Any tips on treating someone with "cam type femoroacetabular impingement" and"Mild multilevel degenerative disc disease and facet arthrosis and Multilevel spondylolisthesis. There is some anterior translation of L4 and L3 with flexion, suggesting instability."
Her main complaint is hip pain (L) and low back pain: pain intensified a week ago and was shooting down the posterior thigh in the hamstring, sometimes the lateral side of thigh, all the way down to the foot.
Patient is a 53 y.o. woman. I saw her yesterday for a first visit for this issue (she's had hip pain off-and-on in the past but it's been months but as of 2 weeks ago became constant, unrelenting, worse with sitting but there all the time, and can be intense. No obvious onset.) She's taking an oral steroid and gabapentin in order to sleep. She carries a heating pad around with her, which seems to yield some relief.
EXSTORE: weak glut max BL, L lateral hip abudctors, L glut med had a very tight band, L QL mildly HT, tender upon palpation at SI joint
I treated TA and IO 2Hz EA; PP to glut max and L glut min and med MPs., htjj points L1-S1 on L, QL MP and UB 51, UB 52, UB 40, GB 34, LI4, LR 3, and assigned nerve flossing for self-care. She left feeling "much better," and post-tx inhibitions were corrected, and I see her next week for a follow-up.
Seems like it could be the spondylisthesis or the femoacetabular impingement that is causing the pain -- is there a way to differentiate? What should I do next? @Exstoreman
In this webinar Anthony goes over assessment and understanding of the major scoliotic curves. This includes how to base rehab prescriptions and how to select acupuncture treatment protocols for major scoliotic curves. We also review scoliotic curves on Xray and review what muscles are affected and the structural implications.
Here is the list of webinars in the library.
This does not include the recorded labs or the other webinars annual members get.
Okay can we talk about cortisone injections? What are your thoughts about pairing them with acupuncture or electro-acu? @Exstoreman and anyone else who has experience/ opinions. My thoughts are that we are causing inflammation and cortisone injections are stopping inflammation. So to me, they seem counter-productive!
This article talks about muscle inhibition, nociception, adaptation and includes references.