the efficacy of cymatherapy ® bioresonance on core lesions of the superficial digital flexor tendon...

The Efficacy of Cymatherapy® Bioresonance

on Core Lesions of the Superficial Digital Flexor Tendon in Thoroughbred

Racehorses

Case StudiesCopyright 2006 Elizabeth Bauer. All Rights Reserved.

The Frac

The Frac, a four year old racehorsegelding initially presented with lamenessGrade 3 out of 4 of the left front limb • Severe pain to flexion and palpation • Severe swelling • Heat to the tendon area• Edema in the tendon sheath area on

palpation

Initial Clinical Evaluation: The Frac

Initial Clinical Evaluation: The Frac

Ultrasound scan images showed a verysevere disruption of the left superficialdigital flexor tendon (SDFT) with 95%

tendon lattice destruction.

Initial Clinical Evaluation: The Frac

• Lesions involved 95% of tendon tissue

• Multiple core lesions resembled a slice of Swiss Cheese

Short Axis Ultrasonography

6-16-04

Diffuse multiple

Lesions • Superficial

Digital Flexor Tendon

Initial Clinical Evaluation: The Frac

Long Axis Ultrasonography

6-16-04

Initial Clinical Evaluation: The Frac

Followup care• Hydrotherapy and icing twice daily• Inflammation prophylaxis with

Phenylbutazone 1 gm twice daily • Cymatherapy® Physical Exercise Program• Stall rest for the first 30 days

SDFT core lesionsgreatly decreasedin size• Tendon cell density• Fibrin deposition• Collagen fibril

formation• Hypoechogenic

healing of the SDFT

First Followup Clinical Evaluation: The Frac

Short Axis Ultrasonography

7-1-04Most improved zones 1A through 2B

Clinically • Decrease in lameness from a Grade

3 to Grade 1-2 of 4• Decreased sensitivity to flexion and

palpation• Pain levels were decreased by 80%• 70% decrease in swelling• No more heat felt on palpation• Some tissue thickening remaining

First Followup Clinical Evaluation: The Frac

Followup care• Hydrotherapy twice per day• Cymatherapy® every third dayPhysical Exercise Program• Hand walking was increased to 15

minutes per day for the next 30 days

First Followup Clinical Evaluation: The Frac

Short Axis Ultrasonography

7-15-04

Ultrasound imagingshowed• A transition to a

more uniform echogenicity in zones 1B and 2B

• Zones 3A and 3B were somewhat slower to heal than 1B and 2B

Second Followup Clinical Evaluation: The Frac

The overallimprovement wasexcellent• In the primary

lesion zone 3B the overall improvement was 50%

Long Axis Ultrasonography

7-15-04

Second Followup Clinical Evaluation: The Frac

Clinically • No lameness at the walk• No pain elicited during flexion or

palpation• No visible swelling• No heat felt on palpation

Second Followup Clinical Evaluation: The Frac

Followup care• Hydrotherapy twice per day• Cymatherapy® every third dayPhysical Exercise Program• Hand walking once per day • Walking on the Hot Walker for 30-40

minutes once per day– This stage of the rehabilitation program

was followed for 25 days

Second Followup Clinical Evaluation: The Frac

Ultrasound showeda uniform andnormal echogenicity• Complete

reduction of the SDFT core lesions

• To a well defined tendon cell regeneration area

Third Followup Clinical Evaluation: The Frac

Short Axis Ultrasonography

8-9-04

Third Followup Clinical Evaluation: The Frac

Long Axis Ultrasonography

8-9-04

No evidence ofprior SDFT lesions,scar tissue oradhesions• Proper tendon

cell-to-cell and collagen fiber alignment

• Fibrin and collagen filling indicative of an accelerated healing process

Third Followup Clinical Evaluation: The Frac

Clinically • No lameness at the walk or trot• No pain elicited during flexion or

palpation• No visible swelling• No heat felt on palpation

Third Followup Clinical Evaluation: The Frac

Followup care • Cymatherapy® once per week until

The Frac was sent off for training Physical Exercise Program• Training was increased to light work

on the track

Eighteen months after his last Cymatherapy®

session The Frac’s healing success was clearlyreflected in his win on Sunday, March 26, 2006• In a Starter Allowance• At Oaklawn Park racetrack in Hot Springs,

Arkansas• With odds of 4-1• Running five and one half furlongs

Evaluation: The Frac

Not only did he win this race, he also had the fastest run of the meet!

Rarely Found

Initial Clinical Evaluation: Rarely Found

Rarely Found, a racehorse colt initiallypresented with lameness Grade 3 outof 5 of the left front limb • Pain to flexion and palpation • Well defined swelling • Heat to the tendon area• Edema in the tendon sheath area on

palpation

Initial Clinical Evaluation: Rarely Found

Ultrasound scan images showed a 25 to 30% core lesion of the superficial digital flexor tendon (SDFT). The lesion was in

the Zone 2 A and 2 B area. The SDFT core lesion was very concise.

A 25 to 30%SDFT core lesion

Short Axis Ultrasonography

4-9-04

Initial Clinical Evaluation: Rarely Found

The lesionwas in the

Zone 2A and2B area

Short Axis Ultrasonography

4-9-04

Initial Clinical Evaluation: Rarely Found

Ultrasound showeda 50% improvementin lesion size • Tendon cell density• Fibrin deposition• Collagen fibril

formation • A clear indication of

the hypoechogenic healing

First Followup Clinical Evaluation: Rarely Found

Short Axis Ultrasonography

4-20-04

Followup care• Hydrotherapy and icing daily • Inflammation prophylaxis with one

injection of hyaluronic acid into the core lesion and tendon sheath

• Cymatherapy® Physical Exercise Program• Stall rest with hand walking for 5

minutes for the first 30 days

First Followup Clinical Evaluation: Rarely Found

Clinically • Decrease in lameness from a Grade

3 to Grade 2 of 5 • Decreased sensitivity to flexion and

palpation• No more heat felt on palpation

First Followup Clinical Evaluation: Rarely Found

Followup care• Hydrotherapy with cold hose

treatment daily • Cymatherapy® Physical Exercise Program• Hand walking was increased to 10

minutes per day for the next 30 days

First Followup Clinical Evaluation: Rarely Found

Ultrasound showeda transition to amore uniformEchogenicity• Complete

reduction of the SDFT core lesion

Second Followup Clinical Evaluation: Rarely Found

Short Axis Ultrasonography

5-9-04

A well definedtendon cell area• Fibrin and

collagen filled • Indicative of an

accelerated healing process

Short Axis Ultrasonography

5-9-04

Second Followup Clinical Evaluation: Rarely Found

Second Followup Clinical Evaluation: Rarely Found

Clinically • No lameness at the walk• No pain elicited during flexion or

palpation• No visible swelling• No heat felt on palpation

Followup care• Cymatherapy® three times per weekPhysical Exercise Program• Hand walking 30-45 minutes per day• A light jog was also introduced

successfully – This stage of the rehabilitation program

was followed for 21 days

Second Followup Clinical Evaluation: Rarely Found

Ultrasound showeda uniform, normalEchogenicity• Complete

reduction of the SDFT lesion

• A well defined tendon cell area

• No evidence of prior lesion Short Axis Ultrasonography

5-22-04

Third Followup Clinical Evaluation: Rarely Found

Third Followup Clinical Evaluation: Rarely Found

Long Axis Ultrasonography

5-22-04

Ultrasound showed• Proper tendon cell-

to-cell alignment• Proper collagen fiber

alignment• No evidence of

any prior SDFT lesion

Third Followup Clinical Evaluation: Rarely Found

Clinically • No lameness at the jog or gallop• No pain elicited during flexion or

palpation• No visible swelling• No heat felt on palpation even after

the increase in physical activity in the jog or gallop

Followup care• Cymatherapy® once per week Physical Exercise Program• Training was increased to one to 1.5

miles of jogging every day

Third Followup Clinical Evaluation: Rarely Found

Cymatherapy®

Equine AcupunctureMethods

Cymatherapy® Equine Methods

Initial Cymatherapy®

The code for Acupuncture Blockage, toacupuncture meridians: • Small Intestine • Heart• Pericardium• Liver• Gallbladder

Small Intestine Meridian

SI 19 SI 17

SI 11

SI 8

SI 7

SI 6

SI 5

SI 4

SI 16

SI 3

SI 1

Heart Meridian

HT 1

HT 3

HT 5

HT 6HT 7

HT 8

HT 9

Pericardium Meridian

PC 1

PC 3

PC 6

PC 9

PC 8

PC 7

Liver Meridian

LIV 14 LIV 13

LIV 8

LIV 5 LIV 4

LIV 3

LIV 2

LIV 1

Gallbladder Meridian

GB 21

GB 44

GB 43

GB 40

GB 39

GB 38

GB 34

GB 24

GB 20

GB 25GB 1

GB 29

GB 30GB 31

Cymatherapy® to the acupuncture pointswas broken down into 2 segments Front Hoof Ting Points • Small Intestine 1• Large Intestine 1• Pericardium 9 • Heart 9 Rear Hoof Ting Points• Liver 1• Gallbladder 44

Cymatherapy® Equine Methods

Front Hoof Ting Points

TH 1

LU 11

LI 1

HT 9

SI 1

PC 9

Rear Foot Ting Points

SP 1

BL 67

LIV 1

ST 45 KI 1GB 44

Local acupuncture points • Small Intestine 1, 3, 4 and 5 • Large Intestine 1, 2, 3, 4, 10 and 11• Lung 10Distal acupuncture points • Small Intestine 16• Triple Heater 13• Large Intestine 16• Gallbladder 34 on the rear limb• Bladder 14, 15, 18, 19 and 27

Cymatherapy® Equine Methods

The Cymatherapy® codes applied to the

SDFT core lesions for 10 minutes were: • Flexor Tendon• Adhesions• Connective Tissue• Tissue Damage• Circulation

Cymatherapy® Equine Methods

The Frac• Every day for the first week• Every other day for the second week• Three times per week for one month• Once per week until sent off to trainingRarely Found• Five times per week for the first 2 weeks• Three times per week for 60 days• Once per week thereafter

Cymatherapy® Schedules

Conclusions

Conclusions

In these exemplary case studies we have

found • A rapid rate of tendon healing • Ultrasonographic evidence of normal

and homogeneous tendon cell integrity after severe tendon injury

• Uniform and normal echogenicity with no evidence of prior injury or scar tissue

Healing time per ultrasonographicevidence with rapid return to function • The Frac―54 days• Rarely Found―43 daysCymatherapy® has surpassed any standardveterinary treatment of the SDFT injuredHorse by 5 to 22.5 months according to theliterature

Conclusions

The high quality of the homogeneous, healed,tendon tissue, per ultrasonographic evidenceindicates • Low to nil continued morbidity or threat of

reinjury• Cost savings in veterinary diagnostics, care,

treatment and maintenance over time• The preservation in value of the athletic horse • That allows the horse owner a gainful return on

their substantial financial investment

Conclusions

Cymatherapy® Would Like to Thank…

Kelly Lawhon and Sharon Cooper

for all of their efforts, advice and assistance in this project.

Cymatherapy® for a Kinder Answer

The entire staff of: Cooper’s Mobile Veterinary Service

for their assistance, patience, and kindness.

Dr. Keith Cooper for all of his efforts, advice and assistance in

this project.

Copyright 2006 Elizabeth Bauer. All Rights Reserved.

The Efficacy of Cymatherapy® Bioresonance

on Core Lesions of the Superficial Digital Flexor Tendon in

Thoroughbred Racehorses

Animations."Fireworks" from Ulead.