Massage-induced brachial plexus injury.

Area of Science:

• Neurology
• Physical Therapy
• Sports Medicine

Background:

• Adverse effects from massage therapy (MT) are infrequently reported.
• Brachial plexus injury (BPI) has not been previously associated with MT.
• This report details a rare case of BPI following MT.

Observation:

• A 58-year-old woman experienced sudden left shoulder girdle paralysis post-MT.
• Initial diagnosis suspected acute BPI based on history and examination.
• Electrodiagnostic studies aided in refining the diagnosis.

Findings:

• The patient underwent a 12-month rehabilitation program for left shoulder dysfunction.
• Recovery included improved shoulder strength, range of motion, and pain relief.
• The case represents the first reported instance of BPI linked to MT.

Implications:

• Highlights the potential risk of BPI from MT, particularly neck manipulation.
• Emphasizes the need for careful technique by massage and physical therapists.
• Suggests further research into safer MT protocols to prevent nerve injuries.