Article

This case report describes a 31-year-old male who presented with complaints of
chronic pain in his right elbow. Detailed subjective examination revealed that
the patient had searched Google for extensive online information relating to his
pain, ultimately self-labeling with various diagnoses. After researching in
YouTube, the patient self-treated with ice, exercises, neural mobilization,
self-massage and taping, all resulting in a failed outcome. Clinical findings
revealed trigger points in his right brachioradialis muscle with added symptoms
of central pain. This is a potential first-time description of physical therapy
management of brachioradialis myofascial pain syndrome with superadded central
pain caused as a result of cyberchondria where the patient used the Internet for
arriving at a wrong self-diagnosis and incorrect self-treatment with failed or
worsening pain outcomes leading to pain sustenance or chronicity. Physical
therapy consisted of Pain Neuroscience Education, dry needling and exercise
therapy. The patient was completely pain free and fully functional at the end of
the sixth session, which was maintained at a one-month follow-up.

Langue : ANGLAIS