Shoulder Pain Treatment
The patient was a 42 year old male, regular gym person since 15 years, who was referred to physical therapy for shoulder pain. He noticed symptoms after picking up a barbell during weight training. Objective findings included a multi‐segmental flexion movement pattern dysfunction and MTrPs in the trapezius, subscapularis, rhomboids and teres minor muscles with deep palpation. The subject was treated with TrP‐DN for a total of two visits. Bilateral scapular and neck muscles were treated, along with implementing a home exercise program consisting of dynamic stretchings and muscle stability exercises.
Dry needling has been shown to be an effective intervention for myofascial pain syndrome although is continues to be an underutilized intervention in India. This may be due to the lack of exposure, political restrictions, education, or all of the above.
Interesting components of current case: The patient is highly educated (MD), employed, and functional with common symptoms of shoulder pain. The patient is in the chronic phase of myofascial pain syndrome, who has had conventional treatments for his pain without resolution. The patient responded unusually well to a single physical therapy treatment using an underutilized intervention, namely dry needling.