Case Studies

Case Study 1:

Female, 37 year old, suffering with effects of ‘Long Covid’. 3 Manual Lymphatic Drainage treatments with Steph (our Complementary Therapist) in a three week period.

Client has been suffering the effects of ‘Long Covid’, she is not testing positive for Covid anymore. She has been experiencing extreme fatigue after contracting Covid 19 a few months ago. This has taken a huge strain on her body and throughout the day the fatigue is overwhelming. It’s affecting spending time with her family and she has been signed off work for a little while to give her time to combat the symptoms. Her doctor has suggested this style of treatment to give her system a boost.

1st MLD session for 45 minutes

I positioned the bed into a ‘V’ shape to encourage lymph flow, and with client consent added grapefruit and lemon essential oils to the Grapeseed oil for an added boost to her system. I discussed how she would remain lying face up throughout and I would use a very light pressure to stimulate the lymph directly located under the skin. I used pulsing and pumping actions to stimulate stagnant lymph in the tissues, and then in areas such as the arms and legs, very long upwards strokes to increase the circulation of the lymph towards the lymph nodes. The idea being that this removes all the waste quicker from the body to detoxify and awaken.

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Case Study 2:

Logan Rees – Scotland International, Top Ranked British Under 23 in 2017 for 10km Road (29m28s)

Logan came to see us regarding an ongoing foot issue he has had since 2014. He saw our Physiotherapist for a total of 4 sessions…

45mins Physiotherapy Initial 01/02/18

Physiotherapist’s Account: Patient attended the NHS in 2014 due to a sudden and constant pain underneath the first toe, beginning of the first phalange, on the right foot, with a mild swollen Metatarsophalangeal joint. He could not run because of the pain. After several tests there was still no diagnosis for his pain. He was then seen by a private Physiotherapist who did massage and exercises for the calf and recommended a steroid injection to ease the pain. He received this privately in December 2015. Logan found the injection lowered the pain allowing him to start running again in March 2016 but not without some discomfort. He has been unable to get this injury completely resolved.

Logan finds that self-massage on the area with a spiky ball helps as well as running will stiff shoes with good support. Soft shoes seem to make it worse (they allow more toe movement).

I could see that swelling was present and that the toe was externally deviated (Mild bunion). I found as well a great deal of tension on all lower leg muscles, especially on the 1st toe flexors on the right, making it slightly stiffer than on the other foot. Pain was noted when running and on direct touch on the insertion of the Flexor Hallicus Brevis.

Diagnosis: Tendinitis of the Plantar Flexors of the 1st toe on the right foot.

Treatment: Massage to the calve muscles

Home care Advice: Specific stretches for Gastrocnemius and Soleus to release tension on the specific tendon causing the pain.

Logan’s Account: During the first appointment, we discussed my injury history with particular focus on the long-term foot/toe injury that prevented me from running from May 2014 to around March 2016. The Physio had some ideas on how to treat this and he also took some photos to show the extent of the swelling on my right foot. He thought with treatment that the excess skin might become reabsorbed and my feet would end up similar sizes again. In the first session, he gave me a short massage on my upper calf. He also showed me some specific stretches to work on for next time to generally loosen my calf so that he could try to release the tension on the specific tendon that was causing pain.

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Case Study 3:

Norma, 83 Year Old Female

45 Mins Physiotherapy initial

Client presented with first signs of Dupuytren’s contracture (a condition in which one or more fingers become permanently bent in a flexed position. It usually begins as small hard nodules just under the skin of the palm) on the 3rd finger on right hand, creating dry and pale skin with adhesion’s in the pathway of the 3rd finger flexors tendon limiting its movement. A year ago Norma stated it started affecting the carpal tunnel compressing the median nerve creating paresthesia on 3rd and 4 finger.
Her grip in both hands is weak, but even weaker on her right hand. Things has been falling from her right hand lately as she has been unable to keep grip.
She had a fall two years ago falling on her right arm and fractured T8 to T12.

I believe lack of strength is due to the muscle tension in both shoulders and arms. With her consent, massage to the right hand, forearm, biceps, pectoral and infraspinatus muscles is performed, to free the median nerve and reduce tension throughout the muscle chain.
She feels much better after the massage, has a better grip and the paresthesia is now just on the tip of her 3rd finger.
I showed her mobilisation of the median nerve, and a mild stretch of the pectoral-biceps-forearm-hand to do at home everyday.
Norma agreed to gradually increase the physical activity as well as include a daily soft massage with moisturising cream on her palm.

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