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!
Give this a read after you watch the video: https://pmc.ncbi.nlm.nih.gov/articles/PMC7689775/
Athletic Intensive Myofascial Release
Location: Shokunin CrossFit, Mesa, AZ
Pre-requisite: EXSTORE
Register here:
https://aseseminars.com/event/athletic-intensive-myofascial-seminar/
61 year old male with various changing musculoskeletal complaints: R neck and shoulder pain, sometimes cervical tightness causes numbness and tingling in arms. Bilateral hip pain/tightness which is intermittent, compared to the shoulder pain is more constant, but none of these are severe. Scoliosis in low back, often the L low back and flank hurt more than right.
R leg longer by 1/4”. L2-L5 or S1 very curved. R pelvis juts out compared to L. R shoulder significantly lower than L.
Currently his most acute symptom is tenderness in his L inguinal crease. There was a period of bleeding in urine and semen for 2 weeks that has stopped; he went to the doctor and they ruled out UTI, STD, and hernia. On palpation the edge of the pelvic bowl is a bit tender and the most tender spot subjectively is right over the femoral pulse.
EXSTORE:
Lower extremity: Bilateral psoas, TFL, gluteus medius, gluteus minimus.
Upper extremity: Supraspinatus, serratus
It just feels like a lot and I'm ...
Is anyone practicing in area code 23062 - Virginia, or thereabouts? Williamsburg? For a friend with scoliosis and arthritis. thanks in advance.
Patient: 34-year-old female, currently 15 weeks pregnant.
Diagnosis: Ehlers–Danlos syndrome (diagnosed 2021), hypermobility type (hEDS).
Surgical history: Four right hip surgeries between 2021–2024 for a torn labrum, ultimately requiring a cadaver graft, as well as repair of a femoral head injury. All four procedures have been deemed unsuccessful. In 2022, she also underwent shoulder surgery for a labral tear.
EXSTORE findings: Weakness noted in the L gluteus maximus, R adductor magnus, R hip flexors, L serratus anterior, and supraspinatus.
Current symptoms: Significant discomfort localized to the R greater trochanter, adductors, and hamstrings, with associated low back pain.
Pain management history: Prior to pregnancy, symptoms were managed with Baclofen, which was discontinued during pregnancy and is planned to resume postpartum. She claims she has had relief from DN in the past.
My understanding is that Ehlers–Danlos syndrome is an umbrella term encompassing 13 connective tissue ...
