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Case Study 1

shoulder Injury: 45 yr old female

Documented by Randy E. Moore RDMS RMSK


Treatment

Patient:  45 year old female that presents with severe right shoulder pain after tripping on a phone cord and landing directly on her right shoulder.

Shoulder lacks any real mobility and attempts to reposition are very painful. 

Ultrasound exam to evaluate soft tissues of the shoulder. The exam was somewhat limited due to the limited range of motion available. 

Diagnosis: 

  • Subscapularis tendinosis with enthesopathy (chronic tendinitis of the rotator cuff)
  • Biceps subluxation: mild/moderate (partial dislocation)
  • AC joint separation w/ effusion (fluid in the joint)
  • Supraspinatus tendinosis w/ intrasubstance fiber failure. 
  • Anterior impingement. Humeral proximal migration due to cuff instability.

Treatment: 1.0cc BioRenew® PTM Therapy™, PX50™


Follow-Up

93 days: Patient Reported pain was alleviated, range of motion was still limited. 

Clinical Findings: X-ray reported broken clavicle that was not previously diagnosed or treated; this contributed to patients limited range of motion at follow-up.

Sonographic evidence compatible with increased echodensity at the tendon attachments of subscapularis and supraspinatus. Rotator cuff interval images do not demonstrate excess fluid as in capsulitis. Findings compatible with post- inflammatory AC joint inflammation.


images demonstrating notable change in treated tissue

 
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Pre-treatment

Screen Shot 2016-08-08 at 11.22.07 AM.png

93 days post-treatment

Demonstrably increased echogenicity and echotexture of the Supraspinatus as well as increased echodensity at the tendon attachment.


Screen Shot 2016-08-08 at 11.23.46 AM.png

Pre-treatment

Screen Shot 2016-08-08 at 11.23.51 AM.png

93 days post-treatment

Demonstrably increased echogenicity and echotexture of the Subscapularis as well as increased echodensity at the tendon attachment.