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The Effect of Exercise Therapy, Dry Needling, and Nonfunctional Electrical Stimulation on Radicular Pain: A Case Report Publisher



Hosseini L1 ; Shariat A1 ; Ghaffari MS1 ; Honarpishe R2 ; Cleland JA3
Authors
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Authors Affiliations
  1. 1. Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Franklin Pierce University, Manchester, NH, United States

Source: Journal of Exercise Rehabilitation Published:2018


Abstract

A 43-year-old male, office worker with history of chronic radicular low back pain radiating into the left leg was admitted to a sports medicine research center, neuroscience institute. During the past year, he visited a physiotherapist and orthopedic experts. Magnetic resonance imaging revealed a protruded disc at L4-5 level. Additionally, electromyography indicated that there was bilateral moderate irritation at the L5-S1 root. We designed a management package including exercise therapy, dry needling, and nonfunctional electrical stimulation for four sessions. Outcomes included pain intensity, pain with lumbar flexion, with the nu-merical rating scale (NRS), visual analogue scale (VAS), and function measured with the Oswestry Disability Index before and after the inter-vention. After 4 treatment sessions, the patient reported a reduction in pain intensity from a 9 to 2 on the NRS and from 90 to 30 on the VAS. In addition, the patient was able to perform lumbar flexion fully without pain. © 2018 Korean Society of Exercise Rehabilitation.
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