Dr. Anthony Lombardi
Science & Tech • Fitness & Health
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Help with a patient with chronic shoulder pain

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!

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Hi Anthony!

Curious if you have any advice on a case I'm struggling with. The patient is a 73 year old female with the diagnosis of pubic symphysis dysfunction. Her pain is originating from the inguinal region, primarily on the left side, but radiating into the area of the adductors bilaterally when it's at its worst, necessitating the use of a walker on bad days.

The one time I did EXSTORE it really aggravated the pain so I've been working blindly, focusing on the adductors and abductors bilaterally as well as the internal oblique and transverse abdominis and tender areas along the top of the pubic bone.

The pain is much better after treatment and typically remains so for a day or two. She says with certain movements she will notice a "shearing" pain in the region of the pubic symphysis, after which the pain suddenly returns.

She is also seeing a pelvic floor PT and feels that this is helping considerably as well. We've been treating now 2x/week for about 4 weeks. She is much better but...

Anyone near Rutherford NJ?

My patient has a relative in Rutherford, NJ, with fibromyalgia. I'm exclusively using Exstore for this patient, so he is essentially looking for the same for his relative. Thanks!

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