I'd like to tell readers a very good case of soft tissue injury.
This patient is middle of 30 yrs, first day, the patient came to see me for the low back. The patient had health history that had herniotomy in 2001, 2003 and appendectomy in 2011. The patient got a MRI diagnosed right low back disc herniation 20 years ago.
The patient drove long hours for trip, and one day morning in the hotel after waking up, suddenly the left front thigh was numb. This happened in April, 2022. The numbness was getting worse, when laying down on back during sleeping, standing especially peeing. This bothers the patient's routing life, and staring seeing doctors, physical therapists, neurologists but didn't get any results. They thought low back disc herniation related.
First visit, the patient who was referred by the patient's doctor, who was my patient, too, told me there was no low back and hip pain at all. I started finding scars on the patient's leg muscles which are Tensor fasciae latae muscle and Rectus femoris muscle. But there was no scars. I, therefore, kept asking about the patient's life style and work. So I figure out what caused this. The patient sat down long ours to work for years. Again, I started finding any scars on the patient's low back and hip, but there was no clue on low back. However I found big scar which already formed to adhesion on the Gluteus maximus muscle, this scar tissue adhered to Superior clunial nerves which causes the numbness on the thigh. Then the patient felt a lot less numbness on the thigh after one session. And no more issue so far.
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Blue marked in the picture is the scar tissue on the Gluteus maximus which is adhered Superior clunial nerves cause numbness on the leg |
Like this case, if we try to treat with only symptoms without understanding the patient's life style and histories, it is very difficult to find out the cause of this case. The patient told me would have a surgery if I couldn't resolve this, I was the patient's last trial.
How to treat soft tissue injury, that's the question and the readers want to know.
Using palpation technique by hands to find a scar for target diagnosis otherwise it is 'shooting in the dark'
It's not easy to explain in words, but this is my challenge and why I blog. So I hope more people know and understand about soft tissue injury.
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