Display options
Cite
Illes JD, Johnson TL. Chiropractic management of a patient with ulnar nerve compression symptoms: a case report. J Chiropr Med. 2013;12(2):66-73doi: 10.1016/j.jcm.2013.03.002.
Illes, J. D., & Johnson, T. L. (2013). Chiropractic management of a patient with ulnar nerve compression symptoms: a case report. Journal of chiropractic medicine, 12(2), 66-73. https://doi.org/10.1016/j.jcm.2013.03.002
Illes, Jennifer D, and Johnson, Theodore L. "Chiropractic management of a patient with ulnar nerve compression symptoms: a case report." Journal of chiropractic medicine vol. 12,2 (2013): 66-73. doi: https://doi.org/10.1016/j.jcm.2013.03.002
Illes JD, Johnson TL. Chiropractic management of a patient with ulnar nerve compression symptoms: a case report. J Chiropr Med. 2013 Jun;12(2):66-73. doi: 10.1016/j.jcm.2013.03.002. PMID: 24294148; PMCID: PMC3730298.
Copy Download .nbib Format: NLM
Share it on

J Chiropr Med. 2013 Jun;12(2):66-73. doi: 10.1016/j.jcm.2013.03.002.

Chiropractic management of a patient with ulnar nerve compression symptoms: a case report.

Journal of chiropractic medicine

Jennifer D Illes, Theodore L Johnson

Affiliations

  1. Clinical Science Instructor, National University of Health Sciences, Pinellas Park, FL.

PMID: 24294148 PMCID: PMC3730298 DOI: 10.1016/j.jcm.2013.03.002

Abstract

OBJECTIVE: The purpose of this case report is to describe chiropractic management of a patient with arm and hand numbness and who was suspected to have ulnar nerve compression.

CLINICAL FEATURES: A 41-year-old woman presented with hand weakness and numbness along the medial aspect of her right forearm and the 3 most medial fingers. The onset of symptoms presented suddenly, 3 weeks prior, when she woke up in the morning and assumed she had "slept wrong." The patient's posture showed protracted shoulders and moderate forward head carriage. Orthopedic assessment revealed symptomatic right elevated arm stress test, grip strength asymmetry, and a Tinel sign at the right cubital tunnel.

INTERVENTION AND OUTCOME: The patient was treated using chiropractic care, which consisted of manipulative therapy, myofascial therapy, and elastic therapeutic taping. Active home care included performing postural exercises and education about workstation ergonomics. She demonstrated immediate subjective improvement of her numbness and weakness after the first treatment. Over a series of 11 treatments, her symptoms resolved completely; and she was able to perform work tasks without dysfunction.

CONCLUSION: Chiropractic treatment consisting of manipulation, soft tissue mobilizations, exercise, and education of workstation ergonomics appeared to reduce the symptoms of ulnar nerve compression symptoms for this patient.

Keywords: Chiropractic; Cubital tunnel syndrome; Nerve compression syndrome; Thoracic outlet

References

  1. J Hand Surg Am. 1994 Sep;19(5):873-83 - PubMed
  2. J Manipulative Physiol Ther. 1988 Dec;11(6):493-9 - PubMed
  3. Indian J Plast Surg. 2011 May;44(2):283-97 - PubMed
  4. Res Sports Med. 2007 Apr-Jun;15(2):103-12 - PubMed
  5. J Manipulative Physiol Ther. 2003 Nov-Dec;26(9):602-7 - PubMed
  6. Australas Chiropr Osteopathy. 2000 Mar;9(1):13-6 - PubMed
  7. Joint Bone Spine. 2001 Oct;68(5):416-24 - PubMed
  8. J Neurol Sci. 1977 Sep;33(3):341-6 - PubMed
  9. Eura Medicophys. 2007 Mar;43(1):55-70 - PubMed
  10. J Am Osteopath Assoc. 1990 Sep;90(9):810-2, 817-23 - PubMed
  11. Muscle Nerve. 1999 Jan;22(1):126-9; discussion 137-8 - PubMed
  12. J Hand Surg Br. 1985 Jun;10(2):202-4 - PubMed
  13. Muscle Nerve. 2000 Aug;23(8):1160-74 - PubMed
  14. Electromyogr Clin Neurophysiol. 2008 Mar;48(2):67-74 - PubMed
  15. Annu Rev Public Health. 1991;12:543-66 - PubMed
  16. J Am Board Fam Pract. 1996 Sep-Oct;9(5):346-55 - PubMed
  17. Ortop Traumatol Rehabil. 2007 Nov-Dec;9(6):644-51 - PubMed
  18. J Am Osteopath Assoc. 1993 Mar;93(3):334, 340-5 - PubMed
  19. J Am Acad Orthop Surg. 2007 Nov;15(11):672-81 - PubMed
  20. Ann Chir Main Memb Super. 1990;9(5):331-40 - PubMed
  21. Hand Clin. 1994 Feb;10(1):83-92 - PubMed
  22. Hand Clin. 2004 Feb;20(1):27-36 - PubMed
  23. Proc Staff Meet Mayo Clin. 1956 May 2;31(9):281-7 - PubMed
  24. Lancet. 1973 Aug 18;2(7825):359-62 - PubMed
  25. J Man Manip Ther. 2009;17(3):e80-9 - PubMed
  26. J Am Osteopath Assoc. 1990 Aug;90(8):686-96, 703-4 - PubMed
  27. South Med J. 1981 Aug;74(8):957-9 - PubMed
  28. J Hand Surg Am. 2006 Jul-Aug;31(6):919-24 - PubMed
  29. Postgrad Med J. 2007 Jan;83(975):28-31 - PubMed
  30. Clin Biomech (Bristol, Avon). 1986 Nov;1(4):238 - PubMed
  31. J Orthop Sports Phys Ther. 2009 Jul;39(7):515-21 - PubMed
  32. Sports Med. 1994 Mar;17(3):189-99 - PubMed

Publication Types