期刊
JOURNAL OF CHIROPRACTIC MEDICINE
卷 12, 期 1, 页码 26-29出版社
ELSEVIER INC
DOI: 10.1016/j.jcm.2012.11.002
关键词
Tendinopathy; Acupuncture; Ultrasonography; Rotator cuff
Objective: The purpose of this case study is to describe the treatment of a patient with tendinopathy using sonographically guided dry needling. Tendinopathies are a highly prevalent problem in musculoskeletal medicine, and no one form of treatment has gained universal acceptance as being superior to another. Clinical Features: A 30-year-old woman with a 4-month history of anterolateral right shoulder pain was diagnosed with supraspinatus tendinopathy upon physical examination, which was confirmed with diagnostic sonography. Intervention and Outcome: Sonography was used to guide an acupuncture needle into the pathologic tissue to induce a humoral healing response. Therapeutic exercise was also prescribed. At 10-day follow-up, increased echogenicity was found in the previously heterogenous hypoechoic areas. The patient also experienced a subjective resolution of her shoulder pain, which did not return with increased physical activity. Conclusions: Sonographically guided dry needling was shown to be beneficial for this patient as evident by sonographic changes pre-and postprocedure. (C) 2013 National University of Health Sciences.
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