From our affiliate Pittsford Performance Care:
FA Impingement Treatment Case Study
Subject: Kristy is a 21 year old female. She has severe ipsilateral hip pain with FA impingent and is slated for a surgical repair.
Background: Kristy says her hip dysfunction and pain has been on a progressive decline over the last 24 months. Kristy says that her pain was confusing and non-descript as there was no triggering event. She explained how her severe hip pain no longer permitted her participating as a division I lacrosse player. And has actually elevated in severity to the point that she couldn’t walk without a noticeable limp and any extended period being seated followed with excrutiating, knifing pain at the FA joint. Kristy pursued recommended medical treatment including multiple rounds of physical therapy, chiropractic treatment, orthopedic evaluation and a reasonable time of rest. The lack of results with rest and conservative care led Kristy to reach out to our clinic after a family recommendation.
Baseline: By the time that Kristy came to Pittsford Performance Care, she was already scheduled for an FA decompression surgery. She reluctantly decided to accept the surgical recommendation after multiple orthopedic surgeons shared similar opinions.
On the first day of treatment at Pittsford Performance Care, Kristy presented with:
• Flexor dominant posture on the left hemisphere
• Left hand internally rotated compared to the right
• Left ASIS elevated compared to the right
• Hyper-reflexive on the biceps and patellar on the left
• Pupillary light reflex on the left fatigues in ½ time compared to right
• Tongue deviation to the left
• Severe fatigue during erect standing posture
• Climbing stairs elevates hip pain to 8/10
• Lower extremity training is n o longer performed due to pain.
Protocol: In July of 2014, Kristy received balance and muscular performance assessment which included cortical balancing, muscular activation, inspiration training, and ARPwave rehabilitation.
Outcomes: After 1 week of treatment, Kristy demonstrated:
• Decrease in flexor dominant posture.
• Left hand symmetrical to the right.
• Left ASIS appearing closer to right.
• Patellar and biceps reflexes symmetrical right to left.
• Tongue deviation still noticeable to the left.
• Patient describes fatigue to have improved 75% during erect standing posture.
• Climbing stairs pain free; sprinting pain free; full speed cutting and change of direction pain free.
• Kristy stated she was experiencing the deepest sleep she has had in years with no night pain.
• Kristy called and cancelled her upcoming surgery.
“Pittsford Performance Care has been a true blessing in my life! The staff, especially Dr. Rob Luckey, was extremely helpful in healing me. I would totally recommend anyone to go to PPC! I brought my boyfriend to PPC with me to get treatment done as well, we both play sports and we both were going through some injuries which were really putting our athletic career on hold. After a week of Dr. Rob’s treatments, I felt like a whole new person. Not only was I feeling better, but I also I no longer needed surgery which would have put me out of sports for 6+ months. It’s absolutely amazing how talented the staff is at PPC. So many different techniques which I would never have thought of doing. I had a labrum tear in my hip, and was opted to get surgery. Most amazing feeling ever to know that I no longer have to go through that. Thank you Dr. Luckey and staff, I really am beyond thankful for all your support and treatments. Y’all have changed my life around, and I’m now able to continue my athletic career! I am moving up north for many reasons, but mainly just so I can go to PPC.” -Kristy G.
Post-Concussion Syndrome (6-month) Treatment Case Study
Subject: Halie is a 16 yr old female. She has severe and chronic headaches exacerbated by several factors. She was diagnosed with post-concussive syndrome after 6 months of inconclusive medical management.
Background: Halie said her headache frequency has been increasing over the last month and is exceeding a frequency of 3-4 times per week. She does not describe visual disturbances with each headache but does complain of visual affect during the ‘aggressive’ episodes. Halie says her heavy school and practice schedules are not permitting enough rest. And her sleep has become challenging. Halie says she is finding it difficult to get to sleep and maintain a deep sleep. Halie complains of general fatigue and a decreased enjoyment for her activities in daily life. She describes her appetite as less than normal during training. Additionally, Halie feels her performance in the training room and sport specific practice as weaker than usual. She also describes as though she is suffering from a ‘fog-like’ feeling during the day. Halie and her parents have pursued recommended medical treatment including Occupational Therapy Consulting and a reasonable time of rest. The lack of results with rest and conservative care led Halie’s parents to reach out to our clinic.
Baseline: By the time Halie came to the clinic, she had just completed a 6-week period of rest. The symptoms were unchanged during this time and led to significant frustration. On the first day of treatment, Halie presented with:
- Flexor dominant posture on the left hemisphere
- Left hand internally rotated compared to the right
- Left ASIS elevated compared to the right
- Hyper-reflexive on the biceps and patellar on the left
- Pupillary light reflex on the left fatigues faster in comparison to right
- Tongue deviation to the left
- A feeling of fogginess
- Temporal/orbital HA rated at a 6/10
Protocol: In November of 2014, Halie received balance and muscular performance assessment which included cortical balancing, muscular activation, inspiration training, and Globus Phoenix Wave rehabilitation.
Outcomes: After 4 treatments over 2 weeks, Halie demonstrated:
- Decrease in flexor dominant posture
- Left hand symmetrical to the right
- Left ASIS appearing closer to right
- Patellar and biceps reflexes symmetrical right to left
- Tongue deviation still noticeable to the left
- Patient descrives that the ‘fog-like’ feeling has abated
- Patient says no HA is present and has been gone for a week
- Patient feels her sleep has dramatically improved and her energy levels feel normal
- Patient feels she is performing at her normal level during athletics
“Dr. Luckey and the gang at PPC continue to do great work in ways that for some may seem unique. Dr. Rob [Luckey]’s approach to treating injuries goes beyond the scope of traditional therapy and instead works to discover the root of the problem. After some very successful work on Halie’s bodily injuries over the years, we turned to Dr. Rob to help with some ongoing headaches that she was suffering from for quite some time. We had chalked up the consistent headaches to stress, long hours of activity in the hot sun, and possibly even an incorrect eye prescription. Dr. Luckey quickly helped us target the issue as post-concussive syndrome. After a few weeks of office visits we are very happy to report that the headaches have subsided and for the most part are few and far between at this time. The treatment that PPC does is not only top notch, it is professional and respectful. We have long been fans of Dr. Luckey’s work and that will not change. Thanks for all efforts and more importantly, the positive results.” – Bob & Kathie M.