Multimodal Care in the Management of a Patient With Chronic Tendinopathy of the Biceps Femoris: A Case Report

Abstract

Objective: The purpose of this case report was to describe the use of dry needling in conjunction with auricular acupuncture, core exercises, and light aerobic activity for treating chronic tendinopathy of the biceps femoris. Clinical Features: A 30-year-old white female presented with chronic biceps femoris tendinopathy. The injury had occurred 18 months prior while training for a triathlon. Active stretching of her right biceps femoris while standing with her feet 6 inches apart aggravated the pain at the origin in the right tendon of the biceps femoris at 0 degrees of movement. Intervention/Outcome: The combination of dry needling and auricular acupuncture with core rehabilitation exercises and light activity was employed. Alleviation of pain with full range of motion was achieved during hip extension, knee flexion, and standing biceps femoris stretch at the 11th, 16th, and 18th treatments. In addition, the patient also reported improvement in her symptoms, including night sweats, insomnia, anxiety, tension, and constipation. Conclusions: This patient's symptoms and function improved after 18 treatments of multimodal care. Dry needling employed simultaneously with auricular acupuncture, core exercises, and light activity could be considered a possible strategy for treating chronic tendinopathy. (J Chiropr Med 2017;16:156-162)

Auriculotherapy and reducing chronic musculoskeletal pain: integrative review

“…As for the place of the study, physiotherapy clinics and / or rehabilitation center (22,24,33) , long-term care institution for the elderly (31)(32) , university (26)(27)(28) and military region (34) . The others did not describe the study location (14,23,25,(29)(30) .…”

“…Auriculotherapy in the treatment of individuals affected by workrelated musculoskeletal disorders (wrmd) / repetitive strain injuries (RSI) (22) Before and after clinical trial Evaluation of atrial acupressure in painful shoulder syndrome: a case study (23) Case study (25) Case study abstracts of all items that responded to the primary search were read. Subsequently, the productions were read in full.…”

“…This phase is represented in Figure 2. Result: the intervention group showed greater reduction in pain (p = 0.001), insomnia (p = 0.018) and better satisfaction with life (p = 0.007) when compared to the control group In relation to the academic background of the authors, Physiotherapy stands out (22,28,30) , Nursing (14,23,29,(31)(32)(33) , Medicine (14,(26)(27)34) , Health Sciences and Rehabilitation (24) , Basic and Clinical Sciences (25) and Epidemiology (14) . With regard to the year of publication of the studies, there has been an increase in scientific production in the last five years (2015 to 2019), which points to a relatively current production.…”

“…There was a predominance of productions that researched auriculotherapy with patients (N = 9; 64.2%) who reported chronic MSP (14,(25)(26)(27)(28)(29)(30)(32)(33) . Auriculotherapy treatment was applied to adults and / or the elderly, especially in the lumbar spine (N = 6; 42.9%) (14,24,(27)(28)3132) .…”

“…As for the reduction of the intensity of chronic MSP, the use of auriculotherapy as a therapy was favorable in the studies, as shown in Chart 2. A drop in pain intensity scores stands out, especially in those who used the Visual Analogue Scale, with a maximum reduction of 5 points (22,25) . Reductions were also observed with percentages of 10.6% and 46.7% on the intensity of this chronic symptomatology (14,(23)(24)(28)(29) .…”