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Acute Spinal Epidural Hematoma as a Complication of Dry Needling: A Case Report.

MedStar author(s):

Citation: Pm & R. 11(3):313-316, 2019 03.PMID: 30036680Institution: MedStar National Rehabilitation NetworkForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Dry Needling/ae [Adverse Effects] | *Hematoma, Epidural, Spinal/et [Etiology] | Acute Disease | Female | Hematoma, Epidural, Spinal/dg [Diagnostic Imaging] | Humans | Middle Aged | Myofascial Pain Syndromes/th [Therapy]Year: 2019 ISSN:

1934-1482

Name of journal: PM & R : the journal of injury, function, and rehabilitationAbstract: Copyright (c) 2018 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.Dry needling is a procedure commonly performed for the relief of myofascial pain disorders. The procedure is generally well tolerated. Adverse events often are mild, but severe complications have been reported. This case report describes an acute spinal epidural hematoma as a complication of dry needling. It is a reminder to the performing physician or therapist to take specific precautions when placing a needle near the spine. Sudden onset of neuropathic pain post-needling therapy in and around the spine should prompt emergent assessment with possibly advanced spine imaging to evaluate the integrity of the spinal cord.All authors: Berrigan WA, Whitehair C, Zorowitz ROriginally published: Pm & R. 2018 Jul 20Fiscal year: FY2019Digital Object Identifier:

https://dx.doi.org/10.1016/j.pmrj.2018.07.009

Date added to catalog: 2018-08-02

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Title notes ( 3 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	30036680	Available		30036680

Dry needling is a procedure commonly performed for the relief of myofascial pain disorders. The procedure is generally well tolerated. Adverse events often are mild, but severe complications have been reported. This case report describes an acute spinal epidural hematoma as a complication of dry needling. It is a reminder to the performing physician or therapist to take specific precautions when placing a needle near the spine. Sudden onset of neuropathic pain post-needling therapy in and around the spine should prompt emergent assessment with possibly advanced spine imaging to evaluate the integrity of the spinal cord.

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