Shilpa Jain¹* and Charu Chhabra²

¹Professor, Maharishi Markandeshwar College of Physiotherapy and Rehabilitation, Maharishi Markandeshwar University, Sadopur, Ambala, India
²Assistant Professor, Department of Physiotherapy, Jamia Hamdard University, New Delhi, India

*Corresponding Author: Shilpa Jain Professor, Maharishi Markandeshwar College of Physiotherapy and Rehabilitation, Maharishi Markandeshwar University, Sadopur, Ambala, India.

Received: August 05, 2024; Published: November 28, 2024

Abstract

Muscle Spasm of Gastrocnemius muscle may be associated with Anterior Cruciate Ligament (ACL) injury and consequently the compression secondaryat Tibial Nerve. This finding has not been commonly reported in the present literature. The diagnosis of compression secondary at tibial nerve due to gastrocnemius muscle spasm in ACL injury may be suppressed especially in the case of trauma where inflammation may occur because of multiple muscle fibre strain consequently leading to the loss of sensation in toes of foot. This is a case report which indicates that muscle spasm of gastrocnemius may be one of the reasons of motor and sensory loss in the toes of foot, a rare finding. The management was undertaken by Dry needling targeting myofascial trigger points (MTrPs) in gastrocnemius muscle to induce clinical effects.

 Keywords: Spasm; Sensation; Dry Needling’s; Tibial Nerve; ACL Injury

References

1. Fernández-de-Las-Peñas C and Nijs J. “Trigger point dry needling for the treatment of myofascial pain syndrome: current perspectives within a pain neuroscience paradigm”. Journal of Pain Research 12 (2019): 1899.
2. Jain S., et al. “Myofascial pain syndrome of the occipitofrontalis muscle and its ophthalmological implications”. Indian Journal of Ophthalmology-Case Reports 1 (2023): 142-144.
3. Zbrojkiewicz D., et al. “Increasing rates of anterior cruciate ligament reconstruction in young Australians, 2000-2015”. The Medical Journal of Australia 8 (2018): 354-358.
4. Jain S. “Development of a Valid and Reliable Tool to Measure Skeletal Muscle Spasm in Myofascial Pain Syndrome”. Psychology and Education Journal5 (2021): 1060-1070.
5. Jain S., et al. “Recent Advances in Diagnosis and Management of Myofascial Pain Syndrome: A Narrative Review”. Journal of Clinical and Diagnostic Research10 (2021).
6. Kisner C and Colby LA. “Therapeutic exercise: foundations and techniques. 5^th Philadelphia: F.A. Davis (2007): 928.
7. Kaur H., et al. “CRYO-STRETCH- The potential novel treatment technique for enhancing muscular flexibility - A Narrative Review”. Bulletin of Environment, Pharmacology and Life Sciences 1 (2023): 297-301.
8. Brotzman SB and Wilk KE. “Handbook of orthopaedic rehabilitation. 2^nd edition”. Philadelphia, PA: Mosby, Elsevier (2007).
9. Bhardwaj V., et al. “Treating Shoulder Pain with Trigger Point Dry Needling: A Case Report”. Journal of Clinical and Diagnostic Research10 (2021).
10. Bandy WD., et al. “COMPARISON OF DRY NEEDLING VS. SHAM ON THE PERFORMANCE OF VERTICAL JUMP”. The International Journal of Sports Physical Therapy 5 (2017): 747-751.
11. Ortega-Cebrian S., et al. “Dry needling: Effects on activation and passive mechanical properties of the quadriceps, pain and range during late stage rehabilitation of ACL reconstructed patients”. Physical Therapy in Sport 21 (2016): 57-62.
12. Page PS., et al. “Vascular entrapment neuropathy of the tibial nerve within the gastrocnemius muscle”. Surgical Neurology International 12 (2021): 224.
13. Torres ALG and Ferreira MC. “Study of the anatomy of the tibial nerve and its branches in the distal medial leg”. Acta Ortopedicabrasileira 20 (2012): 157-164.
14. Mokhtarzadeh H., et al. “Contributions of the soleus and gastrocnemius muscles to the anterior cruciate ligament loading during single-leg landing”. Journal of Biomechanics11 (2013): 1913-1920.
15. Morgan KD., et al. “Elevated gastrocnemius forces compensate for decreased hamstrings forces during the weight-acceptance phase of single-leg jump landing: implications for anterior cruciate ligament injury risk”. Journal of biomechanics13 (2014): 3295-3302.
16. Jain S., et al. “Active Stretching of Hip Flexors Increases Hip Extension Range of Motion More Than Passive Stretching”. International Journal of Development Research 8 (2018): 19654-19659.
17. Jain S and Arora M. “Effect of Microcurrent Facial Muscle Toning On Fine Wrinkles and Firmness ff Face”. IAMR Journal of Physiotherapy1 (2022): 13-16.
18. Jain S., et al. “Effect of upper trapezius stretching and deep neck flexors strengthening on quality of life, range of motion and flexibility of neck in smart phone users”. NeuroQuantology4 (2022): 1544.

Citation

Citation: Shilpa Jain and Charu Chhabra. “From Spasm to Sensation: Dry Needling’s Impact on Impaired Sensation with Tibial Nerve Entrapment after ACL Injury".Acta Scientific Orthopaedics 7.12 (2024): 10-13.

Copyright

Copyright: © 2024 Shilpa Jain and Charu Chhabra. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.