Effect of dry needling on radial tunnel syndrome: A case report

Autor: Sudarshan Anandkumar
Rok vydání: 2018
Předmět:
Zdroj: Physiotherapy Theory and Practice. 35:373-382
ISSN: 1532-5040
0959-3985
DOI: 10.1080/09593985.2018.1443357
Popis: 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.
Databáze: OpenAIRE