Acute Spinal Epidural Hematoma as a Complication of Dry Needling: A Case Report.

Autor: Berrigan WA; Medstar Georgetown University Hospital/National Rehabilitation Hospital, 102 Irving St, NW, Washington, DC 20010., Whitehair CL; Medstar Georgetown University Hospital/National Rehabilitation Hospital, Washington, DC., Zorowitz RD; Medstar Georgetown University Hospital/National Rehabilitation Hospital, Washington, DC.
Jazyk: angličtina
Zdroj: PM & R : the journal of injury, function, and rehabilitation [PM R] 2019 Mar; Vol. 11 (3), pp. 313-316. Date of Electronic Publication: 2019 Feb 22.
DOI: 10.1016/j.pmrj.2018.07.009
Abstrakt: Dry needling is a procedure commonly performed for the relief of myofascial pain disorders. The procedure is generally well tolerated. Adverse events often are mild, but severe complications have been reported. This case report describes an acute spinal epidural hematoma as a complication of dry needling. It is a reminder to the performing physician or therapist to take specific precautions when placing a needle near the spine. Sudden onset of neuropathic pain after needling therapy in and around the spine should prompt emergency assessment with possibly advanced spine imaging to evaluate the integrity of the spinal cord. LEVEL OF EVIDENCE: V.
(© 2018 American Academy of Physical Medicine and Rehabilitation.)
Databáze: MEDLINE
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