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Case Study 3

elbow pain: 49 yr old male

Documented by Randy E. Moore RDMS RMSK


Treatment

Patient: 49 year old male, ER Physician, with 25 years of chronic elbow pain. Weight training was heavy and intense up until the injury, training has been light since that time. Patient hopes to reduce pain and increase mobility to he can return to weight training and swimming. 

Diagnosis: 

  • UCL Partial Thickness Tear 
  • Radio-capitellar Degenerative Joint Disease with synovial hypertrophy 
  • RCL avulsion at radial head attachment 
  • Distal Biceps enthesopathy (pre-rupture status) with tendinosis 

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


FOLLOW-UP

90 Day Follow-Up: Patient states great results and described his elbow as feeling “indestructible” and has since returned to heavy weight training in the gym. Patient states his bench press has improved quickly to weights he has not attempted for the past 24+ years. 

Clinical Findings: Increased echodensity of ligamentous structures. Specifically the radio collateral ligament and the anterior band of the ulnar collateral ligament. Further sonographic evidence of tendon attachment remodeling of the distal biceps at the radial tuberosity.


images demonstrating notable change in treated tissue

 
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Pre-treatment: UCL Partial Thickness Tear

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90 days post-treatment: UCL Ligament Remodeling

Pre and post images of the medial elbow focusing on the Ulnar Collateral Ligament (UCL) with the before image revealing a UCL partial thickness tear located within the Humeral Trochlea. The post treatment image of the medial epicondyle region demonstrate sonographic evidence of ulnar collateral ligament remodeling with no intra-articular fluid and visible fibrous pattern of this substantial ligament.


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Pre-treatment

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90 days post-treatment

Pre and post images of right lateral elbow in long axis view demonstrating notable increased fibrous echotexture of the radial collateral ligament with only a focal avulsion fragment remaining.


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Pre-treatment

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90 days post-treatment

Pre and post images of the distal bicep tendon attachment at the radial tuberosity with the post treatment image demonstrating sonographic evidence of increased uniform tendon contour resembling that of a normal tendon footprint.