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!
This is why I stopped automatically giving a set % discount to whatever group/type of patient.
This video gives you practical ways to identify, address, and improve real-world pain presentations in your clinic.
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
every once in a while I will have a very overweight patient with neck tension. The fat near the neck makes it hard to always have the most accurate placement of what I am looking to do since it rolls in prone. Sometimes i will just needle with them sitting. Any suggestions for easier needling?
Can you post a list of all the courses available on ASE seminars? the sorting normally needs specific names of the course to find it but I am looking to just see all the topics that ASE seminars covers. I am looking to create a list of articles that can be created based upon the courses that are taught here. A course that is taken can have an article created from it explaining to patients why they are in the right place. These articles can reduce costs of advertising over time by making a person a local authority with google using its algorithm to send you traffic. We aren't giving direct treatment strategies but overview articles it seems to guide purchase.
Example : Difficulty to Rank /100 : Volume of Searches a month you are part of by writing an article that ranks well
Sciatica / 72 Difficulty / 450,000 searches
Anxiety / 95 difficulty / 368,000 searches
carpal tunnel / 63 difficulty / 301,000 searches
low back pain / 65 difficulty / 246,000 searches
Tennis elbow / 75 difficulty / 165,000 ...
I am looking at webinars to download for the month of December and would love your input. What topics haven’t you seen lately? Anything you’re curious about, want to brush up on, or feel like we do not cover enough? Drop your ideas — I want to make sure this month is something fresh.
