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