32-year-old male had had pain and numbness at wright forearm to hand pain and numbness for 6 months, and had been unable to work at best. He told me that he had been required to use of computer 10 hours per day, especially this 2 months. The symptom started his hand, then forearm. Without use of computer, the symptom tend to decrease. He had no other history of medical problems or injury.
・MMT - right grip was weak. right forearm pronation was weak.
・Tinel's sign - negative. Pronator teres tapping induce patient's symptom.
・Phalen's sign- negative.
【Treatment and outcome】
Treatment plan consisted of Active Release Technic and Graston Instrument Technic applied to his pronator teres and entire anterior forearm. In addition, ergonomic advice about the use of computer and the use of Prossage Massage Gel to help reduce tension of soft tissue is offered. Within 5 visits, his symptom began to subside gradually. He had a total of 10 visits (1 months), after which his symptoms were 90% recovered. The patient was advised to have continued care once per 2 months in order to maintain his good condition.
This case study suggest that advanced soft tissue technic such as Active Release and Graston Instrument tool can relieve overuse muscle tension and entrapment of nerve caused by chronic overuse of computer. Management including Active Release Technic, and Graston Instrument tool and daily use of prossage gel were effective in this case.
Consultation and reservation are here.
26-years-old female with chronic migraine headache
A 26-year-old woman had chronic migraine headache for 5 years. She had no history of trauma and the symptom persisted despite taking several prescribed medicine. Her symptom were accompanied by nausea and visual aura of "spots" when severe.
・ROM - Cervical rotation and lateral flexion was slightly restricted.
・Palpation - Several tenderness point was found in Suboccipital musculature.
Treatment and outcome:
Treatment plan included chiropractic manipulation, patient education in nutrition, and an in-office stretching program progressing to home therapy was reviewed with the patient. Within 5 visits, her symptom began to subside. She had a total of 10 visits (2 months), after which her symptoms were 80% recovered. The patient was advised to have chiropractic care once per 1 months in order to maintain her good condition.
In this case, the chronic recurrent migraine almost resolved over a 24-week period with use of chiropractic manipulation, lifestyle modification, and rehabilitation in this patient.