A patient reports upper thoracic and posterior shoulder pain…
A patient reports upper thoracic and posterior shoulder pain with desk work and reaching. They deny numbness, tingling, gait changes, dizziness, unexplained weight change, fever, or night sweats. Cervical screening does not reproduce symptoms. Shoulder AROM is near full but shows excessive scapular elevation, and thoracic rotation is limited and reproduces the familiar pain. What is the best next examination decision?