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 clip from 2017 sums up one of the biggest issues we see when treating MSK and pain conditions with needles — and also the solution.
The problem is not the lack of different techniques.
The problem is knowing when to use them, why to use them, and when not to use them.
Motor points, trigger points, electroacupuncture, peripheral treatments, central nervous system approaches — all of these can be valuable.
But they are not interchangeable.
The real skill is understanding how to apply those techniques through the lens of neurology, assessment, and clinical reasoning.
That means identifying what type of problem is actually in front of you, determining the most appropriate treatment strategy, and then reassessing to see whether you actually changed what you intended to change.
That is the difference between simply performing a technique and treating with precision.
And that is exactly what the EXSTORE™ Orthopedic System is built to teach.
EXSTORE gives practitioners a complete, ...
Anthony chronicled his 51-patient day.
No matter how many patients you want to see, how many days a week you want to work, whatever your goals are...EXSTORE™ gives you the ability to see more patients in less time while getting even better results.
You can see as many patients as you want if you learn the Exstore system to the level that you master it. And the best way to master it is come to the clinical intensive this October. There’s two spots left and there’s nothing that can replace this intensive learning experience . You will treat over 60 patients in two days. There’s nothing else like it and no other instructor anywhere in the world is offering anything close to this.
@Exstoreman I have 2 patients who are concerned and have declined e-stim. One has been 5 years cancer-free, she's coming in for LBP which I'd love to treat with motor points, etc. The other is currently being treated with chemo (for the past year) and is coming in for chemo-induced neuropathy in her feet - I'd love to try lower perfusion with her. Both patients had cancer in the area I’d be doing stim.
Join us tonight at 6:30 pm EST for assessment and treatment of trigger thumb. This webinar includes lecture and demos.
Join here: https://us02web.zoom.us/meeting/register/Z3sG0Tj0Tdmzfgpp2Q8onw
