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!
January’s webinar is here! This one is a favorite of mine because it includes the fascial lens when teaching the movement of the foot and ankle. It cover anatomy, fascia, and accessory motion of the foot and ankle. Definitely worth checking out.
Give this a read after you watch the video: https://pmc.ncbi.nlm.nih.gov/articles/PMC7689775/
@Exstoreman Thank you for the meralgia parasthetica webinar on locals.
M/65
Chronic Systemic
1) Diabetic
2) Arthritis
3) High blood pressure and cholesterol
4) Very high stress from becoming blind later in life
CC (1 year issue):
1) Pain at trigger point of TFL
2) L/ Hip Pain
3) Back Pain
So I have been treating him as meralgia parasthetica but I didnt originally due to avoidant answers of this patient and reports he kept bringing up.
Doctors originally wanted a fusion to lumbar area or a nerve ablation to the area. The doctors kept saying different things for this case whether it was hip, lower back, or front of the leg related.
After a few visits he mentioned a fuzzy feeling over the top of his leg which I feel guided me more to meralgia parasthetica.
Tx 1: Patient came in bent entirely over. His pain went from 10/10 to 3/10 1st visit treating the tight bands along TFL and doing Lower Perfusion since there was some bulging of the disc felt with doctors mentioning L2/L3/L4.
Manual Work: Slide Cupping from TFL down.
His pain ...
Click the kink to join: https://us02web.zoom.us/j/82386638283
@Exstoreman .I have this patient with chronic neck pain. She is 51 years old. She said a flare up started around xmas 2025. She has stiff neck, sharp pain, and have headaches (all starts occipital RT side and go temporal). She also complained of pain around the masseter.
Hx: Sjogren's disease (diagnosed 2020)
Shingles December of 2023
Thyroid nodule + surgery 2009, treatment for hypothyroidism since
Well, i have seen her 8 times. She was coming 2x per week , for 3 weeks, now is coming weekly. She says her headaches are no longer present, and she said her facial pain is gone(I actually had to remind her that she was complaining of face pain and pressure). Well she seemed like she was getting better, and stating that her neck was feeling stiff and weird, but the sharp pain was better.
On feb 3nd she came in and said she had a really bad sharp , shooting pain, over the weekend. She said that the pain would come and go. I treated her and then she came back the same week on Friday, and said...
