Lesson 1Medication and Past Treatment History: Painkillers, Physiotherapy, Scans, Response to CareThis part looks at current and previous drugs, physiotherapy sessions, injections, and scans, paying attention to how treatments worked, side effects, following instructions, and warning signs that shape clinical thinking and direct safe, effective care options in local practice.
Current painkillers and how much to takePast physiotherapy and hands-on therapyEarlier injections or operationsScan results and their importanceHow treatments affected and side issuesFollowing advice, beliefs, and self-careLesson 2Patient Goals and Expectations: Short- and Long-Term Aims for Daily Function and Desired ResultsThis part makes clear the patient’s short- and long-term aims, wanted results, and hopes from physiotherapy, matching assessment and care plans with important daily targets and joint decision-making in Nigerian contexts.
Patient’s story of main worriesQuick relief for symptoms as priorityLong-term aims for function and rolesExpectations for returning to work or sportsTolerable pain levels and timeframesJoint decisions and personal choicesLesson 3Precautions and No-Go Areas: Blood Thinners, Swelling Conditions, Neck InstabilityThis part spots medical cautions and no-go areas, like blood thinners, swelling illnesses, neck instability, and bone thinning, to adjust hands-on methods, exercise amounts, and referral speed for safe work in Nigerian facilities.
Blood thinners and bleeding dangersSwelling and body defence disordersSigns of possible neck instabilityBone thinning and break risksHeart and blood vessel risksWarning symptoms needing quick referralLesson 4Exploring Nerve Symptoms: Shooting Pain, Tingling, Weakness, Spread PatternsThis part checks nerve symptoms like shooting pain, tingling, weakness, and feeling changes, mapping spread and sensitivity to spot nerve root issues and possible serious problems in local patients.
Shooting pain pattern and strengthTingling, numbness, and pins feelingFelt weakness and awkwardnessSkin area and muscle spreadBowel, bladder, and walking changesSymptom sensitivity and delayLesson 5Questions on Daily Life Effects: Routine Tasks, Work Duties, Exercise LimitsThis part checks how neck and upper back pain affects daily self-care, work duties, driving, and exercise, measuring limits, adjustments, and participation blocks to focus on daily aims and results tracking.
Self-care and cleaning tasksHome and family care activitiesWork area and job needsDriving, travel, and movement toleranceExercise, sports, and fun limitsUse of tools, supports, and changesLesson 6Pain Features and Measures: Strength, Type, Timing, Pain Maps, Number ScalesThis part explains pain strength, type, and spread using trusted scales and maps, noting time patterns, sensitivity, and multiple area symptoms to track changes and aid clinical thinking in Nigerian settings.
Number and picture scales for painPain type words and sensitivityTime pattern and trigger actionsBody maps and pain spread drawingsNeck limit and function measuresUnderstanding small important changesLesson 7Warning Signs and Health Background: Infection Clues, Body-Wide Illness, Cancer, Recent InjuriesThis part screens for warning signs and wider health history, covering infections, cancer, body-wide illness, and recent injuries, combining risk factors and symptom groups to decide on urgent medical referral needs.
Fever, weight drop, and night sweatsPast cancer or big illnessesRecent injuries or risky eventsNerve or spine pressure signsHeart and lung historyDrug, operation, and allergy backgroundLesson 8Key Pain History Parts: Start, Length, Progress, Pattern, Worsening and Easing FactorsThis part organises key pain history questions, including start, length, progress, daily pattern, and worsening and easing factors, to separate body-related from non-body pain and direct idea building.
First start and triggering eventsLength, often, and episode patternProgress, steady, or getting worseDaily changes and night painWorsening moves and positionsEasing factors, rest, and drugsLesson 9Work Area and Task-Specific Questions: Computer Time, Posture, Breaks, Typing WaysThis part analyses work area setup and task activities, like computer use, posture, breaks, and hand tasks, to find changeable work and habit factors causing neck and upper back pain.
Desk, chair, and screen placementKeyboard, mouse, and typing waysLaptop, tablet, and phone patternsBreak times and small rest habitsHand tasks and lifting needsDriving posture and car setupLesson 10Sleep, Emotional-Social and Lifestyle Checks: Sleep Quality, Stress, Mood, Activity LevelsThis part looks into sleep quality, stress, mood, and lifestyle habits, connecting them to pain strength, healing, and triggers, and spotting changeable emotional-social and habit factors needing teaching, pacing, or referral.
Sleep start, keeping, and wake painWork stress, life events, and coping waysMood, worry, and pain overthinkingBody activity level and sitting timeCaffeine, alcohol, and tobacco patternsScreen time, device use, and relax routines
