Case Studies in Thousand Oaks CA

Joe Patient: 30-year-old male competitive weightlifter. He was lifting weights at the gym. He was doing his routine and felt a severe pull in his lower back after finishing his last set of squats. Patient saw MD had MRI. MRI revealed a 4mm disc bulge. Patient did 8 weeks of Physical therapy and saw minor results. The pain was still 70% throughout the day. He rated the pain at 6-8/10 pain scale and had now developed constant Rt leg pain with no stark weaknesses noted. He reported severe tightness and pain in the lower back every morning when he woke up.

Injury: Lower back sprain with radicular pain down the Rt Leg

• Mechanism: Improper lifting technique during squat.
• Goal: Reduce pain 50% and return to normal activities.
• Treatment: Initial rest, NSAIDs for pain management, Chiro, Bio kinetic rehab and physical therapy
• Rehabilitation: 8-week program focusing on core strengthening, flexibility exercises, and proper muscle firing patterns.
• Outcome: Return to weightlifting with improved technique and a focus on injury prevention exercises. Patient was given a pre-engagement routine to focus on proper muscle and joint recruitment.

Joe Patient did 8 weeks of 24 visits and saw significant results. Pain reduced from 70% to 10% throughout the day. He rated the pain from a 6-8 and now it reduced to 1-2/10 pain scale. Rt leg pain he reported initially to be constant was gone. He still has tightness in the AM. And the patient was able to return to working out.

Michele Patient: 19-year-old female competitive college soccer player. She stated that she has had chronic left knee pain for the last 2 years. ACL surgery on the right knee 2 years ago. She stated that she played with left knee pain all season. And that she was in the training room every day for the last year. Prior to seeking treatment at Complete Performance Center. She was doing her physical therapy and working with her college trainer in the offseason. MRI revealed a knee effusion, chondromalacia of the patella. She rated the pain at 7-8/10 pain scale and with no stark weaknesses noted. She reported tightness and pain in the left knee and shin after running or practice. Patient noted that she has had ankle sprains in the past.

Injury: Lt Knee pain with compensatory shin pain

• Injury: Lt Knee pain with compensatory shin pain
• Goal: Reduce pain 100% and return to playing soccer pain-free.
• Mechanism: Overuse and knee biomechanical dysfunction
• Treatment: NSAIDs for pain management, Extracorporeal shockwave therapy ESWT, Chiro, Bio kinetic rehab, physical therapy, specific proprioceptive taping SPRT.
• Rehabilitation: 8-week program focusing on hamstring and ankle strengthening, flexibility exercises, and proper muscle firing patterns.
• Outcome: Return to collegiate soccer and played the whole season with no pain. Focusing on proper running, and proper lateral movement patterns, she was able to play the whole season injury-free. She was given an ACL/knee injury prevention program to be done in her off-season. Michele was given a pre-engagement routine to focus on proper muscle and joint recruitment in the lower extremities.

Michele Patient did 8 weeks of 24 visits and saw significant results. Pain reduced from 80% to 10% throughout her running and soccer activities. She rated the pain from 7-8 and it was reduced to 1-2/10 pain scale. Lt knee and shin pain she reported initially to be constant when weight bearing, running, and cutting was gone. She was able to return to playing soccer pain free.