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The application of tensegrity massage with point working of muscle attachments has been presented in this study. Hormone therapy tamoxifenum 20 mg once a day, doxycycline 100 mg once a day and, additionally, acetaminophen twice a day were the continuation of the treatment.
Conformal radiotherapy was recommended on the right supraclavicular and axillar area phot.
The patient was informed about the need for a check-up in the Teleradiotherapy Unit after 5 weeks and warned not to wash the area exposed to chemotherapy for 4 weeks.
Oncological recommendations suggested undertaking physical therapy of the right shoulder girdle after consultation with the rehabilitation physician.
Gonarthrosis, calcification of the greater trochanter of the femur, articular fissure stenosis, and acetabular sclerosis were confirmed.
Since, the patient complained of lumbar pain of different severity radiating to lower extremities. She emphasized that she suffered mostly from the pain located in the cervical spine and in the shoulder girdle.
She experienced limited head movement and the feeling of a constant tight pull on the right side of the neck.
Pain during flexion, extension, and abduction movement of the right upper extremity made it impossible for her to perform daily activities combing, fastening bra.
The woman stated that the above mentioned symptoms worsened after the recommended exercises. During physical examination, significant protraction and elevation of the right shoulder were observed. The patient has numerous surgical scars; one of them is located under the right mandibular ramus, another one over the clavicle from the trapezius descending part to the manubrium sterni.
After mastectomy, there remained an extensive scar from the anterior part of the chest removed greater pectoral muscle and under the arm.
There is also a distinct thickening of the skin under the arm resulting from abnormal healing by first intention. When she was younger, she had a cesarean section and cholecystectomy, which left scars on the abdominal wall.
Therapeutic process On the basis of medical history, analysis of medical records, and consultations with her oncologist, the primary care physician qualified the patient for massage sessions to reduce hypersensitivity of surgical scars and pain and to normalize muscle tension, which would allow the continuation of kinesitherapy.