Open AccessOrthopedic manipulative therapeutic approach of costochondral pain after combined strenuous endurance exercise: a case report
Author(s) -
Daniel Rojas-Valverde,
Diego Ruiz-Yanarella
Publication year - 2022
Publication title -
revista terapéutica
Language(s) - English
Resource type - Journals
eISSN - 2215-5562
pISSN - 1409-3529
DOI - 10.33967/rt.v16i1.154
Subject(s) - medicine , isometric exercise , physical therapy , orthopedic surgery , physical medicine and rehabilitation , manual therapy , internal rotation , amateur , rib cage , physical examination , surgery , anatomy , mechanical engineering , alternative medicine , pathology , political science , law , engineering
The purpose of this case study was to present the effectiveness of physiotherapeutic treatment based on manual orthopedic techniques in an amateur athlete with costochondritis due to physical strenuous exercise. A 31 years old experienced, well-trained, endurance amateur athlete presented chest pain suggesting costochondritis after physical and kinetic examination. Patient reported to present pain after physical effort in the last two weeks (combination of mountain biking, route cycling, running, swimming and yoga). Manual therapy including techniques as resonant oscillation mobilization of the thoracic region, Lewit´s post-isometric relaxation and sliding of the right humeral head, cervico-thoracic high speed technique mobilization, active-assisted mobilization of 7th to 10th ribs during expiratory phase, superficial myofascial induction in lower costal area and, muscle power technique, is effective to relieve pain increase mobility of cervical rotation, increase mobility of glenohumeral joint (e.g., internal rotation), in an amateur athlete with costochondritis due to physical strenuous exercise.