Restoring Full Squat Range of Motion by Applying OMT to Superior Innominate Shear: A Case Report

Abstract Hamstring injuries in sports are common and often require rest or more active rehabilitative efforts before returning to sport-specific participation. This case report provides a potential framework of osteopathic manipulative treatment (OMT) for an acute traumatic superior innominate shear where traditional medical treatment, including physical therapy sessions, failed to provide significant and/or complete resolution. In the present case report, a 17-year-old male high-school athlete presented with hamstring strain and proximal hamstring and low back pain, following a hurdle injury with fall on extended knee. He was found to have significant somatic dysfunctions related to his condition. An OMT approach was utilized to provide relief, restore his full squat range of motion, and ultimately return to non-restricted football and basketball participation.

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Repair of Proximal Hamstring Tear Utilizing a Suture Bridge Knotless Construct

Case Reports in Orthopedics ◽

10.1155/2020/8840418 ◽

2020 ◽

Vol 2020 ◽

pp. 1-5

Author(s):

Brent Sanderson ◽

Kyle Stumetz ◽

Reza Jazayeri

Keyword(s):

Surgical Technique ◽

Range Of Motion ◽

Tendon Rupture ◽

Hamstring Tendon ◽

Case Vignette ◽

Double Row ◽

Suture Bridge ◽

Hamstring Injuries ◽

Severity Of Injury ◽

Proximal Hamstring

Proximal hamstring tendon injuries occur frequently in the athletic population resulting in varying degrees of functional disability depending on severity of injury. The purpose of our case vignette is to describe a surgical technique and clinical outcome for open proximal hamstring tendon repair with a confirmed biomechanically sound construct. We also describe and summarize the current literature recommendations for proximal hamstring injuries. We present a case and surgical technique report on a 27-year-old male who suffered a proximal hamstring tendon rupture. Utilizing a double row all-knotless suture bridge construct with a total of four anchors and six suture limbs allowed for anatomic footprint coverage and strength. Two years of clinical follow-up was obtained evaluating hip and knee range of motion, strength, and functional ability. Our patient underwent uncomplicated open surgical repair and returned to all activity at four months following surgery. Range of motion and strength returned to preoperative levels at the four-month postoperative mark. The use of a reproducible double row all-knotless suture bridge technique provided adequate strength and stability in the setting of a proximal hamstring tendon rupture. Open and endoscopic surgical techniques performed acutely both show positive postoperative subjective outcomes as well as a high likelihood of returning to sport. Controversy remains present in regard to the repair technique as well as postoperative bracing and physical therapy recommendations.

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Early Stage Rehabilitation for Strain Hamstring : A case report

INSPIREE: Indonesian Sport Innovation Review ◽

10.53905/inspiree.v2i2.43 ◽

2021 ◽

Vol 2 (2) ◽

pp. 138-145

Author(s):

Lucky Anggiat

Keyword(s):

Case Report ◽

Knee Joint ◽

Range Of Motion ◽

Isometric Contraction ◽

Sports Injuries ◽

Early Stage ◽

Ultrasonic Therapy ◽

Active Motion ◽

Hamstring Strain ◽

Hamstring Muscles

The purpose of the study. This study's purpose is to report on the early stage physiotherapists' intervention on patients with hamstring strains as recommended in the early stage management of sports injuries. Materials and methods. This study is a case report from of a patient who has a hamstring strain with complaints of pain and decreased range of motion of the knee joint. Physiotherapists provide ultrasonic therapy with isometric contraction exercises on the hamstring muscles for 4 sessions for 2 weeks. Results. Ultrasound therapy and isometric contraction exercises increased the range of motion of the knee joint by 60% (active) and 50% (passive). Pain reduction also occurred by 83% for active motion pain and 80% for passive motion pain. Conclusions. The physiotherapy interventions with ultrasonic therapy and isometric contraction exercise therapy is in accordance with the early stage rehabilitation for the case of hamstring strains. With the interventions, the patient experienced a decrease in pain and an increase in Range of Motion from the knee joint

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A CASE REPORT ON PRADHAMANA NASYA: AN AYURVEDIC POWDER INHALATION

International Journal of Research in Ayurveda and Pharmacy ◽

10.7897/2277-4343.1105133 ◽

2020 ◽

Vol 11 (5) ◽

pp. 18-21

Author(s):

Aswani P S ◽

Pradeep Kumar P P ◽

Devi R Nair ◽

P Radhakrishnan

Keyword(s):

Case Report ◽

Medical Condition ◽

Cotton Cloth ◽

Low Back ◽

High Potency ◽

Present Case Report ◽

Coma Scale ◽

Nasal Route ◽

Medicinal Powder ◽

Grade Iii

Nasal medication known as Nasya (medication through nasal route) is one among the Panchakarma (five internal bio-cleansing therapies) procedures which delivers drugs through the nasal route to cure ailments related to head and neck. Ayurvedic classics explain management of Sanyasa (coma) with immediate administration of most Tikshna (high potency) Nasya (medication through nasal route) and Pradhamana/Dhmapana Nasya (Nasya therapy by medicated powder insufflations). The present case report attempts to disclose the significance of an Ayurveda treatment modality Pradhamana/Dhmapana Nasya in an unanticipated medical condition (deep stupor) happened to a patient admitted to National Ayurveda Research Institute for Panchakarma (NARIP) Cheruthuruthy for the treatment of low back pain. On examination of the case, it was found that the patient was in deep stupor (Grade III state of awareness as per Grady coma Scale- and score seven on Glasgow coma scale GGCS). In this case, Rasnadi Choorna was selected for Pradhamana Nasya. The medicine was administered after placing the medicinal powder in a fine thin cotton cloth and a Pottali was made and it was just introduced into patent’s nostrils. Immediately after the administration of Pradhamana/Dhmapana Nasya the patient wake up from deep stupor state and became alert. This case report is an attempt to reveal the effect of Nasya in an unexpected medical condition and it also gives a new ray of hope to conditions of disturbed consciousness through nasal route of drug delivery.

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Specific Exercise for Spine can Improve Lumbar Spondylosis: A Case Report

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i34b31855 ◽

2021 ◽

pp. 133-139

Author(s):

Ruchika Zade ◽

Priyanka Sahu ◽

Gunjan Shende ◽

Tejaswini Fating ◽

Pratik Phansopkar

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Case Report ◽

Range Of Motion ◽

Chronic Back Pain ◽

Posterior Part ◽

Active Movement ◽

Diagnostic Strategy ◽

Low Back ◽

Disc Protrusion

Background: At some stage in their lives, between 60-85% of adults suffer from low back pain (LBP). Fortunately, symptoms are mild and intermittent for the vast majority of people, with 90 percent subsidization within six weeks. An approximate 15-45 percent of the individuals affected by chronic back pain, defined as symptoms such as pain that last beyond 3 months. The effect on the livelihoods and economic results are significant for the minority with intractable symptoms. Considering the high incidence of low back pain, the diagnostic strategy and treatment options are complex and sometimes conflicting and within the general population. Rising the expense and inconsistency of management throughout the nation. In fact, this is because it is impossible for most patients to establish a particular etiology, with established axial spine-wide nociceptive pain generators identified. Clinical Finding: Patient having complaint of pain in lower back region and Radiated in the posterior part of the thigh, as well as lower limb numbness. Morning stiffness was present. On examination active movement (Range of Motion) of lumbar flexion, lumbar Extension and lumbar lateral flexions lightly restricted and painful at the end of range of motion. Diagnosis: MRI was done, it shows posterior annulus tear on the level of L4-L5, L4-L5 –Diffuse disc bulge with right-sided bulge subarticular is disc protrusion causing indentation on anterior thecal sac with moderate to severe narrowing of bilateral neural foramina with propensity toward right side with compression of traversing and exiting nerve roots. Conclusion: This case report provides patient with inclusive recovery which helped her to relieve pain.

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Critical analysis and unique management of Gridhrasi w.s.r. to Sciatica - A Case Report

Journal of Ayurveda and Integrated Medical Sciences (JAIMS) ◽

10.21760/jaims.v3i4.13310 ◽

2018 ◽

Vol 3 (4) ◽

Author(s):

Dr. Rangarajan B. ◽

Dr. Muralidhara .

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Case Report ◽

Total Population ◽

The Body ◽

Walking Distance ◽

Common Symptom ◽

Low Back ◽

Short Term ◽

Lower Back

Gridhrasi (Sciatica) is a disorder in which low back pain is found, that spreads through the hip, to the back of the thigh and down the inside of the leg. Mechanical low back pain (LBP) remains the second most common symptom related reason for seeing a physician. 85% of total population will experience an episode of mechanical LBP at some point during their lifetime. Fortunately, the LBP resolves for the vast majority within 2-4 weeks. There are many causes for low back pain, however true sciatica is a symptom of inflammation or compression of the sciatica nerve. The sciatica nerve carries impulses between nerve roots in the lower back and the muscles and nerve of the buttocks, thighs and lower legs. Compression of a nerve root often occurs as a result of damage to one of the discs between the vertebrae. In some cases, sciatic pain radiate from other nerves in the body. This is called referred pain. Pain associated with sciatica often is severe, sharp and shooting. It may be accompanied by other symptom, such as numbness, tingling, weakness and sensitivity to touch. There is only conservative treatment giving short term relief in pain or surgical intervention with side effect. But these are not successful and therefore those who are suffering from this are always in search of result oriented remedy. Walking distance and SLR test were taken for assessment parameter, VAS score was adopted for pain. Before treatment patient was not able to walk even 4 to 5 steps due to severe pain, was brought on stretcher and his SLR was 30° of right side. After 22 days of treatment he was able to walk up to 500 meters without any difficulty, SLR was changed to 60° and patient had got 80 % relief in pain. This case report showed that Ayurvedic protocol is potent and safe in the treatment of Gridhrasi.

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Duplication in the formation of median nerve - a case report

National Journal of Clinical Anatomy ◽

10.1055/s-0039-3401543 ◽

2015 ◽

Vol 04 (01) ◽

pp. 043-045

Author(s):

Gyata Mehta ◽

Varsha Mokhasi

Keyword(s):

Case Report ◽

Median Nerve ◽

Lateral Root ◽

Axillary Artery ◽

Anatomical Variations ◽

Upper Arm ◽

Present Case Report ◽

Lateral Cord ◽

Two Stages ◽

Different Levels

AbstractThe median nerve is formed in the axilla by fusion of the two roots from the lateral and medial cords. The present case report describes an anomalous presentation of double formation of median nerve and its relation with axillary and brachial arteries. The median nerve was formed in two stages at different levels, first in the axilla and then in the upper arm by receiving double contribution from the lateral root of the lateral cord, which fuse with the medial root of the medial cord to form the median nerve. The formation took place medial to the axillary artery in the axilla and antero-medial to the brachial artery in the arm. Such anatomical variations and their relation with the arteries are important for the surgeons and anesthesiologists and of great academic interest to the anatomists.

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Cognitive–Evaluative Dimension of Pain in Neuropathic Pain Relapse in Sciatica: A Case Report

Medicina ◽

10.3390/medicina57070658 ◽

2021 ◽

Vol 57 (7) ◽

pp. 658

Author(s):

Tsubasa Kawasaki ◽

Takuya Yada ◽

Masahiro Ohira

Keyword(s):

Neuropathic Pain ◽

Low Back Pain ◽

Back Pain ◽

Case Report ◽

Acute Phase ◽

Low Back ◽

Evaluative Dimension ◽

Long Duration ◽

Improvement Process ◽

Insight Into

The cognitive–evaluative (C–E) dimension of pain is commonly observed in patients with a relatively long duration of pain. However, little is known about the effects of pain relapse on the C–E dimension of pain. Moreover, the improvement process of the C–E dimension of pain following treatment is unknown. The objective of this case report was to (a) demonstrate that the C–E dimension was affected in the acute phase of neuropathic pain in cases of pain relapse, and (b) demonstrate the improvement process of the C–E dimension of pain. A woman was diagnosed with low back pain (LBP) and sciatica. The patient had previously experienced symptoms of LBP and sciatica; thus, this episode was a case of pain relapse. At the beginning of rehabilitation, the C–E dimension of pain was present in addition to the sensory–discriminative (S–D) dimension of pain. It was observed that improvement of the C–E dimension of pain was delayed in comparison with that of the S–D dimension of pain. The C–E dimension of pain was observed with pain relapse even though it was in the acute phase of pain. This case provides a novel insight into the C–E dimension of pain. Moreover, the delay in improving the C–E dimension of pain indicates a difference in the improvement process for each pain dimension.

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Full Thickness Tear of Quadriceps Tendon Associated with Closed Intra-Articular Distal Femur Fracture: A Case Report

Case Reports in Orthopedic Research ◽

10.1159/000516334 ◽

2021 ◽

pp. 131-137

Author(s):

Santanu Kar ◽

Hemant Bansal ◽

Vijay Sharma ◽

Kamran Farooque

Keyword(s):

Case Report ◽

Distal Femur ◽

Femur Fracture ◽

Femoral Fractures ◽

Quadriceps Tendon ◽

Successful Outcome ◽

Postoperative Rehabilitation ◽

Present Case Report ◽

Distal Femur Fracture ◽

Rare Association

Fractures of the supracondylar and intercondylar region of the distal femur usually result from high velocity injury that is uncommonly associated with violation of the integrity of the extensor mechanism. The consequences of missed quadriceps injury associated with a distal femur fracture are devastating. The present case report illustrates the importance of recognizing the rare association of quadriceps tear with distal femoral fractures, an appropriate surgical approach to repair the tear as well as fixation of fracture, and a protocol of postoperative rehabilitation to achieve a successful outcome.

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True Symphalangism of All Bilateral Proximal Interphalangeal Joints with Multi-carpal Coalition and Hypoplasia of the Ulnar Styloid Process

Indian Journal of Surgery ◽

10.1007/s12262-021-02900-4 ◽

2021 ◽

Author(s):

Hao Yu ◽

Chongjie Li

Keyword(s):

Case Report ◽

Range Of Motion ◽

Styloid Process ◽

Genetic Condition ◽

Ulnar Styloid ◽

Wrist Motion ◽

First Case ◽

Distal Interphalangeal ◽

Carpal Coalition ◽

Ulnar Styloid Process

AbstractSymphalangism is a rare genetic condition characterized by ankylosis of the proximal interphalangeal (PIP) or/and distal interphalangeal (DIP) joints. The patient presented with fused bilateral PIP joints and poor flexion, and an unsatisfactory range of motion (ROM) in the metacarpophalangeal (MP) and DIP joints. Concomitantly, multi-carpal coalition, proximal carpal malalignment, and ulnar styloid process abnormality were also observed in radiographs obtained at diagnosis. Rehabilitation training of the MP and DIP joints and a wrist supporter were recommended to achieve MP and DIP functional motion and restrict dramatic wrist motion. This is the first case report of symphalangism with multi-carpal coalition and abnormality of the ulnar styloid process to the best of our knowledge.

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