Sydney West Sports Medicine, 12 N Parade, Rooty Hill NSW 2766 0421 229 255
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Case Studies

Real cases treated at Rooty Hill

Real patient presentations, examined, diagnosed and treated at Spine & Health Co in Rooty Hill, Western Sydney.

Dry needling treatment to the neck and upper back at Spine & Health Co
Treated in Rooty Hill, Western Sydney

Headache Case Study

A 32 year old female presented to clinic suffering from a four week onset of headaches, likely related to long hours at a computer for work and poor posture. Pain was felt along the back of the head with associated muscle tightness in the shoulders and stiffness in the neck. Pain medication and massage had provided no relief.

Examination

  • Reduced cervical range of motion
  • Tenderness in shoulder/neck muscles
  • Stiff cervical & cervico-thoracic joints
  • Neurological exam: normal

Diagnosis

  • Cervicogenic headache
  • Facet joint dysfunction
  • Myofascial trigger points

Treatment

  • Massage, dry needling & cupping
  • Spinal manipulation, neck & upper back
  • Postural correction cues & exercises

Outcome

  • Complete resolution of headache
  • Full range of motion restored
  • Less muscular tension
  • No pain medication needed
Treated in Rooty Hill, Western Sydney

Neck Pain Case Study

A 42 year old male presented with a two day onset of right sided neck pain, first noticed on waking and likely related to sleeping position. He described a sharp pinching pain with certain neck movements and had taken two days off work. Massage, heat and pain medication gave only temporary relief.

Examination

  • Pain & restriction, all neck movements
  • Tender muscles, right side of neck
  • Restricted joint play, right neck

Diagnosis

  • Right C4/5 facet joint dysfunction
  • Muscle spasming, shoulder & neck

Treatment

  • 2×/week over 2 weeks
  • Spinal manipulation & deep tissue massage
  • Cervical traction stretching
  • Sleep position advice & home exercises

Outcome

  • Full range of motion restored
  • Resolution of pain
  • Return to work
Treated in Rooty Hill, Western Sydney

Shoulder-Blade (Para-Scapular) Pain Case Study

A 21 year old male presented with a one week onset of left sided pain around the shoulder blade, beginning after a gym training session. He described a persistent "knot," some restricted neck movement, pain on deep breaths, and an occasional strange sensation down the left arm. A massage had made it worse.

Examination

  • Pain reproduced with neck flexion
  • Pain on deep breath, left shoulder blade
  • Tender left T7/8 costo-vertebral joints
  • Neurological exam: normal

Diagnosis

  • Left T7/8 costo-vertebral joint sprain
  • Left C5/6 facet joint dysfunction

Treatment

  • 2×/week over 3 weeks
  • Spinal manipulation & deep tissue massage
  • Cupping & low level laser therapy
  • Lifting technique correction

Outcome

  • Resolution of shoulder blade pain
  • Pain-free neck range of motion
  • Return to full training
Treated in Rooty Hill, Western Sydney

Sciatica Case Study

A 53 year old male truck driver presented with a two month history of persistent nerve pain down the back of the left leg, without lower back pain. He struggled to bear weight while walking and couldn't sit for long periods. Stretching, pain killers and rest had not resolved it.

Examination

  • Leg pain on neural stress tests
  • Neuro exam: normal
  • Tender gluteal/hamstring/calf muscles
  • Pain with forward bending

Diagnosis

  • Left S1 radiculopathy (sciatica)
  • Underlying L5/S1 disc bulge

Treatment

  • 2×/week over 4 weeks
  • Massage, dry needling, laser therapy
  • Thoracic spinal manipulation
  • Home stretching routine

Outcome

  • 70% reduction in sciatic leg pain

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