Cindy Viljoen Physiotherapists

25/09/2025

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0799353889

23/09/2025

Cloward sign and referred pain by deep tissue stimulation of the cervical spine?

Stimulation in the midline of the anterior aspect of the disc produced pain between the shoulders in the middle of the back.

Cloward described that pain from the C6-7 disc was felt in the inferior angle of the scapula.

Pain from the C5-6 disc was felt in the center of the medial scapular border.

Pain from C4-5 disc was experienced in the region of the spine and superior angle.

Pain from the C3-4 disc was referred to the C7 spinous process and the posterior border of the trapezius muscle.

Cloward also documented that when stimulating patients with posterolateral disc protrusions, the referral patterns were found to be more intense than when stimulating the anterior aspect of the disc and were found to spread from the vertebral border of the scapula out to the shoulder and upper arm as far as the elbow.

Midline posterior disc protrusions were found to refer pain to a confined area overlying the fifth cervical to the second thoracic spinous processes near the midline, with upper discs more cephalad and lower discs more caudad.

15/09/2025

🔗📃Scapular pain in cervical radiculopathy: A scoping review

🔹 Background

👉Controversy persists regarding the relationship between scapular pain and cervical radiculopathy.

👉No consensus on cervical radiculopathy’s definition, radicular pain distribution, or the diagnostic value of scapular pain.

👉Aim: to map the literature describing scapular pain distribution in cervical radiculopathy in clinical practice and research.

📌 Key Takeaways
▪ Scapular pain is a common feature of cervical radiculopathy (72% of studies), ranking third behind neck (88%) and arm (85%) pain.
▪ Scapular pain may be the first symptom experienced and can persist for weeks or months prior to the onset of neck and/or upper extremity symptoms.
▪ The C7 nerve root shows the strongest association with scapular pain.
▪ Isolated scapular pain may represent the first manifestation of cervical radiculopathy.
▪ Scapular pain improved by neck movement may increase the diagnostic likelihood of cervical radiculopathy.

⚕️ Clinical Implications
▪ Cervical radiculopathy might exist and be clinically diagnosed without arm symptoms.
▪ Knowledge of specific distributions of scapular pain may be of diagnostic value.
▪ Earlier recognition of scapular pain could enable earlier diagnosis and therefore more specific and effectual intervention.
▪ Future studies should include participants presenting with scapular pain, document initial symptoms at onset, and assess whether recognizing scapular pain affords a diagnostic and/or therapeutic advantage.

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⚠️Disclaimer: Sharing a study or a part of it is NOT an endorsement. Please read the original article and evaluate critically.

Link to Article 👇

09/09/2025

Happy belated physio day Monique Visser.

Dankie vir wie jy is en dat jy altyd daardie ekstra spark saam praktyk toe bring. Jou spontane persoonlikheid maak ons dae altyd interessant....

Dankie dat jy met soveel sorg en liefde na jou pasiënte kyk en altyd jou bes probeer om hulle beter te kry. Jy maak altyd seker jy doen als in jou vermoë om 'n vreemde diagnose uit te figure...Jy maak regtig n verskil en ons waardeer jou!!

Ons is lief vir jou.

03/09/2025

Op hierdie Sekretaressedag wil ek jou eer Bella. Jy het die afgelope tyd deur baie moeilike tye gegaan, en tog staan jy elke dag op, doen jou werk met soveel toewyding en gee altyd jou beste. Jy is altyd daar, nooit verskonings nie, niks is ooit te veel vir jou nie.. Jou harde werk en opregte moeite gaan nie ongesiens verby nie – ek sien dit, ons sien dit!!! En waardeer dit met als binne ons.

Ek is ongelooflik lief vir jou. Mag jy vandag onthou hoe kosbaar jy is, nie net vir wat jy doen nie, maar vir wie jy ís. 💐❤️

10/07/2025

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08/07/2025

, commonly called a "pinched nerve," occurs when a nerve in the neck is compressed or irritated where it branches away from the spinal cord. This may cause pain that radiates into the shoulder and/or arm, as well as muscle weakness and numbness.

■ Upper limb movements that are affected:

C1/C2- Neck flexion/extension
C3- Neck lateral flexion
C4- Shoulder elevation
C5- Shoulder abduction
C6- Elbow flexion/wrist extension
C7- Elbow extension/wrist flexion
C8- Thumb extension
T1- Finger abduction

30/06/2025

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12/06/2025

Extracorporeal shock wave therapy (ESWT) uses acoustic pulses to treat certain musculoskeletal disorders. It is a well-studied and commonly used treatment modality for a variety of musculoskeletal conditions. Our Dolorclast unit has 3 times more energy than other units and is also the only FDA approved shockwave.

12/06/2025

Nerve pain?

We can help!!!

Stimpod NMS460 supports nerve recovery at the source, not just the symptoms.
If you're looking for lasting results, not temporary fixes, choose Stimpod!

👉 Ready to integrate nerve-focused care into your clinic? Let’s talk.

12/06/2025

Do you have pain? We can help you. Call or WhatsApp for more information.

12/06/2025

SINUSITIS

Physiotherapy can be an effective adjunct treatment for sinusitis, helping to improve drainage, reduce pain and inflammation, and improve breathing.

Call or WhatsApp for more information.