Re: [OregonDCs] odd calcification

[Guest guest]

Rod,

It may be/probably is HADD - hydroxyapitite deposition disease = calcific

tendonitis. The second most common place for it after the shoulder

(supraspinatus or bursa) is the hip (gluteus medius or bursa). It is described

exactly as your radiologist described it...globular or cloudlike calcification

superior to the greater trochanter. US is often used for HADD in the shoulder,

I don't know how well it would work in the hip. Did your patient ever have hip

trauma? If not it is not post-traumatic myositis ossificans.

This is not uncommon.....calcific tendonitis (AKA HADD) in the hip.

-

D. Stecher, DC,DACBR,CCSP

Beaverton, OR

www.xraydoctors.com

(503)380-5333

-------------- Original message ----------------------

From: " Rodney G. , DC " <rjacksondc@...>

> Hello, everyone:

>

> I have a patient who is currently living in Canada, has developed hip pain and

> obtained films. Aside from mild degenerative changes in her hip, the

radiologist

> reported -

>

> Significant abnormality globular calcification is identified in the soft

tissues

> immediately superior to the upper tip of the greater trochanter and likely

> within the gluteus medius muscle or tendon, consistent with tendinosis.

>

> They want to try to aspirate and shoot steroids, much to my patients chagrin,

> and I told her I would consult my excellent colleagues for suggestions. I'm

> concerned that this may be myositis ossificans (although I have not seen the

> films), in which case needling it may not have the desired response. Any

other

> treatment options she could try before getting poked? Thanks!

>

>

>

> Rod , DC

>

> Tillamook, OR

>

>

>

-

Hello, everyone:

I have a patient who is currently living in Canada, has developed hip pain and obtained films. Aside from mild degenerative changes in her hip, the radiologist reported -

Significant abnormality globular calcification is identified in the soft tissues immediately superior to the upper tip of the greater trochanter and likely within the gluteus medius muscle or tendon, consistent with tendinosis.

They want to try to aspirate and shoot steroids, much to my patients chagrin, and I told her I would consult my excellent colleagues for suggestions. I'm concerned that this may be myositis ossificans (although I have not seen the films), in which case needling it may not have the desired response. Any other treatment options she could try before getting poked? Thanks!

Rod , DC

Tillamook, OR

[Guest guest]

That is what I suggested to her, but her doctor up there didn't think it would be effective.....

[OregonDCs] odd calcification

Hello, everyone:

I have a patient who is currently living in Canada, has developed hip pain and obtained films. Aside from mild degenerative changes in her hip, the radiologist reported -

Significant abnormality globular calcification is identified in the soft tissues immediately superior to the upper tip of the greater trochanter and likely within the gluteus medius muscle or tendon, consistent with tendinosis.

They want to try to aspirate and shoot steroids, much to my patients chagrin, and I told her I would consult my excellent colleagues for suggestions. I'm concerned that this may be myositis ossificans (although I have not seen the films), in which case needling it may not have the desired response. Any other treatment options she could try before getting poked? Thanks!

Rod , DC

Tillamook, OR

[Guest guest]

Hi Rod,

Not sure if this will fully attack calcificatioin but it has proven VERY successful for my FM patients: Vitalzyme. www.worldnutrition.info or www.worldnutrition.com ....one is for nattokinase and the other for vitalzyme, forgot which is which.

It usually takes about right on 4 months for palpable response so keep her going on it.

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: "Rodney G. , DC" <rjacksondc@...>< >Subject: [OregonDCs] odd calcificationDate: Tue, 6 Feb 2007 14:09:04 -0800

Hello, everyone:

I have a patient who is currently living in Canada, has developed hip pain and obtained films. Aside from mild degenerative changes in her hip, the radiologist reported -

Significant abnormality globular calcification is identified in the soft tissues immediately superior to the upper tip of the greater trochanter and likely within the gluteus medius muscle or tendon, consistent with tendinosis.

They want to try to aspirate and shoot steroids, much to my patients chagrin, and I told her I would consult my excellent colleagues for suggestions. I'm concerned that this may be myositis ossificans (although I have not seen the films), in which case needling it may not have the desired response. Any other treatment options she could try before getting poked? Thanks!

Rod , DC

Tillamook, OR

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[Guest guest]

Thank you, Tim. She did have a fall, don't know how long ago. I will talk to

her MD if possible.

Rod

Re: [OregonDCs] odd calcification

> Rod,

> It may be/probably is HADD - hydroxyapitite deposition disease = calcific

> tendonitis. The second most common place for it after the shoulder

> (supraspinatus or bursa) is the hip (gluteus medius or bursa). It is

> described exactly as your radiologist described it...globular or cloudlike

> calcification superior to the greater trochanter. US is often used for

> HADD in the shoulder, I don't know how well it would work in the hip.

> Did your patient ever have hip trauma? If not it is not post-traumatic

> myositis ossificans.

>

> This is not uncommon.....calcific tendonitis (AKA HADD) in the hip.

> -

> D. Stecher, DC,DACBR,CCSP

> Beaverton, OR

> www.xraydoctors.com

> (503)380-5333

>

> -------------- Original message ----------------------

> From: " Rodney G. , DC " <rjacksondc@...>

>> Hello, everyone:

>>

>> I have a patient who is currently living in Canada, has developed hip

>> pain and

>> obtained films. Aside from mild degenerative changes in her hip, the

>> radiologist

>> reported -

>>

>> Significant abnormality globular calcification is identified in the soft

>> tissues

>> immediately superior to the upper tip of the greater trochanter and

>> likely

>> within the gluteus medius muscle or tendon, consistent with tendinosis.

>>

>> They want to try to aspirate and shoot steroids, much to my patients

>> chagrin,

>> and I told her I would consult my excellent colleagues for suggestions.

>> I'm

>> concerned that this may be myositis ossificans (although I have not seen

>> the

>> films), in which case needling it may not have the desired response. Any

>> other

>> treatment options she could try before getting poked? Thanks!

>>

>>

>>

>> Rod , DC

>>

>> Tillamook, OR

>>

>>

>>

>

> -

>

>

>

> All posts must adhere to OregonDCs rules located at:

> /

>

[Guest guest]

Hi Rod,It's been several years now, but a patient presented with a shoulder injury from lifting a heavy door up as it was being hung.  She noticed shoulder pain right away and came to see me after a week or so with it getting worse..  I isolated it to the supraspinatus tendon, felt that hard spot that seemed to be giving all the complaints, so I ultrasounded and transversed friction-massaged it.  It was painful for her, but the ROM improved within a couple of days, so we did it again.  At the first visit, I'd called Puziss, ortho that runs the Portland Shoulder Clinic.  He saw her the next day; did an MRI and saw this giant hunk of calcification in the tendon.  He scheduled surgery for her.  He asked if I'd like to observe the surgery and I put it on my schedule.  I continued to US/TFM, maybe another 3-4 times over the next couple of weeks till surgery.  took an x-ray the morning of the surgery to mark exactly where he wanted to go, but the calcification was gone.  We had rubbed it all away.  I knew that she was feeling better after each session, but we both thought that surgery was going to be done on it.  was surprised, as was I.  The patient had already been prepped, so decided to go ahead and do an arthroscopic cleanup instead.  Unremarkable surgery and recovery and no more shoulder pain.  I'd be confident that US/TFM can dissolve that unwanted by-product of bleeding into the soft tissue. Sears, DCNW PDX On Feb 6, 2007, at 2:09 PM, Rodney G. , DC wrote:Hello, everyone: I have a patient who is currently living in Canada, has developed hip pain and obtained films. Aside from mild degenerative changes in her hip, the radiologist reported - Significant abnormality globular calcification is identified in the soft tissues immediately superior to the upper tip of the greater trochanter and likely within the gluteus medius muscle or tendon, consistent with tendinosis.They want to try to aspirate and shoot steroids, much to my patients chagrin, and I told her I would consult my excellent colleagues for suggestions. I'm concerned that this may be myositis ossificans (although I have not seen the films), in which case needling it may not have the desired response.  Any other treatment options she could try before getting poked? Thanks! Rod , DCTillamook, OR 

[Guest guest]

Ultrasound is not often effective on these ... microcurrent has a couple of frequencies for calcific bodies; vitalzyme would be effective but will most likely need about 4 - 6+ months.

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: "Rodney G. , DC" <rjacksondc@...>" M. s, D.C." <drbobdc83@...>CC: < >Subject: Re: [OregonDCs] odd calcificationDate: Tue, 6 Feb 2007 16:05:14 -0800

That is what I suggested to her, but her doctor up there didn't think it would be effective.....

[OregonDCs] odd calcification

Hello, everyone:

I have a patient who is currently living in Canada, has developed hip pain and obtained films. Aside from mild degenerative changes in her hip, the radiologist reported -

Significant abnormality globular calcification is identified in the soft tissues immediately superior to the upper tip of the greater trochanter and likely within the gluteus medius muscle or tendon, consistent with tendinosis.

They want to try to aspirate and shoot steroids, much to my patients chagrin, and I told her I would consult my excellent colleagues for suggestions. I'm concerned that this may be myositis ossificans (although I have not seen the films), in which case needling it may not have the desired response. Any other treatment options she could try before getting poked? Thanks!

Rod , DC

Tillamook, OR

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