# Case Study: Rotator Cuff Pain and Stiffness Treatment with coMra Therapy

## Patient Information
- Name: Agustin
- Age: 50 years old
- Occupation: Arts professor at a public university in Medellin, Colombia
- Condition: Left shoulder and rotator cuff injury

## Injury Background
Two years ago, Agustin developed an injury in his left shoulder and rotator cuff due to carrying his daughter for long hours, causing accumulative deterioration.

## Symptoms
1. Constant mild to moderate pain
2. Severe pain when moving shoulder/arm, especially at the threshold of movement
3. Reflected pain in the arm
4. Very restricted shoulder movement

## Initial Treatment
- First six months: Physiotherapy three times a week (which worsened the condition)
- No pain medication (patient preference)

## coMra Therapy Treatment Protocol
### Shoulder Treatment
- Three points on the shoulder treated daily
- Frequencies: 5 Hz and 50 Hz
- Duration: 2 minutes per point and per frequency
- Frequency: 3 times a day

### Arm Treatment (for reflected pain)
- Three points along the arm
- Frequencies: 5 Hz and 50 Hz
- Duration: 2 minutes per point and per frequency

### Universal 3 Treatment
- Used 3.5 mm terminator for non-invasive blood irradiation
- Provided general support to the body

### Treatment Schedule
- Initial phase: Three courses of 15 days (approximately 1.5 months)
- Following 5 months: One course per month
- Reduced to once a day, then every other day for ongoing support

### Equipment Used
- coMra 980 Delta device
- Laser terminator

## Progress and Results
1. After first 15-day course:
- 90% improvement in pain
- 40% improvement in movement

2. After one month:
- Free of constant pain

3. After six months:
- 80% improvement in movement
- 80% improvement in movement-related pain

4. Current status (two years post-injury):
- Fully healed with no pain
- Continuing physiotherapy for shoulder strength