A 23-year-old patient is referred to physical therapy with a…
A 23-year-old patient is referred to physical therapy with a primary complaint of left-sided neck pain, shoulder blade pain, and dorsal forearm pain. The physical therapist identifies aggravating factors including sitting for more than 30 minutes, looking downward for over 15 minutes, and coughing or sneezing, which exacerbates pain in all three areas. The patient reports that these three regions of pain feel interconnected. What is the most likely explanation for the pain in the left shoulder blade region?