I've been making great progress with a patient who has had frozen shoulder for 6 months -- in 4 txs, her ROM in flexion has gone from 45 degrees to nearly normal but lateral abduction is still at about 60 degrees. Everything is testing strong on EXSTORE. I'm doing a lot with protocol "A" from the frozen shoulder webinar and manual work to SA. What should I emphasize next? @Exstoreman
This webinar is so good and important that we're not just calling it a one-time event- we're making it a permanent fixture in our Locals lineup! Don't miss out!
I have a few patients (desk workers) who tend to get that thoracic ribheads slipping out of place causing stabbing back pain. I know a PIR technique to correct it, and I work on the tight thoracic muscles. Apart from encouraging the person to lie in a supported arch position (on a ball or a spine deck), Would rhomboid and/ or lower trapezius exercises be good homework? What else can the patient be doing to prevent this from recurring? @Exstoreman
Similarly, I have a patient who comes in every other week (maintenance of chronic low grade knee pain, and a chronic R hip pain that she describes as near the ischeal tuberosity and upper inner thigh / adductor region. R STL is always tight, and something generally tests weak each time (it could be lateral abductors, adductors, psoas, glut max, TFL -- I've treated it all.) She always responds really well and feels great for awhile, but that nagging adductor pain has been persisting intermittently for years. I generally treat both the hips ...
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 ...
