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
Neat little feature on the Locals Phone app.
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Spring is coming… eventually. And when it does, runners will start emerging again, not just the die-hards who have been braving the cold all winter. I treat a whole spectrum of runners in clinic, from Ironman athletes to weekend joggers and everything in between. This webinar is an absolute goldmine, and I hope you get as much out of it as I have.
Just an FYI. Are you using EXSTORE correctly? Today I seeing 8 new patients. For some 8 in a month might be considered good - you are capable of so much more. Reflect and ask yourself if you need more help realizing its potential.
Any tips for treating osteochondritis dissecans of the elbow? Patient is 14 years old and a little wary of needles.
Question about a patient - chronic low back pain, but also has pain under the left sit bone aggravated by sitting, which is worse and more noticeable than the back pain.
Bilateral TFL and psoas tested inhibited
SLR negative
First visit - treated bilateral internal oblique, TVA, glute max and glute med - saw 50% improvement
Repeated same treatment, came back and said pain was worse and back to where it was before starting treatment.
Treated her today face up - internal oblique, TVA, and TFL bilateral with stim.
Curious if you have any insights as to how else I could approach this? Thank you!
