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 the greater tuberosity. Effusion and sinovitis are seen in the glenohumeral joint.
Full-thickness tear in the subscapularis tendon of the lesser tuberosity with up to 3 cm of tendon retraction. Partial tearing of the long head of the head of the biceps tendon
AC joint arthritis and subacromial bursitis.
Type II SLAP tear.
Subscapularis muscle atrophy
Do you have any suggestions on how to keep treating her?
I have been doing perfusion, working on her serratus, and basically all muscles around the shoulders, and also 20 Hz on her AC joint (but this only 4 times, should I do it constant 2xweek or somehthing like that?
Thank you very. much for your help!
January’s webinar is here! This one is a favorite of mine because it includes the fascial lens when teaching the movement of the foot and ankle. It cover anatomy, fascia, and accessory motion of the foot and ankle. Definitely worth checking out.
Give this a read after you watch the video: https://pmc.ncbi.nlm.nih.gov/articles/PMC7689775/
Athletic Intensive Myofascial Release
Location: Shokunin CrossFit, Mesa, AZ
Pre-requisite: EXSTORE
Register here:
https://aseseminars.com/event/athletic-intensive-myofascial-seminar/
I have a new patient, 44 year old man, who has L sciatic pain, starting in his left gluteals and down his left leg upon standing or walking/running for 7 or more minutes, but all other positions or activities actually improves the pain: sitting, lying, weightlifting, biking, squatting, jump rope, sit ups, etc although it worsens after hours of sitting at work. On walks he often has to squat to get relief. Sensation is numb tingling to knife sharpness or electrical. He has had imaging diagnosing mild stenosis L5-S1 but nothing the doctors considered worth intervening for. Onset of sciatica was insidious 2 years ago with no clear initiating incident. He’s had PT for a year with no effect.
EXSTORE: He is very strong and my pressure is not that well calibrated I think, so at best I felt a little sponginess in the TFL and gluteus minimus/posterior gluteus medius. But it was unclear. He did have more restriction in SLR, about 60-70 degrees compared to 80-90 for right.
Only other thing going on...
On January 26th at 8:30 PM EST, Anthony will be presenting a webinar on Limitations to Orthopedic Testing: A Review of the Research.
I’m personally excited about this one and hope to see you there. This webinar is open to the public, so if you know someone who would be interested, feel free to invite them.
Registration is required: https://us02web.zoom.us/meeting/register/Gj1lUk1oRLeFBer_zX3Meg
