PDF(Pubmed)
Abstract：
BACKGROUND: Deep tissue massage (DTM) is a form of therapeutic massage therapy for muscles and is often used to treat musculoskeletal pain. This was an uncommon case of acute cervical radiculopathy that occurred after DTM.
METHODS: A 47-year-old Asian woman with low weight visited our clinic due to complaints of sudden unilateral paralysis, radiating pain in the left shoulder, and wrist weakness after undergoing a 3-minute DTM of the anterior scalene muscle. Electrodiagnostic examination indicated acute injuries in the left cervical 5 and 6 (cervical 5 and cervical 6) nerve roots.
METHODS: Acute cervical radiculopathy associated with anterior scalene DTM.
METHODS: The patient underwent ultrasound-guided cervical 5 and cervical 6 selective nerve root block twice through the injection of 0.25% lidocaine and 20 mg dexamethasone and regularly participated in a biweekly rehabilitation program and a home exercise program.
RESULTS: After a 6-month follow-up, the patient\'s shoulder and wrist strength had recovered, and the electrodiagnostic findings had improved.
CONCLUSIONS: DTM of the anterior scalene muscle should be carefully performed to avoid cervical nerve root injury, particularly in underweight patients.
METHODS: A 47-year-old Asian woman with low weight visited our clinic due to complaints of sudden unilateral paralysis, radiating pain in the left shoulder, and wrist weakness after undergoing a 3-minute DTM of the anterior scalene muscle. Electrodiagnostic examination indicated acute injuries in the left cervical 5 and 6 (cervical 5 and cervical 6) nerve roots.
METHODS: Acute cervical radiculopathy associated with anterior scalene DTM.
METHODS: The patient underwent ultrasound-guided cervical 5 and cervical 6 selective nerve root block twice through the injection of 0.25% lidocaine and 20 mg dexamethasone and regularly participated in a biweekly rehabilitation program and a home exercise program.
RESULTS: After a 6-month follow-up, the patient\'s shoulder and wrist strength had recovered, and the electrodiagnostic findings had improved.
CONCLUSIONS: DTM of the anterior scalene muscle should be carefully performed to avoid cervical nerve root injury, particularly in underweight patients.
摘要：
背景：深层组织按摩（DTM）是一种用于肌肉的治疗性按摩疗法，通常用于治疗肌肉骨骼疼痛。这是DTM后发生的罕见急性神经根病。
方法：一名47岁的低体重亚裔女性因突发性单侧瘫痪而就诊于我们的诊所，在左肩放射疼痛，和腕部无力后接受3分钟的前斜角肌DTM。电诊断检查提示左颈5和6（颈5和颈6）神经根急性损伤。
方法：急性颈神经根病与前斜线DTM相关。
方法：患者通过注射0.25％利多卡因和20mg地塞米松两次接受超声引导下的颈5和颈6选择性神经根阻滞，并定期参加每两周一次的康复计划和家庭锻炼计划。
结果：经过6个月的随访，病人的肩膀和手腕力量已经恢复，电诊断结果有所改善。
结论：应仔细进行前斜角肌的DTM，以避免颈神经根损伤，特别是体重不足的患者。
方法：一名47岁的低体重亚裔女性因突发性单侧瘫痪而就诊于我们的诊所，在左肩放射疼痛，和腕部无力后接受3分钟的前斜角肌DTM。电诊断检查提示左颈5和6（颈5和颈6）神经根急性损伤。
方法：急性颈神经根病与前斜线DTM相关。
方法：患者通过注射0.25％利多卡因和20mg地塞米松两次接受超声引导下的颈5和颈6选择性神经根阻滞，并定期参加每两周一次的康复计划和家庭锻炼计划。
结果：经过6个月的随访，病人的肩膀和手腕力量已经恢复，电诊断结果有所改善。
结论：应仔细进行前斜角肌的DTM，以避免颈神经根损伤，特别是体重不足的患者。
