61 year old male with various changing musculoskeletal complaints: R neck and shoulder pain, sometimes cervical tightness causes numbness and tingling in arms. Bilateral hip pain/tightness which is intermittent, compared to the shoulder pain is more constant, but none of these are severe. Scoliosis in low back, often the L low back and flank hurt more than right.
R leg longer by 1/4”. L2-L5 or S1 very curved. R pelvis juts out compared to L. R shoulder significantly lower than L.
Currently his most acute symptom is tenderness in his L inguinal crease. There was a period of bleeding in urine and semen for 2 weeks that has stopped; he went to the doctor and they ruled out UTI, STD, and hernia. On palpation the edge of the pelvic bowl is a bit tender and the most tender spot subjectively is right over the femoral pulse.
EXSTORE:
Lower extremity: Bilateral psoas, TFL, gluteus medius, gluteus minimus.
Upper extremity: Supraspinatus, serratus
It just feels like a lot and I'm not clear where to start, both acutely with the inguinal pain, and generally withe chronic stuff. Visually the right shoulder being a lot lower and the right pelvis jutting out seems significant.
Give this a read after you watch the video: https://pmc.ncbi.nlm.nih.gov/articles/PMC7689775/
Athletic Intensive Myofascial Release
Location: Shokunin CrossFit, Mesa, AZ
Pre-requisite: EXSTORE
Register here:
https://aseseminars.com/event/athletic-intensive-myofascial-seminar/
Is anyone practicing in area code 23062 - Virginia, or thereabouts? Williamsburg? For a friend with scoliosis and arthritis. thanks in advance.
Patient: 34-year-old female, currently 15 weeks pregnant.
Diagnosis: Ehlers–Danlos syndrome (diagnosed 2021), hypermobility type (hEDS).
Surgical history: Four right hip surgeries between 2021–2024 for a torn labrum, ultimately requiring a cadaver graft, as well as repair of a femoral head injury. All four procedures have been deemed unsuccessful. In 2022, she also underwent shoulder surgery for a labral tear.
EXSTORE findings: Weakness noted in the L gluteus maximus, R adductor magnus, R hip flexors, L serratus anterior, and supraspinatus.
Current symptoms: Significant discomfort localized to the R greater trochanter, adductors, and hamstrings, with associated low back pain.
Pain management history: Prior to pregnancy, symptoms were managed with Baclofen, which was discontinued during pregnancy and is planned to resume postpartum. She claims she has had relief from DN in the past.
My understanding is that Ehlers–Danlos syndrome is an umbrella term encompassing 13 connective tissue ...
Athlete with sub-acute second metatarsal stress fracture currently using rest and laser therapy for treatment. For electroacupuncture... Osteopuncture at 100 Hz at the base and head of the metatarsal to cross the fracture ? 30 Hz across the ankle joint at GB 40 and above the sustentaculum tali? Are MPs relevant here?
