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Re: Hip Trauma

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I have some personal experience relating to your NP case. I have a hard mass

over my TFL also and it is section of detached TFL and gluteous Max muscle. My

avulsed the muscle attachments to the illio-tibia band and now the fibers are

curled upped in a curious mass over the TFL.

So your caee in point may have some really strange but true answers.

Schneider

PDX

---------- Original Message ----------------------------------

From: bingonis@...

Date: Fri, 27 Oct 2006 22:58:34 +0000

>

>I have an ND friend who has a vegan patient that had fallen off her bike and

landed on her hip a month ago. Since then most everything has healed, except

for a firm bump the size of a grapefruit over the TFL.

>

>I suggested myositis ossificans as a ddx or some type of nutritional deficiency

due to her lack of animal products in her diet.

>

>Any ideas?

>

>

>

>

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Dr.

US disperses the blood and prevents myositis ossificans from everything I've been taught. I've also used US when patients come in with huge myositis ossificans that started with hemotoma and turned to MO. Left untreated, a large hemotoma can form MO.

I'm open to correction if someone tells me otherwise with more evidence. I've used US for years with good results on both conditions. I usually wait for 10-12 days following hematoma to allow local swelling to reduce before applying US. (This varies depending on other injuries adjacent to hematoma.) Suggest patient uses ice or cold laser to start. In fact, I believe cold laser used in early stages (remember it can be used over swollen tissue without contraindication), could be continued thru later stages. I don't own one, so have no experience with reducing MO using cold laser. Others?Minga Guerrero DC

In a message dated 10/30/2006 9:46:58 AM Pacific Standard Time, RMBALSIGER@... writes:

Please correct me if I'm wrong but I believe US over a hematoma in muscle can cause myositis ossificans.

Rick Balsiger, D.C.

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Probably a bad hematoma, possibly of the bone itself. I'd try some ultra

sound and try breaking it up a bit. Not uncommon at all for a hip hematoma

to present like this with slow healing. Keep it moving, massage, eventually,

etc. etc. etc. Try some imaging if in another month there is no change.

Dr. ph Medlin D.C.

Spine Tree Chiropractic

1627 NE Alberta St. #6

Portland, OR 97211

Ph: 503-788-6800

c: 503-889-6204

Hip Trauma

>

> I have an ND friend who has a vegan patient that had fallen off her bike

> and landed on her hip a month ago. Since then most everything has healed,

> except for a firm bump the size of a grapefruit over the TFL.

>

> I suggested myositis ossificans as a ddx or some type of nutritional

> deficiency due to her lack of animal products in her diet.

>

> Any ideas?

>

>

>

>

> OregonDCs rules:

> 1. Keep correspondence professional; the purpose of the listserve is to

> foster communication and collegiality. No personal attacks on listserve

> members will be tolerated.

> 2. Always sign your e-mails with your first and last name.

> 3. The listserve is not secure; your e-mail could end up anywhere.

> However, it is against the rules of the listserve to copy, print, forward,

> or otherwise distribute correspondence written by another member without

> his or her consent, unless all personal identifiers have been removed.

>

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If it looks or feels like a hematoma then internal degloving injury/ Morel-Lavallee lesion could be a possiblility.   R. Swanson DC CCEPParkside Chiropractic2394 31st AvenueSan Francisco, CA 94116(v)415.566.7134(f)415.566.8702www.ParksideChiro.com On Oct 30, 2006, at 8:30 AM, deadmed wrote:Probably a bad hematoma, possibly of the bone itself. I'd try some ultra sound and try breaking it up a bit. Not uncommon at all for a hip hematoma to present like this with slow healing. Keep it moving, massage, eventually, etc. etc. etc. Try some imaging if in another month there is no change.Dr. ph Medlin D.C.Spine Tree Chiropractic1627 NE Alberta St. #6Portland, OR 97211Ph: 503-788-6800c: 503-889-6204 Hip Trauma>> I have an ND friend who has a vegan patient that had fallen off her bike > and landed on her hip a month ago. Since then most everything has healed, > except for a firm bump the size of a grapefruit over the TFL.>> I suggested myositis ossificans as a ddx or some type of nutritional > deficiency due to her lack of animal products in her diet.>> Any ideas?>> >>> OregonDCs rules:> 1. Keep correspondence professional; the purpose of the listserve is to > foster communication and collegiality. No personal attacks on listserve > members will be tolerated.> 2. Always sign your e-mails with your first and last name.> 3. The listserve is not secure; your e-mail could end up anywhere. > However, it is against the rules of the listserve to copy, print, forward, > or otherwise distribute correspondence written by another member without > his or her consent, unless all personal identifiers have been removed.>

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the frequency specific microcurrent is FABULOUS for all stages of that .... and the sooner it is used the better, of course. My experience is that it out performs US hands down.

Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7C

Eugene, Oregon, 97401

541- 344- 0509; Fx; 541- 344- 0955

From: AboWoman@...To: RMBALSIGER@..., deadmed@..., , bingonis@...Subject: Re: Hip TraumaDate: Mon, 30 Oct 2006 13:02:01 EST

Dr.

US disperses the blood and prevents myositis ossificans from everything I've been taught. I've also used US when patients come in with huge myositis ossificans that started with hemotoma and turned to MO. Left untreated, a large hemotoma can form MO.

I'm open to correction if someone tells me otherwise with more evidence. I've used US for years with good results on both conditions. I usually wait for 10-12 days following hematoma to allow local swelling to reduce before applying US. (This varies depending on other injuries adjacent to hematoma.) Suggest patient uses ice or cold laser to start. In fact, I believe cold laser used in early stages (remember it can be used over swollen tissue without contraindication), could be continued thru later stages. I don't own one, so have no experience with reducing MO using cold laser. Others?Minga Guerrero DC

In a message dated 10/30/2006 9:46:58 AM Pacific Standard Time, RMBALSIGER@... writes:

Please correct me if I'm wrong but I believe US over a hematoma in muscle can cause myositis ossificans.

Rick Balsiger, D.C.

Get FREE company branded e-mail accounts and business Web site from Microsoft Office Live

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Thats what I thought too, even though I personally don't use machines. For those of you like me, ice and tissue work do absolute wonders for these conditions as well, just more work ;) . Timing is important as Minga suggested.

Dr. ph Medlin D.C.Spine Tree Chiropractic1627 NE Alberta St. #6Portland, OR 97211Ph: 503-788-6800c: 503-889-6204

Re: Hip Trauma

Dr.

US disperses the blood and prevents myositis ossificans from everything I've been taught. I've also used US when patients come in with huge myositis ossificans that started with hemotoma and turned to MO. Left untreated, a large hemotoma can form MO.

I'm open to correction if someone tells me otherwise with more evidence. I've used US for years with good results on both conditions. I usually wait for 10-12 days following hematoma to allow local swelling to reduce before applying US. (This varies depending on other injuries adjacent to hematoma.) Suggest patient uses ice or cold laser to start. In fact, I believe cold laser used in early stages (remember it can be used over swollen tissue without contraindication), could be continued thru later stages. I don't own one, so have no experience with reducing MO using cold laser. Others?Minga Guerrero DC

In a message dated 10/30/2006 9:46:58 AM Pacific Standard Time, RMBALSIGER@... writes:

Please correct me if I'm wrong but I believe US over a hematoma in muscle can cause myositis ossificans.

Rick Balsiger, D.C.

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