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Clinical implication of "shifting pain"

Clinical interpretation of a “shifting pain”

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.

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