I have a 22 y/o female who I'm sending out for testing for ICP testing for chronic anterior compartment syndrome in her lower leg. Pain is mainly located in anterior T-C area. She has had changes in tibialis anterior swelling a few months ago, as well as occasional pain through area.
Wondering if there are any particular points to hit to help release these compartments. I just started by hitting saphenous, common and deep fibular and tibial homeostatic points as her tolerance was low. Also was able to put 1" needle into talocrural joint. So far only 2 needling sessions and looking for some tips on location and needle length needed.
Thanks!
Hi Ryan!
I think you are on the right track in terms of treatment with this patient. Did she get relief after the first two sessions? I like how you started with some solid homeostatic and symptomatic points.
As her dosage tolerance increases, I'd recommend adding lumbar paravertebral point ranging from L4-S2 as the research shows addition of segmental needling improves outcomes.
Have you attempted adding ENS?
Are you following up with any specific exercise or other manual therapy.
Keep us posted!
Natalie Hawkins, PT, DPT, CIDN
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