What symptom pattern distinguishes postural syndrome in McKenzie treatment?

• A. Persistent pain increased by movement
• B. Pain that resolves with activity
• C. Pain unchanged by repeated movements
• D. Pain localized to a specific joint

Answer: (C)

The symptom pattern that characterizes postural syndrome in the McKenzie treatment approach is pain that is unchanged by repeated movements. This is essential in distinguishing postural syndromes from other types of musculoskeletal disorders. In postural syndrome, the pain typically arises from prolonged static positioning, leading to discomfort that does not alter with movement.

Patients often report discomfort or pain that occurs during periods of sustained postural stress, such as sitting or standing improperly, yet they generally do not experience changes in pain intensity when they engage in repeated movements, whether those movements are done in the direction of the pain or away from it. This symptom pattern highlights the importance of ergonomics and postural education in alleviating the pain associated with this syndrome.

Other options do not align with the characteristics of postural syndrome. Having persistent pain that increases with movement suggests a mechanical dysfunction or tissue pathology rather than a postural issue. Pain that resolves with activity indicates a dynamic element, which contrasts with the static nature of postural syndrome. Lastly, pain localized to a specific joint points toward more localized mechanical or inflammatory issues rather than the generalized discomfort related to postural habits. Understanding these distinctions is critical for effective management and treatment strategies in the McKenzie approach.