Date of Award


Document Type



Physical Therapy

First Advisor

Richard Morgan


Double Crush Syndrome, Paresthesia, Physical Therapy Interventions, Carpal Tunnel, Shoulder Pain, Neural Dynamics, Nerve Flossing , Manual Therapy, Strengthening


Background and Purpose. This case study evaluates the effectiveness of physical therapy interventions in the treatment of a patient presenting with a potential Double Crush Syndrome.

Case Description. This patient was a 59-year-old male with reports of right shoulder pain and right upper extremity paresthesia, numbness, and tingling affecting his ability to perform daily tasks at work and at home.

Interventions. The physical therapy interventions given were all based on findings from the initial evaluation and included a mixture of manual therapy techniques such as shoulder mobilizations, therapeutic exercises/activities such as stretching, resistance training, and carries, and neuromuscular re-education such as nerve flossing and postural retraining.

Outcomes. The patient saw great improvements in symptoms over the episode of care and was able to get back to doing daily and work tasks with less pain and difficulty.

Discussion. The patient responded favorably to the interventions provided. Ongoing research is suggested in order to optimize patient treatment protocols when dealing with similar cases.