CC: foot pain
Pea-size nodule on the top of the foot (see image attached - area of discomfort circled in red). Pain is excruciating when applying gentle pressure on it - even gentle palpation will cause 3/10 discomfort. Cannot wear shoes that rub on it because he will get sharp pain.
Nodule appeared after bumping the top of the foot on the bottom lip/ledge of a cabinet about 5-6 yrs ago.
Doesn't have a history of hip, low back, leg issues on the affect side of the foot.
He's seen a foot doctor that diagnosed him with arthritis and told him he has to live with it.
I had a consult with this person so not yet a patient. Is this something that can be treated with acupuncture. He's looking for pain relief.
What do you think @Exstoreman?
New patient 43 y/o male. History of AC joint subluxations (L) 2003 + 2023, (R) 2006, with no rehab for any of them.
Pain alternates sides, but both are generally an issue.
Pain is anterior and worse with external rotation and adduction, worse when stationary / working at a desk or after a few hours of sleep, easily aggrivated with movement / exercise also.
Patient bikes alot, but has done no upper body trainining for a few years “to reduce flareups”
This patient is overall healthy although under stress. I think this is a case of very poor management over many years.
Extore — surprisingly SA is solid.
(B) (R) > (L) Infra/Ext Rot, anterior delt / yokums impingement (L) Supra
Scap wings significantly when lowering arms from abduction / flexion but these ranges are full and pain free
(R) Infraspinatus has significant adherence to scap / atrophy & lats are very tight
Jump on both AC joints, very symmetrical but significant.
Treatment today:
ITO — (B) mid + low trap, 2N lats, 2N (L) Supra, 2N (R) ...
Hi everyone, I have a 70 yo female chronic systemic patient with fibromyalgia, with pain everywhere for 40 years, surgeries on both knees, on toes on both feet, and on right rotator cuff. 1 year ago fell to the floor and damaged her shoulder)
After 4 months of EXTORE, herbal medicine and diet, all pains has gone but the shoulders. Before she couldn't move them without pain, now still have pain under minimal resistence. still difficult to do normal life.
She got an MRI with the next results:
Right Shoulder: Full-thickness tear in supraspinatus tendon with 4-5 cm tendon retraction.
Tendinopathy and partial thickness articular surface tearing in the infraspitatus tendon.
Effusion and synovitis in the glenohumeral joint
AC joint arthritis, subacromial/subdeltoid bursitis. Partial tear of subscapularis tendon. Posterior labral tear. Mild supraspinatus muscle atrophy.
Left Shoulder: partial thickness articular surface and substance tearing in the supraspinatus tendon 1 cm from its insertion onto ...
My wife just suffered an open fracture due to a workplace accident.
What precautions should I keep in mind during treatment once she’s been helped and released from hospital?
I’ll be going through what I usually do in such cases:
- restore function to local muscles
- Evil Bone Water and TDP
- perfusion
- soft tissue work
My concern is whether there’s an appropriate timeline for any of these. For example, is pain relief and hemodynamics/fluid dynamics a main focus early while avoiding motor points?
Is there a waiting period before doing any motor points?
Etc.
TIA!
