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Effect of dry needling on radial tunnel syndrome: A case report.
- Source :
-
Physiotherapy theory and practice [Physiother Theory Pract] 2019 Apr; Vol. 35 (4), pp. 373-382. Date of Electronic Publication: 2018 Feb 23. - Publication Year :
- 2019
-
Abstract
- This case report describes a 45-year-old male who presented with chronic right lateral elbow pain managed unsuccessfully with conservative treatment that included anti-inflammatory medication, injection, massage, exercise, bracing, taping, electro-physical agents, and manual therapy. Diagnosis of radial tunnel syndrome (RTS) was based on palpatory findings, range of motion testing, resisted isometrics, and a positive upper limb neural tension test 2b (radial nerve bias). Conventionally, the intervention for this entrapment has been surgical decompression, with successful outcomes. This is potentially a first-time report, describing the successful management of RTS with dry needling (DN) using a recently published DN grading system. Immediate improvements were noted in all the outcome measures after the first treatment, with complete pain-resolution maintained at a 6-month follow-up. A model is proposed describing the mechanism by which DN could be used to intervene for nerve entrapment interfaces.
- Subjects :
- Biomechanical Phenomena
Equipment Design
Humans
Male
Middle Aged
Musculoskeletal Pain diagnosis
Musculoskeletal Pain physiopathology
Pain Measurement
Radial Neuropathy diagnosis
Radial Neuropathy physiopathology
Recovery of Function
Treatment Outcome
Elbow innervation
Musculoskeletal Pain therapy
Needles
Physical Therapy Modalities instrumentation
Radial Nerve physiopathology
Radial Neuropathy therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1532-5040
- Volume :
- 35
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Physiotherapy theory and practice
- Publication Type :
- Academic Journal
- Accession number :
- 29474114
- Full Text :
- https://doi.org/10.1080/09593985.2018.1443357