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!
If you treat patients with plantar fasciitis, this video is worth your time. Anthony breaks it down with key treatment targets you might be missing.
Register for the next EXSTORE course or book a refresher if you need to brush up:
https://aseseminars.com/event/the-exstore-orthopedic-system-for-dry-needlers
Kenny Easley, Hall of Fame defensive back in the NFL passed away yesterday at the age of 66. He had to retire retire early because team doctors were giving him an absurd amount of nonsteroidal inflammatory drugs, which caused him to go into kidney failure and retire before the age of 30. Check out this excerpt of a New York Times article based on a piece written in a journal back in 2002. It’s important for athletes at all levels to have their own physicians and healthcare professionals so that they can act independently in the best interests of the athlete.
Post COVID, post stroke weakness & mobility issues
So this case was going well. I got strength back in her legs and arms and she was holding all progress for a few treatments even within the first few visits. Gait was looking even and lower body exstore was testing well.
Imaging shows she has brain atrophy and also lacunar infarcts though recently so I'm unsure how much more I can do without medication changes or treatment for that. Her doctors also think she may be going through some form of dementia when they ran testing but the patient could not state besides them talking about early dementia.
I am continuing with normal treatment. There is no treatment plan from any of her other doctors besides just run more tests by a new neurologist but nothing yet besides physical therapy. She has had two falls since beginning and the first one she has no memories of.
Do you think I'll continue to get back and forth until they figure out the brain? I think the areas affected can also affect ...
