions: activities of daily living, work tasks, exercise toleranceDis section examine how cervicothoracic pain affect daily self-care, work tasks, drivin, an exercise, quantifyin limitations, compensations, an participation restrictions to prioritize functional goals an outcome measures.
Self-care and personal hygiene tasksHousehold and caregiving activitiesWorkstation and job-specific demandsDriving, commuting, and travel toleranceExercise, sport, and leisure restrictionUse of aids, supports, and adaptationsLesson 6Pain characteristics and scales: intensity, quality, timing, pain diagrams, numerical scalesDis section detail pain intensity, quality, an distribution usin validated scales an diagrams, capturin temporal patterns, irritability, an multi-site symptoms to monitor change an support clinical reasonin.
Numeric and visual analog scalesPain quality descriptors and irritabilityTemporal pattern and flare-up behaviorBody charts and pain distribution mapsNeck disability and function measuresInterpreting minimal important changeLesson 7Red flags and medical history: signs of infection, systemic disease, cancer, recent traumaDis section screen fi red flags an broader medical history, includin infection, cancer, systemic disease, an recent trauma, integratin risk factors an symptom clusters to determine urgency a medical referral.
Fever, weight loss, and night sweatsHistory of cancer or serious illnessRecent trauma or high-risk accidentsNeurological or myelopathic signsCardiovascular and respiratory historyMedication, surgery, and allergy historyLesson 8Key pain history elements: onset, duration, progression, pattern, aggravating and easing factorsDis section structure key pain history questions, coverin onset, duration, progression, diurnal pattern, an aggravatin an easin factors, to differentiate mechanical from non-mechanical pain an guide hypothesis generation.
Initial onset and precipitating eventsDuration, frequency, and episode patternProgression, stability, or worseningDiurnal variation and night painAggravating movements and posturesEasing factors, rest, and medicationsLesson 9Workstation and activity-specific inquiry: computer use duration, posture, breaks, typing habitsDis section analyze workstation setup an task-specific activities, includin computer use, posture, breaks, an manual tasks, to identify modifiable ergonomic an behavioral contributors to cervicothoracic pain.
Desk, chair, and monitor positioningKeyboard, mouse, and typing habitsLaptop, tablet, and phone use patternsBreak frequency and microbreak habitsManual handling and lifting demandsDriving posture and in-vehicle setupLesson 10Sleep, psychosocial and lifestyle screening: sleep quality, stress, mood, activity levelsDis section explore sleep quality, stress, mood, an lifestyle habits, linkin dem to pain intensity, recovery, an flare-ups, an identifyin modifiable psychosocial an behavioral factors dat may require education, pacin, or referral.
Sleep onset, maintenance, and waking painWork stress, life events, and coping styleMood, anxiety, and pain catastrophizingPhysical activity level and sedentary timeCaffeine, alcohol, and nicotine patternsScreen time, device use, and wind-down
