Typical profile

Age:

• Any age, especially between 20 and 40. History of injury:

• Sometimes slow or sudden onset Site and radiation:

• Spinal and paraspinal—e.g. interscapular, arms, lateral chest, anterior chest, substernal, iliac crest

Type of pain:

• Dull, aching, occasionally sharp; severity related to activity, site and posture Aggravation:

• Deep inspiration, postural movement of thorax, slumping or bending, walking upstairs, activities (e.g. lifting children, making beds), beds too hard or soft, sleeping or sitting for long periods

Association:

• Chronic poor posture Diagnosis confirmation:

• Examination of spine, therapeutic response to manipulation

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