Cubital tunnel neuropathy: impact of osteopathic manipulative treatment on pain syndrome relief

A.F. Belyaev

Pacific State Medical University;
Primorsky Institute of Vertebral Neurology and Manual Medicine

P.V. Belomestnov

Pacific State Medical University;
Primorsky Institute of Vertebral Neurology and Manual Medicine

Cubital tunnel neuropathy: impact of osteopathic manipulative treatment on pain syndrome relief

Authors:

A.F. Belyaev, P.V. Belomestnov

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Journal: Russian Journal of Pain. 2021;19(2): 14‑20

DOI: 10.17116/pain20211902114

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To cite this article:

Belyaev AF, Belomestnov PV. Cubital tunnel neuropathy: impact of osteopathic manipulative treatment on pain syndrome relief. Russian Journal of Pain. 2021;19(2):14‑20. (In Russ.)
https://doi.org/10.17116/pain20211902114

Доказательная гастроэнтерология: pro et contra

Актуальные вопросы педиатрической практики

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OBJECTIVE

To estimate an efficacy of osteopathic manipulative treatment in relief of pain syndrome following cubital tunnel syndrome (CTS).

MATERIAL AND METHODS

There were 71 patients with cubital tunnel syndrome randomized into 2 groups (main and control ones). Mean age of patients was 44.4±1.1 years. In the main group, patients received drug therapy according to the standards for mononeuropathy and osteopathic manipulative treatment. Drug therapy alone was used in the control group. Pain syndrome was evaluated using visual analogue scale (VAS), DN4 questionnaire, Pain DETECT questionnaire, clinical status and electroneuromyography data.

RESULTS. C

Linical outcomes and electrophysiological variables were significantly higher in the main group (p<0.001). The same group was characterized by significant decrease of pain syndrome VAS score and regression of neuropathic pain (questionnaires DN4 and Pain DETECT) (p<0.001).

CONCLUSION

Osteopathic manipulative treatment of CTS patients contributes to significant reduction of pain syndrome, regression of neuropathic pain and restoration of functional conduction through the motor and sensitive fibers.

Keywords:

entrapment neuropathy

ulnar nerve

cubital syndrome

neuropathic pain

osteopathic manipulative treatment

Authors:

A.F. Belyaev

Pacific State Medical University;
Primorsky Institute of Vertebral Neurology and Manual Medicine

P.V. Belomestnov

Pacific State Medical University;
Primorsky Institute of Vertebral Neurology and Manual Medicine

Received:

19.03.2021

Accepted:

05.04.2021

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