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VOL. 13, ISSUE 1 (2026)
The mechanical resolution of metabolic stasis: Precision-guided physiotherapy as the decisive intervention in high-grade supraspinatus tendinopathy with cervical comorbidities
Authors
Akansha Roy, Dr. Prachi Rana
Abstract
The rehabilitation of rotator cuff pathology is frequently
obstructed by a "metabolic-mechanical" conflict, where systemic comorbidities
prevent structural healing. This case
report documents the management of a 52-year-old female presenting with a
refractory triad: High-Grade
Bilateral Supraspinatus Tendinopathy, Cervical Disc Dysfunction (Double Crush
Syndrome), and Hyperuricemia. The
patient exhibited severe functional paralysis, characterized by a
"30-degree abduction ceiling" and gravitational intolerance. Conventional pharmacological management had
failed to restore function. A
structured, 15-day Precision-Guided Therapy (PGT) protocol was implemented,
utilizing specific mechanotransduction signals to stimulate tenocyte repair despite
the metabolic compromise. Post-intervention
outcomes, quantified via the Visual Analog Scale (VAS), Shoulder Pain and Disability
Index (SPADI), Neck Disability Index (NDI), and Patient-Specific Functional
Scale (PSFS), revealed a complete restoration of functional independence.
Active shoulder abduction improved from
30° to 150°, alongside the resolution of neuropathic symptoms. This report establishes Precision-Guided
Physiotherapy as the critical "mechanical vaccine" required to
resolve complex, metabolically compromised orthopedic cases.
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Pages:523-526
How to cite this article:
Akansha Roy, Dr. Prachi Rana "The mechanical resolution of metabolic stasis: Precision-guided physiotherapy as the decisive intervention in high-grade supraspinatus tendinopathy with cervical comorbidities". International Journal of Multidisciplinary Research and Development, Vol 13, Issue 1, 2026, Pages 523-526
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