Symptoms at admission to Altai coMra Center:

1. Subjective:

Ever since the moment of injury the patient - female, 54 - experienced:

• constant moderate pain in her right hand, shoulder, neck and chest;
• periodic headaches;
• restriction in the movement of her right hand - moving it backwards is painful. As a result she can dress herself, but she cannot undress without help;
• the pain undermines her sleep; also, she has to adopt enforced pose during sleep.

2. Objective:

At admission MD detected by palpation pain and stiffness in:

• the area of the right half of the chest - along the ribs and along the right paravertebral line;
• the area of the right shoulder and collarbone;
• the right neck muscles - back and side areas.

History of the disease:

About 5 weeks ago the patient fell on her back - more on the right side - upon iced stairs. The main impact was on her right hand and the right and back side of her head.

She was delivered to the emergency department of the local hospital. X-ray showed no fractures. She was diagnosed with bruise of the chest and the soft tissues.

Diagnosis:

1. Main Diagnosis:

• Consequences of a bruise of the chest, soft tissues, head and right hand: moderate lymphatic oedema of the soft tissues;
• Post-Traumatic Nephropathy of the right shoulder;
• Moderate pain syndrome: 3-4 points by the Visual Analogue Scale.

2. Other Diseases:

• Osteoporosis of the whole spine;
• Myotonic syndrome;
• Lordosis of the lumbar spine: 1^st degree;
• Hypertension: 2^nd degree.

3. Rehabilitation Diagnosis:

The accident caused:

• constant limitation of the movements of the right hand, body and head;
• constant pain syndrome: during day and night and during movement;
• chronic sleep deprivation due to pain;
• worsening of the other diseases;
• deterioration of the social activity.

Treatment:

1. Treatment Goals:

First treatment course aimed at:

• containing the pain;
• removing the oedema of the soft tissues;
• initiating the process of restoration of the movement of the upper limbs;
• preventing the appearance of contractures in the muscles of the upper part of the body.
• restoring the quality of sleep;
• containing the other diseases through minimising the consequences of the trauma;
• improving the general quality of life.

2. Treatment at Altai coMra Center:

The first Treatment Course consisted of 10 treatments once a day. Each treatment session consisted of:

• Traumatology 3;
• Traumatology 4;
• Traumatology 1;
• Universal 3;
• Scanning of the painful areas on Variable frequency for 10-20 minutes.

3. Home Treatment:

The patient was instructed and trained to help herself in the following ways:

• by regularly performing rehabilitation physical exercises aimed at restoring the movement of the right hand, the body and the head;
• by doing self-massage of her right hand body and head, with her left and and by roller massagers;
• by applying herbal ointments with main ingredient comfrey extract.

4. Further recommendations:

After the first course the patient was advised to:

• repeat the same 10-days coMra Course after 2 or 3 weeks;
• continue with the home treatments;
• undertake a course of local and general massage, as well as a course of physical rehabilitation that could prevent the appearance of contractures in the muscles of the upper part of the body.

Results:

The first Treatment Course achieved great improvement of patient's condition:

• the pain in the hand decreased significantly. Some mild pain (like 1 point) may appear during the exercises. Mild pain sometimes also appears during sleep on the occasions of awkward movements;
• the range of movements increased by 30-35% on all planes;
• the limitation of the movement of the right hand back and to the right side remains, but it is now 70-75% of the normal from 45% at the start;
• there is slight discomfort in the shoulder during rotational movements;
• sleep has been restored.

Follow-up:

The patient did the second course which had been recommended to her.

After 2 months she had full restoration of the movement of her hand and good mood.