Case Study: Ultrasound Guided Dry Needling for Scoliosis-Related Pain and Mobility

Our Patient

Our patient is a 30 year-old male who had been diagnosed with Ehlers-Danlos syndrome – a condition characterized by joint hypermobility. The patient’s medical history included frequent fractures and chronic pain in the lower back and buttock regions. The persistent pain was significantly impacting the patient’s daily activities and overall well-being. The patient had previously been misdiagnosed at another clinic, resulting in inappropriate and unsuccessful treatment.

Our Diagnosis

Our clinical evaluation revealed scoliosis, rotational anomalies, and limited mobility in the sacroiliac joint (SIJ). We conducted functional neuromuscular ultrasound imaging to identify the source of pain and impaired mobility.

Our Treatment Approach

We decided to use ultrasound-guided dry needling (USGDN) to address trigger points, correct rotational anomalies, and resolve mobility issues.


Trigger points were identified and precisely targeted with USGDN in the following areas:

  • Muscles of the left shoulder rotators
  • Serratus posterior inferior
  • Quadratus lumborum
  • Multifidus muscles

Our Results

After treatment, the patient reported complete pain relief and regained movement in all affected areas. The Cobb angle inclination for the patient’s scoliosis was decreased to 0 degrees, and rotational anomalies were minimized, resulting in improved quality of life for the patient.



In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)


Complete tear of rectus femoris
with large hematoma (blood)


Separation of muscle ends due to tear elicited
on dynamic sonography examination

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