need some serious advice here guys.
ive had a client this week who has neck problem very limited ROM pain when turning head to left, client gets pins and needles when turning to the left also, they had an MRI 18mths ago and the outcome was degeneration of discs, they contantly wear a scarf to help keep the neck warm, there is not much strength in the muscles, left shoulder is elevated, scapular is ant rotated, on L side, teres major also very tight. there are signs of scar tissue at the proximal end of trapezius around the around the C2 area, there is also a slight curve of the spine from right to left when sitting. client did say they had a fall and banged there head on the floor a few weeks ago, client added that he has had this neck problem for several years, posture is all over the place so i wont explain for now
i performed gentle MFR to neck and traps, a little DF on TM and a little MET to neck, but all was very difficult due to pain, client did gain a little more ROM from treatment.
my question is, with the suspected nerve (pins and needles) problem i think i'd much perfer to refer client on to some one else but who is best? or should i stick to treating him myself for the muscular problems?
oh yes the client is 81
and not looking the picture of health either if you get my drift
so very frail and not able to take deep work well