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!
Learn how to identify, assess, and treat foot drop in this in-depth webinar. This webinar cover causes, clinical testing, and effective treatment strategies to get patients moving again.
A little video I made showing why the ESTIM-II is better than the ESTIM-III.
@Exstoreman I have a patient who was just cleared by the surgeon to begin improving his elbow mobility 6 weeks post biceps repair (he had a full thickness tear)
He was immobilized in a sling up until now, but now that he is cleared — Can I proceed as usual with Exstore and some local renovation techniques if tolerable? Or should I be cautious of treating the biceps directly at this stage?
He was coming for lateral epicondylitis on the other side (poor guy) so we continued that and just did cold laser on the torn side up until now.
TIA!
Hi Doc @Exstoreman, patient presented with neck pain and twitching around scapula and tricep muscles ever since weighted seated rows at gym. The twitching is random. I’ve done exstore and cleaned up tropic changes, he had a lot between c1 to c 5 (splenus capitus). His neck is better but the twitching remains. I’ve checked for trigger points and tropic changes in the area of twitches but nothing obvious stands out. Today I went with perfusion and released neck muscles. Love your thoughts on this.
Sharing my little win treating my own right hand texting thumb yesterday with motor points for opponens pollicis, abductor pollicis, flexor pollicis. 3 needles, 5 minutes treatment with the pointer plus, slightly/very awkwardly with my non-dominant left hand :) and 85% improved today. I have just some residual ache at the 1st MCP, ulnar side. @Exstoreman what do you think of a high frequency intraarticular treatment, or what would be a good next step to get to 100%?
