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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Normally I might thread scar tissue with stim but I cannot due to such a long fusion. Would threading with or without manipulation work as well here? Or would the lower hand manipulated frequency not be similar for scar threading?

Next courses May 1-3 EXSTORE & Hamilton June 13-14
April Intro to Exstore, Case Study, & Lab this SATURDAY!

DATE CHANGED: This is now Saturday April 11th at 1pm EST. The case study topic is Axillary Nerve Compression of the Shoulder.
Happy spring! * Join us for April's Intro to Exstore, where we'll break things down, learn together, and keep it fun and practical. Anthony will be presenting a case study so you can see how this work plays out in real time, stick around after to ask questions and dive deeper. Bring a friend (or two!)

Date: Saturday April 11th
Time: 1:00pm EST

Click here to register: https://us02web.zoom.us/meeting/register/XKbM7vyGQqGGM8RBKmQSqA

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