Our Patient
Our patient was a 55 year-old male employee of the Metropolitan Transportation Authority (MTA). The patient’s job required heavy manual labor. He came to us complaining of hip and low back pain.
The Challenge
The patient’s job did not allow ample recovery time for standard physical therapy and injury rehabilitation to provide significant relief.
Exam and Diagnosis
Our exam revealed multiple myofascial trigger points and areas of fascia densification that were affecting the patient’s low back and hip region.
Trigger points were identified in the following areas:
- Shoulder rotator muscles
- Serratus posterior inferior
- Quadratus lumborum
- Thoracolumbar fascia
- Multifidus muscles
- Lower thoracic region
- Right sacroiliac joint (SIJ)
Fascia abnormalities were detected in the thoracolumbar region, which we suspected were the primary source of the patient’s hip pain.
Our Treatment Approach
We approached the patient’s condition with a targeted treatment regimen using ultrasound-guided dry needling to deactivate trigger points. This technique involved the precise insertion of dry needles into specific trigger points under ultrasound guidance. To address multiple fascia densifications, we used Stecco fascia manipulation and various shockwaves.
Final Results
Our combined approach of ultrasound-guided dry needling, fascia manipulation and shockwave therapy proved to be highly effective. The patient reported significant pain relief, improved mobility, and significant improvements in posture.
Conclusion
This case report demonstrates that a successful combination of fascia manipulation and ultrasound-guided dry needling is a valuable therapeutic option for managing pain and mobility issues. Our results suggest the potential for broader applications of dry needling in the treatment of various musculoskeletal conditions.
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