chocking feeling when leaning foward???

[A-choo!]

Does anybody have any idea what could be happening with someone with the following symptoms?

This is someone I saw for a few sessions for tingling/numbness on left thumb and index finger. I did cross-fiber work with special attention to every muscle of upper body/neck/shoulders/arms/pects. I guess the relief was temporary.
I haven't seen this client for more than 6 months.
Her husband (who I see regularly) told me that she has had physical therapy - I don't know how many sessions or since when - and has developed this strange and scary symptom since having some work done to her neck at the physical therapy session:
When she leans foward - like to put the shoes on a child - she has a chocking sensation and also the feeling she is about to pass out.

I think there is probably a blood vessel entraped somewhere and also some muscle must be spasming to give her the feeling of chocking.

Anyone can shed some light in the subject?
Thank you

 

[TheRightInfo]

Many times when this is felt the hyoid is stuck for some reason. Especially if she has difficulty swallowing. Releasing the hyoid should help both of these symptoms. Hope this helps.

 

[Old Kid]

Spasm of the SCM at its upper attachment has been known to cause that choking feeling. Here's another vote for hyoids, too. But that passing out feeling is of concern, she should probably be checked to make sure she doesn't have vertebral artery entrapment, which is quite dangerous.

 

[Mystery...]

massagerelated had/has some dvds (about a month ago) showing how to release the supra and infrahyoid muscles, as well as SCM, etc. If interested, you may want to post in Wanted To Buy or pm massagerelated.

 

[Noir]

IMO this is an instance that should be taken up with the PT that she is working with. However if I were her I would find another PT.
I have to vote for hyoids as well.

 

[The Brazilian Mamba]

thank you all for your responses.

As far as I know she will have an MRI to make sure all structures are ok, which I think is a good thing to make sure she doesn't have an arterial entrapment.

I will discuss with her husband the responses I got here and perhaps they can find another PT.