Spontaneous Pneumomediastinum

Spontaneous pneumomediastinum, also known as mediastinal emphysema, is relatively uncommon but well documented in athletes. The major symptoms include neck and chest pain, shoulder and back pain, abdominal pain, weakness, dyspnea, dysphagia, sore throat, and swollen neck. Some patients may experience shortness of breath and difficulty swallowing.

Subcutaneous emphysema is the most prevalent physical finding.53 Spontaneous pneumomediastinum may be caused by several conditions that allow free air to enter the mediastinal tissues but may be caused in swimmers by frequent breath holding or performing the Valsalva maneuver.45

Dry needling acupuncture therapy is very effective in preventing and treating all the symptoms related to this condition. The usual weekly de-stressing treatment is used for prevention. Symptom-focused treatment should be provided to the athlete in two sessions per week. Other conventional modalities should be considered while dry needling acupuncture therapy is administered.

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