Page 20 - Journal of Special Operations Medicine - Spring 2016

Table 1 Early Treatment Summary
Visit Day NPRS Symptom Status Treatment
1 1 9/10 Poor sleep quality with multiple sleep disturbances DN
Significant decrease in physical capacity to perform BFA – 5 point
functional activities, work tasks Initial HEP
Antalgic gait
2 8 4/10 Nonantalgic gait DN
BFA – 5 point
Review HEP
3 14 4/10 Static but overall reduction in symptoms DN
BFA – 5 point
4 21 3/10 Increased performance in daily work duties DN
Normalized gait BFA – 5 point
IASTM
5 28 2/10 Significant decrease in muscle spasms DN
Increase in sleep quality BFA – 5 point
No analgesic use for pain or spasms in 2 weeks IASTM
6 35 <2/10 Increased sleep quality DN
Performing usual work duties without pain BFA – 2 point
Performing ADLs without pain IASTM
7 42 <2/10 Decreased use of analgesics DN
Acupoint/acupressure self-treatment
IASTM
8 51 <1/10 Stopped use of analgesics DN
Significantly improved sleep quality IASTM
ADLs, activities of daily living; BFA, battlefield acupuncture; DN, dry needling; HEP, home exercise program; IASTM, instrument-assisted soft-
tissue mobilization; NPRS, Numeric Pain Rating Scale.

A limitation of this study is that it is a single case presen- Disclosures
tation. Future randomized control trials and systematic The authors have nothing to disclose.
reviews may aid in defining the best clinical treatment
approach and methods to include in rehabilitation treat- References
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The views expressed in this paper are those of the au- 10. Department of the Navy, Bureau of Medicine and Surgery.
thors and not necessarily those of the Department of Medical, chiropractic, and licensed acupuncture. BUMED in-
Defense or its components. struction 6320.100. 11 March 2013. http://www.med.navy.mil
/directives/externaldirectives/6320.100.pdf.

4 Journal of Special Operations Medicine Volume 16, Edition 1/Spring 2016