Mar 29 • CASE STUDY CORNER
NEW CASE STUDY - CHRONIC “PINS/NEEDLES” IN HANDS
36 YO F presented to me with a chronically stiff neck and shoulders, and reports that she occasionally experiences “pins & needles” in both her hands as well as headaches.
Dx -
A) Cx spine = degen (mod) ; postural overload symptoms of Cx/Thx spine stabilizers (mod/chronic)
B) Scapular/shoulder = postural overload symptoms of scapulohumeral stabilisers (mod/chronic) ; b/g of scapular instability (mod) ; ?MDI GH joint
C) Neural = ?Exiting Cx spinal nerve root compression ; transient bilateral neuritis (mild)
Tissue integrity - ?Hypermobile ; ?EDS
Treatment over the next 3 weeks -
A) Manual therapy through scapular/thx/cx - Deep tissue/joint mobilizations/dry needling/fire cupping
B) Rehab focus - Scapular stability (shrugs/chest & face pulls/seated rows etc)
Treatment helped address her stiffness & headaches.
However, the pins and needles didn’t disappear. And are worst in the morning.
Referred for Chiro ; regular weekly adjustments for a further 3 weeks ; nil change in symptoms a/a.
She says the pins and needles happens most in the morning when she brushes her teeth.
Where do you think I went from here?
What other considerations to her current symptoms did I make that changed my diagnosis?
SHOOT
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NEW CASE STUDY - CHRONIC “PINS/NEEDLES” IN HANDS
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