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Physiother Theory Pract. 2019 Apr;35(4):373-382. doi: 10.1080/09593985.2018.1443357. Epub 2018 Feb 23.

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

Author information

1
a Registered Physiotherapist , CBI Health Centre , Chilliwack , British Columbia , Canada.

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.

KEYWORDS:

Dry needling; chronic pain; intramuscular stimulation; intramuscular therapy; peripheral nerve entrapment; posterior interosseous nerve; radial nerve; radial tunnel syndrome

PMID:
29474114
DOI:
10.1080/09593985.2018.1443357
[Indexed for MEDLINE]

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