Since double crush may include two or more entrapments, careful investigation is paramount to successful treatment. It has been my experience, as well as that of Mariano et al., that double crush syndrome can and does respond to chiropractic management that includes: spine and extraspinal manipulation, myofascial release adjunctive physiotherapies and rehabilitative exercises. Many times peripheral entrapments may occur within the myofascial planes of certain muscles ( i.e., pronator teres syndrome), and responds well to myofascial release technique as described by Eahey et al.