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Functional Improvement without the Surgery Referral, A Case Presentation

Journal: The AAO Journal Date: 2025/06, 35(2):Pages: 5-6. doi: Subito , type of study: case report

Full text    (https://aaoj.kglmeridian.com/view/journals/aaoj/35/2/article-p5.xml)

Keywords:

case report [708]
female [597]
geriatrics [111]
gluteus medius [1]
hip [382]
muscle tear [1]
OMT [3750]
osteopathic manipulative treatment [3770]
women [553]

Abstract:

Introduction: Muscle tears in the body produce limitations in functional status and severe pain levels, forcing patients to opt for invasive surgical treatments. Conservative treatments, i.e. physical therapy, inconsistently exhibit overall improvement for patients, but few studies have been done using Osteopathic Manipulative Therapy. The following case depicts OMT providing functional improvement and pain reduction in a patient with full thickness tears of her right gluteus medius and minimus tendons. Case: LK, a 72-year-old female, presented with right hip pain after multiple falls from riding her bike. She previously tried chiropractic treatments, steroid injections and physical therapy without relief. She initially rated her pain an 8/10 on VAS, with significantly limited right hip abduction and external rotation. Structural exam indicated a right anterior innominate with + Right ASIS compression test. Right Hip MRI showed a full-thickness tear of the distal right gluteus medius and minimus tendons with proximal tendon retraction. Results: After 2 sessions of OMT using muscle energy and counterstrain techniques, the patient had a significant positive reduction in her pain score to a severe pain score of 2/10, and she also noted that she was able to walk the mall without having to rest. Discussion: This case study indicates the benefit OMT has for muscle tendon tears through substantial improvement in functional status and significant reduction in pain levels, providing a non-operative treatment option for patients. Limitations of this case presentation towards future clinical application include the use of OMT for other regions that commonly show muscle tears, i.e. the shoulder, along with applicability for acute muscle tears vs. chronic muscle tears.


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