47 yo female presents with numbness of the left lateral biceps and left dorsal hand
Linda Simon, DC
When a nerve is trapped (compressed or elongated) within a muscle or myofascia, it is important to release the adhesions and subsequent trigger points in the soft tissue structures that are adhering to the nerve sheath and keeping the nerve compressed. This frees up the nerve. It is also important to reduce muscle spasms in the region. There are a variety of modalities and manual methods that can be introduced to accomplish this goal.
Options for modalities include cold laser, continuous ultrasound, muscle stimulation, trigger point ultrasound (combination pulsed ultrasound and galvanic current), wet heat.
Options for manual methods include myofascial release, Active Release, friction massage, massage, postisometric relaxation, stretching (passive, active, postfacilitation), mobilization of the shoulder joint.
Question: Of the treatment methods described, which would you choose for this patient’s condition of radial nerve entrapment at the subscapularis near the humerus?