Case report: Traumatic median neuropathy in the distal forearm after massage therapy

Median nerve damage caused by trauma is rare, especially after the massage therapy. There have been no reports of median neuropathy in the distal forearm following massage therapy. A 61-year-old man developed paresthesia and numbness in the right hand after two sessions of massage therapy. Electroph...

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Bibliographic Details
Published inFrontiers in neurology Vol. 13
Main Authors Suh, Mi Rim, Song, Jun Hyeong, Park, Yongbum, Lee, Seok Hyeon, Ahn, Jaeki
Format Journal Article
LanguageEnglish
Published Frontiers Media S.A 21.09.2022
Subjects
magnetic resonance imaging
massage
median neuropathy
mononeuropathy
nerve conduction study
Neurology
ultrasound
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Summary:Median nerve damage caused by trauma is rare, especially after the massage therapy. There have been no reports of median neuropathy in the distal forearm following massage therapy. A 61-year-old man developed paresthesia and numbness in the right hand after two sessions of massage therapy. Electrophysiologic studies, ultrasound, and magnetic resonance imaging were used to localize and confirm the median nerve lesion in the distal forearm. Ultrasound-guided perineural steroid injection and oral pregabalin were administered. At the 1-month follow-up, more than 80% of the sensory symptoms had resolved, and the results of the sensory nerve conduction study and ultrasound showed improvement. Although massage-induced mononeuropathy is uncommon, massage therapy should be performed carefully to avoid complications.
Bibliography:Edited by: Elham Rostami, Uppsala University Hospital, Sweden
This article was submitted to Neurotrauma, a section of the journal Frontiers in Neurology
Reviewed by: Ji Woong Park, Soonchunhyang University Hospital Seoul, South Korea; Po-Cheng Hsu, Taipei Veterans General Hospital, Taiwan
ISSN:1664-2295
1664-2295
DOI:10.3389/fneur.2022.959919