I have a 71 year old male patient presenting with L anterior thigh pain that radiates around the hip & to lower back. Hx of L2-L5 laminectomy this past June. Has had no relief from surgery. The pain is constant and he has been to orthopedics & neurologists since surgery. He had an epidural at the end of October with no relief. Before Exstore I have been treating him mostly with trigger point work. His rectus femoris and adductors are tight bands. The referral pattern makes me think psoas. I'm wondering if I've been causing flare-ups.
The problem is he cannot stay in one position for long periods as the pain in his thigh becomes uncomfortable. I tried to do the perfusion treatment dueing his last treatment but was only to retain the needles for 3 minutes with stim. His best position is side-lying and I know he can stay in that position for a minimum of 20 min.
I really feel like the perfusion tx would be excellent for him as he has a long hx of low back pain, he's on a boatload of meds, he is stressed out from being in constant pain. He likes to be active and wants to do some of things before his back surgery such as walking for more than 15 minutes without pain.
So my question is can I do the perfusion tx in side-lying position and any other advice to get over this hump would be greatly appreciated. I've been treating him 2x week since the end of October with trigger point & soft tissue work. We missed a few treatments due to the holiday but I am treating him Monday.
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