J Korean Phys Ther.  2023 Dec;35(6):163-166. 10.18857/jkpt.2023.35.6.163.

Pain Management with Extracorporeal Shockwave Treatment in Multiple Level Clay-shoveler’s Fracture in a Novice Golfer: A Case Report

Affiliations
  • 1Department of Physical Medicine and Rehabilitation, Daegu Fatima Hospital, Daegu, Republic of Korea
  • 2Department of Physical Medicine and Rehabilitation, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Republic of Korea

Abstract

A 30-year-old male novice golfer was diagnosed with a clay-shoveler’s fracture. During golf practice, he experienced persistent posterior neck and upper back pain for a month. Cervical radiographs and computed tomography revealed a series of sequential spinous process fractures from C7 to T3. The patient was prescribed analgesic medication and fitted with a cervical brace alongside extracorporeal shockwave therapy (ESWT) directed explicitly toward the upper back region, subsequently leading to a notable reduction in pain. Therefore, ESWT could be considered an additional method for pain management in patients with clay-shoveler’s fractures.

Keyword

Clay-shoveler’s fracture; Golf; Extracorporeal shockwave therapy; Spinous process
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