2020 Volume 27 Issue 1 Pages 65-69
A 60-year-old women with rheumatoid arthritis strained her left elbow, which was diagnosed as a tear in the medial collateral ligament. She was treated with medication and physiotherapy, which exacerbated the elbow joint pain. The following year, she developed severe left elbow pain due to overuse, and the pain had spread to both upper extremities. She was referred to our clinic 2 years after the initial injury. On her first visit, she not only had movement pain but also severe resting pain on both upper extremities and was unable to move her shoulders, elbows, and wrists on both sides. Severe muscle and bone atrophy of the upper extremities were also noted. Collateral meridian therapy was administered once in 1–2 weeks, which eliminated her resting pain. In addition, she was able to make full movement of the left elbow joint and 90 degrees flexion of the right elbow joint after 2 months of treatment.