| Increased range of motion and function in an individual with breast cancer and necrotizing fasciitis-manual therapy and pulsed short-wave diathermy treatment. | |
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MedLine Citation:
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PMID: 20706546 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
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Necrotizing fasciitis is a severe soft tissue infection of the subcutaneous tissue and fascia affecting those predisposed to immune system compromise. It is a life threatening condition; mortality can be reduced by rapid diagnosis, adequate early surgical debridement and antibiotic ointment. In this case report we present the use of manual therapy (MT) techniques, joint and soft tissue mobilization, following a regimen of pulsed short wave diathermy (PSWD) in the treatment of a woman 3 years post necrotizing fasciitis developed during chemotherapy treatment for breast cancer. During her course of chemotherapy, she developed necrotizing fasciitis which was treated with extensive surgical debridement (8 linear feet of incisions) followed by debridement to both hips and the pelvis area. When we started working with her, we put her on a course of PSWD/MT. After six weeks of following this regimen, she gained 25 degrees of external rotation in both her left and right hips, 15 degrees of left hip flexion and 17 degrees of right hip flexion. The patient gained 10 degrees of right hip extension, yet there was no improvement in left hip extension. The treatments led to a dramatic reduction in pain and scarring from previous surgeries. The patient also returned to running. |
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Authors:
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Wayne Johnson; David O Draper |
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Publication Detail:
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Type: Journal Article Date: 2010-07-14 |
Journal Detail:
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Title: Case reports in medicine Volume: 2010 ISSN: 1687-9635 ISO Abbreviation: Case Rep Med Publication Date: 2010 |
Date Detail:
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Created Date: 2010-08-13 Completed Date: 2011-07-14 Revised Date: 2013-02-21 |
Medline Journal Info:
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Nlm Unique ID: 101512910 Medline TA: Case Rep Med Country: United States |
Other Details:
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Languages: eng Pagination: - Citation Subset: - |
Affiliation:
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Brigham Young University, Provo, UT 84602, USA. |
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