Blows to the head, shoulder, or ear may cause injury to the brachial plexus in contact sports such as hockey, football, and wrestling, Patients may experience severe, burning pain radiating from the neck to the arm and fingers; numbness, tingling sensation, pricking sensation, burning sensation, or creeping sensation of the skin; and muscle weakness. Chronic symptoms may develop, and the rate of recurrence may be high, if the initial injury is not properly treated to the point of complete recovery.
Dry needling acupuncture is very effective in treating this condition. Specific treatments include needling local homeostatic, symptomatic, and paravertebral ARPs on the neck, shoulder, and arm. Nonspecific treatment should be offered. Treatment should be administered twice per week immediately after injury and once per week during rehabilitation.
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