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!
Thank you to @susan_beck for showing me this
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I am seeing a 24 year old woman who is highly active, does multiple sports and has a labor intensive job 6 days a week. She has left shoulder pain centered around the rhomboids/middle trap, that causes restriction on left cervical rotation (about 60 degrees) and shoulder flexion (only when scapula is retracted/engaged, when not it can go all the way up but when it is it only goes to 90). She says it feels elevated compared to right side but I can’t really see it (could just be me though).
The weird thing is that when it hurts, it refers down into a sciatic pain distribution, going all the way down the left leg to around mid thigh. Also her R big toe gets numb ???!
EXSTORE: upper body no inhibitions, though should I use more force on someone athletic? Lower body I could only find left TFL and anterior gluteus medius. Some pain on external rotation of left hip.
She’s had multiple falls (skiing, equestrian).
She gets chronic cold hands and feet and sweats constantly, actually sweats more ...
