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Needling lumbar spine in Arnold Chiari patient

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Hi all. I assuming it is safe to needle the lumbar spine in a patient with Arnold Chiari, but being new to dry needling, I just wanted to double check. He is having persistent pain for about 5 years in the peroneal nerve distribution in his foot with some associated muscle spasms in the foot. It only occurs with prolonged weight bearing for his work once a week. He is in his late teens.


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