Dr Cyriax, the "Einstein of orthopaedic medicine" created the stepstones towards a valuable diagnostic and therapeutic system, but a system which is also subject to quite some evolution. Some hypotheses have been refuted, others have been confirmed by qualitative research and others need more investigation. Several treatment techniques have been abandoned, others have been optimized significantly. Modern Orthopaedic Musculoskeletal Medicine is a very strong diagnostic and therapeutic concept, which is not a "stand alone" nor a “guru” concept. It is an open vision system compatible with some other views and approaches in the field of musculoskeletal medicine (e.g. McKenzie, Maitland, Mulligan), but the concept of modern Orthopaedic Musculoskeletal Medicine provides an absolute stepstone for all therapists who are involved in diagnosis and treatment of soft tissue lesions.
Recently I saw a patient, 45y old, suffering from a cervical internal derangement i.e. a posterior cervical disc protrusion with pressure against the dura mater. She described the typical mutlisegmental pain in the cervical, scapular area, on the right side. In the cervical examination a partial articular pattern was obvious (some pain and limitation of ROM), mainly towards right rotation.