Ulnar nerve neuropraxia after extracorporeal shock wave lithotripsy: a case report

Konczak, Clark R.
March 2005
Journal of the Canadian Chiropractic Association;Mar2005, Vol. 49 Issue 1, p40
Academic Journal
A case is presented that illustrates and discusses the clinical presentation, diagnosis and chiropractic management of a 50-year-old male presenting with a case of ulnar neuropraxia following extracorporal shockwave lithotripsy. Onset is believed to be due to the patient's arm position in full abduction and external rotation during the lithotripsy procedure. Motor abnormalities related to the ulnar nerve were noted in the absence of distinct sensory findings. Chiropractic treatment focused on relief of the patient's pain during the course of the condition. Treatment may have helped in the rapid and complete resolution of his symptoms in this case. Poor patient positioning on hard surfaces, for extended periods may place pressure on superficial nerves resulting in nerve injury. In this case, the outcome was excellent, with complete resolution of symptoms less than one week later. The prognosis for this type of neuropraxia is usually good with conservative management. The patient history and chronological clinical course strongly suggest a causal association between the patient's position during the procedure and the development of the ulnar neuropraxia.


Related Articles

  • extracorporeal shock wave lithotripsy, extracorporeal shock wave therapy.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p831 

    An encyclopedia entry for "extracorporeal shock wave lithotripsy, extracorporeal shock wave therapy," is presented, which pertains to the fragmentation of kidney stones with the use of an extracorporeal shock wave lithotriptor.

  • extracorporeal shock-wave lithotriptor.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p831 

    An encyclopedia entry for "extracorporeal shock-wave lithotriptor," is presented, which refers to a device used to fragment calcified objects within the body.

  • orthotripsy.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p1648 

    A definition of the term "orthotripsy" which refers to the use of extracorporeal shock wave technology is presented.

  • Shock-wave lithotripsy for renal calculi. Olsson, Carl A. // AUANews;Sep2012, Vol. 17 Issue 9, p28 

    The article presents information on a study by M. S. Pearle about extracorporeal shock wave lithotripsy (ESWL) which was published in a 2012 issue of the "New England Journal of Medicine."


    Reports the partnership between HealthTronics Inc. and Shock Waves Inc. to introduce EquiTron in the United States. Use of EquiTron as a veterinary extracorporeal shock wave therapy system (VESWT) for animals; Benefits derived by HealthTronics from the partnership; Application of VESWT in the...

  • The Limitations of Extracorporeal Shock Wave Lithotripsy and Endoscopic Surgery in the Treatment of Recurrent Urinary Stone Formers. Painter, Daniel J.; Timoney, Anthony G.; Keeley Jr., Francis X. // Current Medical Literature: Urology;2007, Vol. 13 Issue 1, p1 

    The article discusses the limitations of extracorporeal shock wave lithotripsy (ESWL) and endoscopic surgery in the treatment of recurrent urinary stone formers. It examines the effectiveness of ESWL on the surgical management of stone disease. It cites the role of flexible uteroscopy (FURS) in...

  • The analgesic effect of inhalational Entonox for extracorporeal shock wave lithotripsy. Mazdak, Hamid; Abazari, Parvaneh; Ghassami, Fatemeh; Najafipour, Shekoofeh // Urological Research;Dec2007, Vol. 35 Issue 6, p331 

    Extracorporeal shock wave lithotripsy (ESWL) is a non-invasive procedure that allows urinary stones to be fragmented using acoustic shock waves. The impact of the shock waves causes transient stinging pain at the entry site as well as deep visceral discomfort, requiring analgesia during the...

  • IMPROVING THE EFFICACY OF ESWL. Desai, Alok; Hoenig, David // Contemporary Urology;Apr2006, Vol. 18 Issue 4, p16 

    Discusses several technological developments made for the efficacy of extracorporeal shockwave lithotripsy (ESWL) in the treatment of upper urinary tract calculi. Variables that affect the outcome of ESWL; Ureteroscopic laser lithotripsy; Development of the dual-source lithotripsy concept. ...

  • Standards for Lithotripter Performance. Schultheiss, Reiner; Doerffel, Michael // AIP Conference Proceedings;9/18/2008, Vol. 1049 Issue 1, p226 

    Standards for lithotripsy have been developed by the International Electrotechnical Commission (IEC) and the FDA. In addition to the existing regulations and norms for the manufacturers, special standards were developed to address a treatment method developed in the early 1980’s using...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics