| Story Views | |
| Now: | |
| Last Hour: | |
| Last 24 Hours: | |
| Total: | |
The EDGE helps get this patient over the cliff: Part 2 of 2
n/a
Last week, I posted the first part of this series about using the Edge Tool, created by Dr. Erson Religioso III, to assist in helping a patient get results. Make sure you read Part 1 here prior to going further.
If you have read my approaches in the past, I am not typically a ‘soft tissue guy’ but definitely keeping an open mind as I know this avenue has its benefits. After a directional preference and joint manual therapy service failed, it was time to bring out the Edge, which I purchased over a year ago.
The treatment:
Physical Therapy
I went to the adductor magnus. Palpation to the approximately middle third of this muscle on the inner third of the thigh sent concordant symptoms to the patient’s brain (not the entire ‘referral’ pattern but patient noted this felt like her pain while in vehicle). Just a myofascial trigger point is not enough to give me diagnostic properties but the concordant symptoms is what led more into this treatment.
We know the origin of this muscle is at the ischial tuberosity and inserts on the medial aspect of distal femur. Was I on the medial hamstrings (semitendinosus and semimembranosus) too? Yes.
Physical Therapy. Image courtesy of Muscle System Pro III App
Myofascial trigger points in these three muscles pulling on the ischial tuberosity can be reason for pain referral to mid-thigh posteriorly.
I treated this patient for two more visits and after the first visit, she reported she could drive or ride for over 3 hours, therefore discharging her after the 2nd visit. I haven’t seen her back yet so I hope she is doing well 
If it wasn’t for the Edge, who knows what would have happened…
What did you think? Do these results match up with what you see in the clinic?
Filed under: Differential Diagnosis, Lumbar Spine/SIJ 
http://intouchpt.wordpress.com/
2012-12-19 09:21:02
Source:
