one case of the ulnar nerve entrapment for 1 year 尺神经卡压一例

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one case of the ulnar nerve entrapment for 1 year 尺神经卡压一例

tight and numb in the little finger小手指麻木

worse while tired and more working累和工作加重

numbness in the little finger and half fourth finger小手指和第四指一般感觉迟钝

Tinel sign positive  Tinel证阳性

so acupuncture for it针灸治疗

Thanks

【PhD Win thinks about the case】

1, numbness in the little finger, the Clinician easily thinks of the cervical problem, so they will focus on the neck in check and treatments.

2, because of the character of the area of sensation of the ulnar nerve, it is easy to diagnose the ulnar nerve entrapment. it is sensitive or dull in the little finger and half of the fourth finger.he can not feel weakness in his hand.

3, there are two parts to block the ulnar nerve easily, one is in the wrist called Ulnar tunnel syndrome， and another one is in the elbow called elbow tunnel syndrome. it is in the elbow in this medical case.

4, the tinel sign is positive.

5, the patient is a chef who works hard and long hour, so the job makes his right arm tired and tight, so the tight muscle and tendon in the elbow stimulate the ulnar nerve. so he will feel much better after relaxing the muscle and tendon in the elbow

6, more pressing pain in the elbow is a sign of the ulnar nerve entrapment.

7, looking for tenderness points, relaxing the blocking muscle and tendon with a big special needle.

【黄博士思考案例】

1、小指麻木，临床医生很容易想到颈椎的问题，所以会重点检查和治疗颈部。

2、由于尺神经感觉区的特点，很容易诊断尺神经卡压。小指和无名指的一半敏感或迟钝。他感觉不到手的无力。

3、有两个部位容易阻塞尺神经，一是在腕部，称为尺管综合症，二是在肘部，称为肘管综合症。在这个医疗案例中，它位于肘部。

4、tinel证为正。

5、患者是一名厨师，工作时间长，工作强度大，工作使右臂疲劳、紧绷，肘部紧张的肌肉和肌腱刺激尺神经。所以在放松肘部的肌肉和肌腱后他会感觉好多了

6、肘部压痛较多，是尺神经卡压的征兆。

7、寻找压痛点，用特制大针放松阻塞的肌肉和肌腱。