Baumann Anthony, Trager Robert J
Department of Rehabilitation Services, University Hospitals Cleveland Medical Center, Cleveland, USA.
Department of Chiropractic, University Hospitals Cleveland Medical Center, Cleveland, USA.
Cureus. 2022 Dec 1;14(12):e32098. doi: 10.7759/cureus.32098. eCollection 2022 Dec.
While total hip arthroplasty (THA) is one of the most common and successful orthopedic surgeries, some patients may experience persistent, recurrent, or new hip pain despite successful THA. Dry needling (DN) is a common treatment for musculoskeletal pain, yet little data has been published on the use of DN on hip pain after THA. This series highlights two patients with prior THA and current hip pain that improved with DN used alongside conventional physiotherapy exercises. Patient 1, a 70-year-old male four years post left THA, presented to a physical therapist with a three-year history of left hip pain. Patient 2, a 65-year-old female 10 years post right THA, presented with a one-month history of right hip pain after a fall. Both patients were reported to have a stable prosthesis without clinical or radiological evidence of loosening or other major complications. Examination of both patients revealed decreased hip range of motion, decreased hip strength, and lateral hip trigger points suggestive of a muscular origin of pain. The physical therapist treated both patients with DN alongside strengthening and stretching exercises, yielding significant improvements in pain severity, function, and range of motion. These cases illustrate the successful use of DN alongside conventional physiotherapy to alleviate hip pain in patients with previous THA. Further research is needed to examine the efficacy and safety of DN for hip pain in individuals with prior THA.
虽然全髋关节置换术（THA）是最常见且成功的骨科手术之一，但一些患者在THA成功后仍可能经历持续、复发或新出现的髋关节疼痛。干针疗法（DN）是治疗肌肉骨骼疼痛的常用方法，但关于DN用于THA后髋关节疼痛的研究数据很少。本系列病例突出了两名曾接受THA且目前存在髋关节疼痛的患者，他们在接受DN治疗并结合传统物理治疗锻炼后病情有所改善。患者1是一名70岁男性，左髋关节置换术后四年，因左髋疼痛三年就诊于物理治疗师。患者2是一名65岁女性，右髋关节置换术后十年，跌倒后出现右髋疼痛一个月。据报告，两名患者的假体均稳定，无临床或影像学证据表明假体松动或存在其他重大并发症。对两名患者的检查均显示髋关节活动范围减小、髋关节力量减弱以及髋关节外侧触发点，提示疼痛源于肌肉。物理治疗师对两名患者采用DN治疗并结合强化和伸展锻炼，疼痛严重程度、功能和活动范围均有显著改善。这些病例表明，DN结合传统物理治疗可成功缓解既往接受THA患者的髋关节疼痛。需要进一步研究以检验DN对既往接受THA患者髋关节疼痛的疗效和安全性。
