Abstract：
UNASSIGNED: Typically treated medically, chronic rhinosinusitis (CRS) is a prevalent condition characterized by multiple craniofacial symptoms, some of which may respond favorably to dry needling intervention.
UNASSIGNED: To describe the outcomes of a patient presenting with craniofacial pain and symptoms consistent with a diagnosis of CRS who was treated with dry needling. Case Description: A 41-year-old male, self-referred to physical therapy with a diagnosis of CRS, with a 20-year history of signs and symptoms associated with CRS, including craniofacial pain and headaches. The patient had been treated with multiple medication regimens over this time, including antihistamines, anti-inflammatories, decongestants, leukotriene inhibitors, and antibiotics; all of which provided only short-term relief. On initial examination, the patient was tender to palpation in multiple muscles of the head, neck, and face. Intervention consisted of dry needling to these muscular tender points once or twice weekly over 2 months.
UNASSIGNED: After 2 months of dry needling, the patient demonstrated clinically meaningful improvements in pain and quality of life, which included a decrease in both medication usage and the frequency of sinus infections.
UNASSIGNED: Although CRS is generally managed medically, we observed areas of muscular tenderness in this case, which were effectively managed with dry needling. Rehabilitative providers may consider screening CRS patients for muscular impairments that may be modifiable with dry needling. Further research should be performed to determine whether dry needling has a role in the management of CRS.
UNASSIGNED: To describe the outcomes of a patient presenting with craniofacial pain and symptoms consistent with a diagnosis of CRS who was treated with dry needling. Case Description: A 41-year-old male, self-referred to physical therapy with a diagnosis of CRS, with a 20-year history of signs and symptoms associated with CRS, including craniofacial pain and headaches. The patient had been treated with multiple medication regimens over this time, including antihistamines, anti-inflammatories, decongestants, leukotriene inhibitors, and antibiotics; all of which provided only short-term relief. On initial examination, the patient was tender to palpation in multiple muscles of the head, neck, and face. Intervention consisted of dry needling to these muscular tender points once or twice weekly over 2 months.
UNASSIGNED: After 2 months of dry needling, the patient demonstrated clinically meaningful improvements in pain and quality of life, which included a decrease in both medication usage and the frequency of sinus infections.
UNASSIGNED: Although CRS is generally managed medically, we observed areas of muscular tenderness in this case, which were effectively managed with dry needling. Rehabilitative providers may consider screening CRS patients for muscular impairments that may be modifiable with dry needling. Further research should be performed to determine whether dry needling has a role in the management of CRS.
摘要：
■通常接受医学治疗，慢性鼻-鼻窦炎(CRS)是一种以多种颅面症状为特征的常见病,其中一些可能对干针刺干预反应良好。
■描述患有颅面疼痛和症状与CRS诊断一致的患者的结果。案例描述:一名41岁男性,自我参考物理治疗与CRS的诊断，有20年与CRS相关的体征和症状史，包括颅面疼痛和头痛.在这段时间里，患者接受了多种药物治疗方案，包括抗组胺药,抗炎药,减充血剂,白三烯抑制剂，和抗生素；所有这些都只提供短期缓解。在初步检查中，病人触诊在头部的多个肌肉，脖子,和脸。干预措施包括在2个月内每周一次或两次对这些肌肉压痛点进行干针。
■干针刺2个月后，患者在疼痛和生活质量方面表现出临床上有意义的改善，其中包括药物使用和鼻窦感染频率的减少。
■尽管CRS通常是医疗管理的，在这种情况下，我们观察到肌肉压痛的区域，通过干刺有效地管理。康复提供者可能会考虑筛查CRS患者的肌肉损伤，这些肌肉损伤可以通过干针进行调整。应进行进一步的研究，以确定干针刺是否在CRS的管理中发挥作用。
■描述患有颅面疼痛和症状与CRS诊断一致的患者的结果。案例描述:一名41岁男性,自我参考物理治疗与CRS的诊断，有20年与CRS相关的体征和症状史，包括颅面疼痛和头痛.在这段时间里，患者接受了多种药物治疗方案，包括抗组胺药,抗炎药,减充血剂,白三烯抑制剂，和抗生素；所有这些都只提供短期缓解。在初步检查中，病人触诊在头部的多个肌肉，脖子,和脸。干预措施包括在2个月内每周一次或两次对这些肌肉压痛点进行干针。
■干针刺2个月后，患者在疼痛和生活质量方面表现出临床上有意义的改善，其中包括药物使用和鼻窦感染频率的减少。
■尽管CRS通常是医疗管理的，在这种情况下，我们观察到肌肉压痛的区域，通过干刺有效地管理。康复提供者可能会考虑筛查CRS患者的肌肉损伤，这些肌肉损伤可以通过干针进行调整。应进行进一步的研究，以确定干针刺是否在CRS的管理中发挥作用。
