New Advances in Musculoskeletal Physiotherapy: Exercise, Manual Therapy and Invasive Physiotherapy

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 30 September 2025 | Viewed by 520

Special Issue Editors


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Guest Editor
Department of Radiology, Rehabilitation and Physical Therapy, Universidad Complutense de Madrid, Madrid, Spain
Interests: musculoskeletal pain; physical therapy; statistical analysis; ultrasound imaging; myofascial pain syndrome; low back pain
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, 28922 Alcorcón, Spain
Interests: pain; network; neuropathic; sensitization; anxiety; musculoskeletal pain; prevalence

Special Issue Information

Dear Colleagues,

Musculoskeletal disorders and traumatic injuries represent a significant global health burden, affecting millions of individuals and reducing their quality of life. Advances in physical therapy have played a crucial role in improving the assessment, treatment, and prevention of these conditions. Exercise-based therapies, manual techniques, and emerging invasive physical therapy approaches, including dry needling and percutaneous electrolysis, are showing promising outcomes in managing pain, enhancing function, and accelerating recovery. Despite these advancements, challenges remain regarding the optimization of treatment protocols, patient-specific interventions, and the integration of innovative technologies. This Special Issue will gather high-quality research and reviews exploring the latest developments in musculoskeletal and orthopedic physical therapy. We invite contributions addressing clinical applications, the underlying mechanisms, and outcome-based studies to further refine evidence-based practices and improve patient care.

Dr. Marcos José Navarro-Santana
Dr. Ignacio Cancela-Cilleruelo
Guest Editors

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Keywords

  • musculoskeletal disorders
  • exercise therapy
  • manual therapy
  • invasive physical therapy
  • rehabilitation

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Published Papers (1 paper)

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8 pages, 844 KiB  
Case Report
Percutaneous Tibial Nerve Stimulation for Neurogenic Bladder Due to Severe Lumbosacral Disc Herniation
by Do-Young Kim, Ji-Sung Yeom, Ye-Rim Yun, Joon-Seok Lee, Won-Jeong Ha, In-Hyuk Ha, Yoon Jae Lee and Doori Kim
J. Clin. Med. 2025, 14(7), 2262; https://doi.org/10.3390/jcm14072262 - 26 Mar 2025
Viewed by 362
Abstract
Background: Neurogenic bladder (NB), resulting from neurological disorders, significantly affects quality of life and increases healthcare costs. Although percutaneous tibial nerve stimulation (PTNS) is an established therapy for central nervous system-related lower urinary tract dysfunction (LUTD), its efficacy in treating intervertebral discogenic LUTD [...] Read more.
Background: Neurogenic bladder (NB), resulting from neurological disorders, significantly affects quality of life and increases healthcare costs. Although percutaneous tibial nerve stimulation (PTNS) is an established therapy for central nervous system-related lower urinary tract dysfunction (LUTD), its efficacy in treating intervertebral discogenic LUTD remains unexplored. This study presents the first documented case of PTNS applied to NB secondary to severe lumbosacral herniated intervertebral disc (HIVD). Methods: A 39-year-old female, hospitalized twice for worsening HIVD, presented with LUTD, including urgency, weak stream, and nocturia. Magnetic resonance imaging confirmed progressive L5-S1 disc extrusion with sacral nerve compression. PTNS, delivered via electronic stimulation through acupuncture needles at SP6 and KI3, was administered daily for 10 days during hospitalization. Symptom scores relating to LUTD, pain, and physical disability were evaluated. Result: The American Urological Association symptom score showed significant improvement (from 20 to 6 and 22 to 15 at 12 weeks after the first and second hospitalizations, respectively). Recovery of voiding function was slower during the second hospitalization, possibly due to increased sacral nerve compression and chronic pathologic condition. Pain and functional disability, assessed using the NRS and ODI, improved by approximately 50% (from 55 to 25 and 80 to 45 during the first and second hospitalizations, respectively) and two-thirds (from 66 to 42 and 93 to 66, respectively). Conclusions: This case suggests that PTNS may be a viable conservative therapy for HIVD-associated LUTD. Further research is required to elucidate its mechanistic effects and clinical efficacy in peripheral nerve-related bladder dysfunction. Full article
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