From:  Mechanically loaded neurodynamics for post-surgical rehabilitation of arterial thoracic outlet syndrome in an endurance athlete: a case report

 Symptom progression and clinical milestones

WeekNPRS pain score/DASHAllodynia/hyperalgesiaROM limitationStrength (LSI)Notes
Initial–28/10
DASH: 86.7
Present10%N/AMedian/ulnar pain; trigger points
3–46/10–3/10 post-MLNDPresentFull ROM restoredN/ACentralization of pain
5–72/10AbsentNormalized85–90%Resumed biking
8–11 (discharge)0/10
DASH: 2.5
AbsentFull≥ 93%Returned to unrestricted sport

The patient’s DASH score improved from 86.7 at initial evaluation to 2.5 at discharge, reflecting near complete resolution of functional disability. NPRS: numerical pain rating scale; DASH: Disabilities of the Arm, Shoulder and Hand questionnaire; ROM: range of motion; LSI: limb symmetry index; MLND: mechanically loaded neurodynamics