The patient was a 40-year-old man who had experienced a constant deep ache over his left T1–2 paravertebral muscle region. Following 2 weeks of physical therapist intervention with no improvement, the patient self-referred to a neurosurgeon. Magnetic resonance imaging of the cervical and upper thoracic spine regions was ordered and revealed a left paracentral disc protrusion at T1–2 that resulted in moderate left foraminal stenosis. J Orthop Sports Phys Ther 2012;42(8):739. doi:10.2519/jospt.2012.0415