Resolution of PIN syndrome following Physiotherapy: A case report

This case report highlights the use of physiotherapy as monotherapy for non-traumatic posterior interosseus nerve palsy, which is a rare compression neuropathy that usually gets referred to a surgeon and for which the patient may undergo surgical decompression. However, in a resource limited settin...

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Main Authors: Nottidge BA, Nottidge TE
Format: Article
Language:English
Published: Nigerian Medical Association, Akwa Ibom State Branch 2024-01-01
Series:Ibom Medical Journal
Online Access:https://ibommedicaljournal.org/index.php/imjhome/article/view/398
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author Nottidge BA
Nottidge TE
author_facet Nottidge BA
Nottidge TE
author_sort Nottidge BA
collection DOAJ
description This case report highlights the use of physiotherapy as monotherapy for non-traumatic posterior interosseus nerve palsy, which is a rare compression neuropathy that usually gets referred to a surgeon and for which the patient may undergo surgical decompression. However, in a resource limited setting, patients are often not able to afford advanced radiographic modalities like high resolution ultrasound and MRI scans. Hence the standard pathway to surgery is uncertain and they often get referred to physiotherapy while awaiting surgery. In this case, the patient was referred for Physiotherapy and the palsy improved. This suggests there was no defined surgical lesion, as has been found in many patients who have undergone ultrasound. This case highlights the need for robust research on the role of physiotherapy for PIN palsy in resource limited settings and a possible treatment algorithm that reserves investigations and surgery for patients whose PIN palsy does not improve with physiotherapy and for whom surgery is not clearly indicated from the outset.
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spelling doaj.art-2adb563e07ec43dea0e8e05fd549d2312024-03-06T11:54:53ZengNigerian Medical Association, Akwa Ibom State BranchIbom Medical Journal1597-71882735-99642024-01-0117110.61386/imj.v17i1.398Resolution of PIN syndrome following Physiotherapy: A case reportNottidge BA0Nottidge TE1Department of Physiotherapy, College of Health Sciences, University of Uyo, NigeriaDepartment of Orthopaedics and Traumatology, College of Health Sciences, University of Uyo This case report highlights the use of physiotherapy as monotherapy for non-traumatic posterior interosseus nerve palsy, which is a rare compression neuropathy that usually gets referred to a surgeon and for which the patient may undergo surgical decompression. However, in a resource limited setting, patients are often not able to afford advanced radiographic modalities like high resolution ultrasound and MRI scans. Hence the standard pathway to surgery is uncertain and they often get referred to physiotherapy while awaiting surgery. In this case, the patient was referred for Physiotherapy and the palsy improved. This suggests there was no defined surgical lesion, as has been found in many patients who have undergone ultrasound. This case highlights the need for robust research on the role of physiotherapy for PIN palsy in resource limited settings and a possible treatment algorithm that reserves investigations and surgery for patients whose PIN palsy does not improve with physiotherapy and for whom surgery is not clearly indicated from the outset. https://ibommedicaljournal.org/index.php/imjhome/article/view/398
spellingShingle Nottidge BA
Nottidge TE
Resolution of PIN syndrome following Physiotherapy: A case report
Ibom Medical Journal
title Resolution of PIN syndrome following Physiotherapy: A case report
title_full Resolution of PIN syndrome following Physiotherapy: A case report
title_fullStr Resolution of PIN syndrome following Physiotherapy: A case report
title_full_unstemmed Resolution of PIN syndrome following Physiotherapy: A case report
title_short Resolution of PIN syndrome following Physiotherapy: A case report
title_sort resolution of pin syndrome following physiotherapy a case report
url https://ibommedicaljournal.org/index.php/imjhome/article/view/398
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