Síndrome del dolor miofascial como posible causa de parestesias: presentación de un caso

Abstract

The presence of paresthesias in the cubital edge of the hand, fourth and fifth finger usually is related to the compression of the C8 root or the cubital nerve. In spite of it, there are occasions in which these symptoms may have other origin. A case study shows, a patient who presented both cervical and dorsal shoulder pain, as well as paresthesias in the zones aforementioned. During the medical and physical therapy examination, compressive nervous pathology was ruled out. During de physical therapy evaluation, it was found out that the paresthesias were related to the presence of an active Myofascial Trigger Point in the Teres Minor. The treatment consisted of compression techniques and stretching. Afterwards, superficial dry needling followed by stretching was needed to obtain the whole inhibition of the MTP. The symptoms disappeared after three sessions of treatment.