Case Study 4

knee pain: 59 yr old female

Documented by Randy E. Moore RDMS RMSK


Treatment

Patient: 59 yr/old female with chronic knee pain post partial knee replacement. Patient is very active and an avid swimmer. Her pain is getting in the way of enjoying these activities. 

Exam: Comprehensive Knee Imaging including ultrasound was performed. 

Diagnosis: 

  • Post surgical calcific enthesophyte of the quadriceps tendon 
  • Medial and lateral meniscus irregularity/tear 
  • Proximal Patellar tendinosis with partial thickness tear 
  • Hoffa’s Fat Pad depletion 

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


FOLLOW-UP

4 Month Follow-up: Patient reported 90% overall improvement and is very happy with her results. Her pain has dropped significantly and she has a greater range of motion allowing for more activity. 

Clinical Findings:

  • Supra-patellar image demonstrates notable decrease size in a quadriceps tendon calcification.
  • Infra-patellar tendon images show demonstrable increased fibrous echotexture of the patellar tendon at its inferior pole insertion suggesting tendon remodeling. 
  • Medial meniscus images suggest increased fibro-cartilage substance/ echodensity; suggesting meniscal remodeling.

images demonstrating notable change in treated tissue

 
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Pre-treatment

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106 day post-treatment

Images of the Infra-Patellar tendon enthesis showing demonstrable increase in fibrous echo-texture of the patellar tendon at its inferior pole insertion.


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Pre-treatment

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90 days post-treatment

Images of the right Medial Meniscus which suggests increased fibro-cartilage substance/echodensity.