{"id":"https://openalex.org/W4415786802","doi":"https://doi.org/10.7759/cureus.95978","title":"Symptom Improvement in a Patient With Chronic Pronator Teres Syndrome Treated With Ultrasound-Guided Hydrodissection and Manual Therapy: A Case Report","display_name":"Symptom Improvement in a Patient With Chronic Pronator Teres Syndrome Treated With Ultrasound-Guided Hydrodissection and Manual Therapy: A Case Report","publication_year":2025,"publication_date":"2025-11-03","ids":{"openalex":"https://openalex.org/W4415786802","doi":"https://doi.org/10.7759/cureus.95978","pmid":"https://pubmed.ncbi.nlm.nih.gov/41356887","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/12675309"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.95978","doi":"https://doi.org/10.7759/cureus.95978","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.95978","pdf_url":"https://www.cureus.com/articles/416137-symptom-improvement-in-a-patient-with-chronic-pronator-teres-syndrome-treated-with-ultrasound-guided-hydrodissection-and-manual-therapy-a-case-report.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/416137-symptom-improvement-in-a-patient-with-chronic-pronator-teres-syndrome-treated-with-ultrasound-guided-hydrodissection-and-manual-therapy-a-case-report.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5120228095","display_name":"Yusuke Nishimaki","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yusuke Nishimaki","raw_affiliation_strings":["Department of Rehabilitation, Kurage Orthopedic Clinic, Chiba, JPN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Rehabilitation, Kurage Orthopedic Clinic, Chiba, JPN","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5065444671","display_name":"Masashi Kawabata","orcid":"https://orcid.org/0000-0001-8722-7117","observed_orcids":["https://orcid.org/0000-0001-8722-7117"]},"institutions":[{"id":"https://openalex.org/I64189623","display_name":"Kitasato University","ror":"https://ror.org/00f2txz25","country_code":"JP","type":"education","lineage":["https://openalex.org/I64189623"]}],"countries":["JP"],"is_corresponding":true,"raw_author_name":"Masashi Kawabata","raw_affiliation_strings":["Department of Rehabilitation, Kitasato University School of Allied Health Sciences, Sagamihara, JPN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Rehabilitation, Kitasato University School of Allied Health Sciences, Sagamihara, JPN","institution_ids":["https://openalex.org/I64189623"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112259348","display_name":"Atsuro Yamazaki","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Atsuro Yamazaki","raw_affiliation_strings":["Department of Orthopedics, Kurage Orthopedic Clinic, Chiba, JPN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedics, Kurage Orthopedic Clinic, Chiba, JPN","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5023431781","display_name":"Wataru Iwamoto","orcid":"https://orcid.org/0000-0002-7387-2737","observed_orcids":["https://orcid.org/0000-0002-7387-2737"]},"institutions":[{"id":"https://openalex.org/I4210146857","display_name":"Edogawa Hospital","ror":"https://ror.org/05gw5ee29","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210146857"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Wataru Iwamoto","raw_affiliation_strings":["Department of Sports Medicine, Edogawa Hospital, Tokyo, JPN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Sports Medicine, Edogawa Hospital, Tokyo, JPN","institution_ids":["https://openalex.org/I4210146857"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5065444671"],"corresponding_institution_ids":["https://openalex.org/I64189623"],"apc_list":null,"apc_paid":null,"fwci":0.4977,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.55261387,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":"17","issue":"11","first_page":"e95978","last_page":"e95978"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10954","display_name":"Peripheral Nerve Disorders","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10954","display_name":"Peripheral Nerve Disorders","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12712","display_name":"Myofascial pain diagnosis and treatment","score":0.0010999999940395355,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11840","display_name":"Pain Management and Treatment","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pronator-teres-syndrome","display_name":"pronator teres syndrome","score":0.9789999723434448},{"id":"https://openalex.org/keywords/median-nerve-compression","display_name":"median nerve compression","score":0.9549999833106995},{"id":"https://openalex.org/keywords/ultrasound-guided-hydrodissection","display_name":"ultrasound-guided hydrodissection","score":0.984000027179718},{"id":"https://openalex.org/keywords/manual-mobilization","display_name":"manual mobilization","score":0.8840000033378601},{"id":"https://openalex.org/keywords/home-based-exercise","display_name":"home-based exercise","score":0.6439999938011169},{"id":"https://openalex.org/keywords/refractory-neuropathy","display_name":"refractory neuropathy","score":0.753000020980835},{"id":"https://openalex.org/keywords/multimodal-treatment","display_name":"multimodal therapy","score":0.6340000033378601}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9728000164031982},{"id":"https://openalex.org/C2781167935","wikidata":"https://www.wikidata.org/wiki/Q795090","display_name":"Palpation","level":2,"score":0.7649999856948853},{"id":"https://openalex.org/C2779746960","wikidata":"https://www.wikidata.org/wiki/Q332293","display_name":"Carpal tunnel syndrome","level":2,"score":0.6941999793052673},{"id":"https://openalex.org/C514863369","wikidata":"https://www.wikidata.org/wiki/Q1427967","display_name":"Manual therapy","level":3,"score":0.5274999737739563},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5095999836921692},{"id":"https://openalex.org/C527108885","wikidata":"https://www.wikidata.org/wiki/Q835153","display_name":"Physical examination","level":2,"score":0.4952999949455261},{"id":"https://openalex.org/C2779110535","wikidata":"https://www.wikidata.org/wiki/Q1364876","display_name":"Median nerve","level":2,"score":0.4927999973297119},{"id":"https://openalex.org/C184753264","wikidata":"https://www.wikidata.org/wiki/Q3859741","display_name":"Joint mobilization","level":3,"score":0.4781999886035919},{"id":"https://openalex.org/C142424586","wikidata":"https://www.wikidata.org/wiki/Q7307572","display_name":"Refractory (planetary science)","level":2,"score":0.4357999861240387},{"id":"https://openalex.org/C2910881488","wikidata":"https://www.wikidata.org/wiki/Q1978084","display_name":"Entrapment Neuropathy","level":3,"score":0.3808000087738037},{"id":"https://openalex.org/C2777832143","wikidata":"https://www.wikidata.org/wiki/Q1542748","display_name":"Carpal tunnel","level":3,"score":0.3711000084877014},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.36579999327659607},{"id":"https://openalex.org/C2780168130","wikidata":"https://www.wikidata.org/wiki/Q2916167","display_name":"Neurological examination","level":2,"score":0.36500000953674316},{"id":"https://openalex.org/C4441509","wikidata":"https://www.wikidata.org/wiki/Q6418787","display_name":"Multimodal therapy","level":2,"score":0.3458999991416931},{"id":"https://openalex.org/C2776911203","wikidata":"https://www.wikidata.org/wiki/Q3614","display_name":"Occipital nerve stimulation","level":3,"score":0.32760000228881836},{"id":"https://openalex.org/C3019396726","wikidata":"https://www.wikidata.org/wiki/Q25104748","display_name":"Conservative treatment","level":2,"score":0.2962999939918518},{"id":"https://openalex.org/C2780003869","wikidata":"https://www.wikidata.org/wiki/Q4922732","display_name":"Tenderness","level":2,"score":0.28619998693466187},{"id":"https://openalex.org/C83849319","wikidata":"https://www.wikidata.org/wiki/Q7295720","display_name":"Rating scale","level":2,"score":0.27649998664855957},{"id":"https://openalex.org/C14184104","wikidata":"https://www.wikidata.org/wiki/Q1362526","display_name":"Visual analogue scale","level":2,"score":0.2685999870300293},{"id":"https://openalex.org/C2777515770","wikidata":"https://www.wikidata.org/wiki/Q507369","display_name":"Electromyography","level":2,"score":0.2669000029563904},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.2653000056743622},{"id":"https://openalex.org/C2781118164","wikidata":"https://www.wikidata.org/wiki/Q1088113","display_name":"Chronic pain","level":2,"score":0.26339998841285706},{"id":"https://openalex.org/C2777107010","wikidata":"https://www.wikidata.org/wiki/Q2798704","display_name":"Neuropathic pain","level":2,"score":0.262800008058548},{"id":"https://openalex.org/C2780934536","wikidata":"https://www.wikidata.org/wiki/Q7259695","display_name":"Pulsed radiofrequency","level":3,"score":0.2540999948978424},{"id":"https://openalex.org/C2776660947","wikidata":"https://www.wikidata.org/wiki/Q841423","display_name":"Upper limb","level":2,"score":0.2535000145435333}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.7759/cureus.95978","doi":"https://doi.org/10.7759/cureus.95978","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.95978","pdf_url":"https://www.cureus.com/articles/416137-symptom-improvement-in-a-patient-with-chronic-pronator-teres-syndrome-treated-with-ultrasound-guided-hydrodissection-and-manual-therapy-a-case-report.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmid:41356887","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41356887","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Case Reports"},{"id":"pmh:oai:pubmedcentral.nih.gov:12675309","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12675309/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.7759/cureus.95978","doi":"https://doi.org/10.7759/cureus.95978","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.95978","pdf_url":"https://www.cureus.com/articles/416137-symptom-improvement-in-a-patient-with-chronic-pronator-teres-syndrome-treated-with-ultrasound-guided-hydrodissection-and-manual-therapy-a-case-report.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.98580002784729,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4415786802.pdf","grobid_xml":"https://content.openalex.org/works/W4415786802.grobid-xml"},"referenced_works_count":13,"referenced_works":["https://openalex.org/W1964876743","https://openalex.org/W2001373617","https://openalex.org/W2038073715","https://openalex.org/W2048987398","https://openalex.org/W2063133655","https://openalex.org/W2552173881","https://openalex.org/W2555238806","https://openalex.org/W2594454077","https://openalex.org/W2625560903","https://openalex.org/W3083469740","https://openalex.org/W4303685353","https://openalex.org/W4391699070","https://openalex.org/W4404338397"],"related_works":["https://openalex.org/W4391699070","https://openalex.org/W3213192785","https://openalex.org/W4410108073","https://openalex.org/W3092539805","https://openalex.org/W2892491707","https://openalex.org/W4408120148","https://openalex.org/W4362697586","https://openalex.org/W2337139372","https://openalex.org/W1945862336","https://openalex.org/W7204272749"],"abstract_inverted_index":{"Pronator":[0],"teres":[1,104,128,274],"syndrome":[2,113,275],"(PTS)":[3],"is":[4,31,277],"an":[5],"uncommon":[6],"neuropathy":[7],"caused":[8],"by":[9,209],"compression":[10,75],"of":[11,56,89,121,192,205,229,242],"the":[12,16,25,33,64,67,102,122,126,148,159,172,182,189,206,227,230,233,239],"median":[13,106,123,207],"nerve":[14,124,208],"at":[15,125],"proximal":[17],"forearm,":[18],"resulting":[19],"in":[20,24,246],"paresthesia":[21],"and":[22,38,60,76,98,105,110,137,151,171,216,235,256,267],"pain":[23,61,100],"radial":[26],"digits.":[27],"Although":[28],"conservative":[29,280],"management":[30,269],"typically":[32],"preferred":[34],"initial":[35],"approach,":[36],"chronic":[37,198,272],"refractory":[39,247],"cases":[40],"often":[41],"require":[42],"multimodal":[43,194],"treatment":[44,154],"strategies.":[45],"A":[46],"55-year-old":[47],"female":[48],"truck":[49],"driver":[50],"presented":[51],"with":[52,82,134,253],"a":[53,83,138,193,257,264],"five-year":[54],"history":[55],"persistent":[57],"bilateral":[58,77],"numbness":[59],"radiating":[62,99],"from":[63,163],"palms":[65],"to":[66,165,181,221,279],"distal":[68],"phalanges.":[69],"Physical":[70],"examination":[71],"revealed":[72],"positive":[73],"pronator":[74,103,127,273],"upper":[78],"limb":[79],"neurodynamic":[80],"tests,":[81],"numerical":[84],"rating":[85],"scale":[86],"(NRS)":[87],"score":[88,161],"8/10.":[90],"Palpation":[91],"during":[92],"ultrasound":[93],"imaging":[94],"demonstrated":[95],"localized":[96],"tenderness":[97],"around":[101],"nerve.":[107],"Cervical":[108],"pathology":[109],"carpal":[111],"tunnel":[112],"were":[114],"excluded.":[115],"The":[116],"patient":[117,173],"underwent":[118],"ultrasound-guided":[119],"hydrodissection":[120,201],"level":[129],"every":[130],"two":[131,157],"weeks,":[132],"combined":[133,252],"manual":[135,214,254],"mobilization":[136,215],"prescribed":[139],"home-based":[140,183,259],"exercise":[141,184,260],"program.":[142,185],"Symptomatic":[143],"relief":[144],"was":[145,169],"achieved":[146],"after":[147,152],"first":[149],"session,":[150],"four":[153],"sessions":[155],"over":[156],"months,":[158],"NRS":[160],"improved":[162],"8/10":[164],"3/10.":[166],"Functional":[167],"recovery":[168],"achieved,":[170],"successfully":[174],"maintained":[175],"symptom":[176],"control":[177],"through":[178],"continued":[179],"adherence":[180],"This":[186],"report":[187],"highlights":[188],"potential":[190,240],"effectiveness":[191],"strategy":[195],"for":[196,271],"addressing":[197],"PTS.":[199],"Ultrasound-guided":[200,249],"may":[202,262],"improve":[203],"mobility":[204],"reducing":[210],"perineural":[211],"restrictions,":[212],"while":[213],"gliding":[217],"exercises":[218],"are":[219],"likely":[220],"provide":[222],"complementary":[223],"therapeutic":[224],"effects.":[225],"Given":[226],"chronicity":[228],"patient's":[231],"condition,":[232],"early":[234],"sustained":[236],"response":[237],"underscores":[238],"utility":[241],"combining":[243],"these":[244],"techniques":[245],"cases.":[248],"hydrodissection,":[250],"when":[251],"therapy":[255],"structured":[258],"program,":[261],"represent":[263],"minimally":[265],"invasive":[266],"effective":[268],"option":[270],"that":[276],"unresponsive":[278],"care.":[281]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2025-11-03T00:00:00"}