Lesson 1Medicines and past treatment history: painkillers, physio, scans, response to treatmentsThis part reviews current and previous medicines, physio sessions, injections, and scans, focusing on how treatments worked, side effects, following advice, and warning signs that help in thinking and choosing safe, effective care options for patients.
Current painkillers and dose detailsPast physio and hands-on therapyPrevious injections or operationsScan results and their meaningTreatment response and side effectsFollowing advice, beliefs, and self-careLesson 2Patient aims and hopes: short- and long-term daily goals and preferred resultsThis part makes clear the patient’s short- and long-term aims, preferred results, and hopes from physio, matching checks and treatment plans with meaningful daily targets and joint decision-making in a Ugandan setting.
Patient story of main worriesShort-term relief prioritiesLong-term daily and role goalsReturn-to-work and play expectationsAcceptable pain levels and timesJoint decision-making and choicesLesson 3Cautions and no-go areas: blood thinners, swelling conditions, neck weaknessThis part spots medical cautions and no-go areas, including blood thinners, swelling diseases, neck weakness, and bone thinning, to adjust hands-on methods, exercise amounts, and referral speed for safe practice in local health centres.
Blood thinners and bleeding risksSwelling and body attack disordersSuspected neck weakness signsBone thinning and break risk factorsHeart and blood vessel risksWarning symptoms needing referralLesson 4Nerve symptom check: shooting pains, tingling, weakness, spreadThis part looks into nerve symptoms like shooting pain, tingling, weakness, and feeling changes, mapping spread and irritation to spot nerve root issues and possible serious sickness.
Shooting pain pattern and strengthTingling, numbness, and pinsFelt weakness and awkwardnessSkin area and muscle spreadBowel, bladder, and walking changesSymptom irritation and delayLesson 5Daily life effect questions: everyday tasks, work duties, exercise abilityThis part checks how neck and upper back pain affects daily self-care, work duties, driving, and exercise, measuring limits, adjustments, and taking part restrictions to focus on daily goals and results measures.
Self-care and cleaning tasksHome and family care activitiesWork area and job needsDriving, travel, and moving toleranceExercise, play, and fun limitsUse of helps, supports, and changesLesson 6Pain features and measures: strength, type, timing, pain drawings, number scalesThis part details pain strength, type, and spread using tested scales and drawings, noting time patterns, irritation, and multi-place symptoms to track changes and aid thinking.
Number and picture scalesPain type words and irritationTime pattern and flare behaviourBody drawings and pain mapsNeck limit and function measuresUnderstanding small important changeLesson 7Warning signs and health history: infection signs, body-wide disease, cancer, recent injuryThis part checks for warning signs and wider health history, including infection, cancer, body-wide disease, and recent injury, combining risk factors and symptom groups to decide medical referral speed.
Fever, weight drop, and night sweatsHistory of cancer or big sicknessRecent injury or high-risk eventsNerve or spine pressure signsHeart and lung historyMedicine, operation, and allergy historyLesson 8Key pain history parts: start, length, growth, pattern, worsening and easing factorsThis part organises key pain history questions, covering start, length, growth, day pattern, and worsening and easing factors, to tell body from non-body pain and guide idea making.
First start and causing eventsLength, often, and episode patternGrowth, steady, or worseDay changes and night painWorsening moves and positionsEasing factors, rest, and medicinesLesson 9Work area and activity check: computer time, position, breaks, typing waysThis part looks at work area setup and task activities, including computer use, position, breaks, and hand tasks, to spot changeable work and behaviour causes of neck and upper back pain.
Desk, chair, and screen placingKeyboard, mouse, and typing waysLaptop, tablet, and phone patternsBreak often and small break habitsHand carrying and lifting needsDriving position and vehicle setupLesson 10Sleep, mind-social and life check: sleep quality, stress, mood, activity levelsThis part looks into sleep quality, stress, mood, and life habits, linking them to pain strength, healing, and flares, and spotting changeable mind-social and behaviour factors needing teaching, pacing, or referral.
Sleep start, keep, and wake painWork stress, life events, and coping wayMood, worry, and pain big-thinkingBody activity level and sit timeCaffeine, alcohol, and smoke patternsScreen time, device use, and calm down
