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!
Posting for Lolane.
Patient: 68-year-old female
Chief Complaint:
• Left-sided periorbital neuralgia for approximately 2 years.
• No history of trauma or identifiable mechanism of onset.
Symptoms:
• Random, sharp “zapping” sensations both superior and inferior to the left orbit.
• Episodes are brief but frequent and bothersome.
• Pain can occur spontaneously without any apparent trigger.
Mechanical Triggers:
Palpation or light touch can reliably reproduce symptoms in several areas, including:
• Along the nasolabial fold
• Frontal sinus/supraorbital region
• Above the left eye
Activities of daily living that commonly trigger the pain include:
• Washing her face
• Touching her face
• Brushing her teeth
• Rubbing alongside her nose
• Occasionally blinking
Treatment Attempted:
Thus far I have tried:
• Upper quarter perfusion techniques
• Temporalis treatment
• Facial nerve treatment
• Motor point needling of the periocular musculature
• Craniosacral therapy
• Fascial release of ...
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I have a patient who continues to have pain on the anterior part of her shoulder where the tendon crosses the acromion. Last treatment I did inline technique on the deltoid and 2 needle technique with high frequency at the coracoid process plus soft tissue work at the coracoid. Said it felt better after the treatment. I have treated all other areas related to the shoulder. It is better for a few days but pain usually sets back in. She is a personal trainer but has not been doing any shoulder exercises. Am I missing something, give it more time? I've treated her 7-8 times.
