[PhD Win medical case] wrist pain | thoracic outlet syndrome | radiating pain and tingling

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He has been experiencing more pain on the ulnar side of his left wrist when pushing his hand back for two months.

I checked his left wrist and found no tenderness or limited movement; reflexes are normal; sensitivity on the ulnar side of the hand.

So, I think it is nerve pain in the wrist, specifically ulnar nerve pain.

I also checked the left elbow and found no tenderness.

Then, I checked the pectoralis minor muscle and found tenderness in the front of the left shoulder, with the pain radiating to the left arm and causing tingling in the left hand.

So, I think it is thoracic outlet syndrome, and the compression point is in the pectoral minor space.

I chose to use acupuncture on the tender point in the front of the left shoulder. After three sessions of treatment, the left wrist pain is almost gone. However, there is still some traveling pain in the left arm. We will continue with acupuncture.

What do you think of this case? Please let me know your thoughts.

Thanks.

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