Folate-Rich Foods for those with an MTHFR Polymorphism

By Kathy Garvey, MS, MBA, RDN, LDN (www.garveynutrition.com) Suppose you have been advised to avoid foods with folic acid due to your body’s impaired ability to break down the vitamin. You may feel overwhelmed trying to navigate the grocery store and make intelligent choices.  It can seem unclear at first, but with some guidance [...]

By |2023-01-10T18:21:46+00:00January 10th, 2023|Nutrition|

Ulnar Nerve Hydrodissection for Ulnar Neuropathy

Introduction Ulnar neuropathy is a common nerve injury secondary to nerve entrapment at the elbow. Repetitive compressive forces to the inside or medial side of the elbow can irritate the nerve and cause damage. Damage to the ulnar nerve can be assessed with a nerve conduction study and electromyography. Modern evaluation can also include [...]

Hamstring Fascia Hydrodissection in an NFL Running Back

  Introduction Hamstring injuries nag players of all sports and all levels. Dr. Jacques Courseault at The Fascia Institute and Treatment Center at Tulane University School of Medicine was the first to publish the benefits of a hamstring fascial hydrodissection to get athletes back in a few days. You can read the article here.   [...]

Fascial Release of a Knee Flexion Deformity After a Total Knee Replacement

Abstract   There is no consensus on how to best manage fixed flexion deformity of the knee following total knee arthroplasty. We present the case of a 63-year-old hypermobile female with a fixed flexion deformity and fascial hamstring tendon adhesions noted on ultrasound evaluation. She was treated with a fascial hydrorelease and achieved full [...]

Dextrose Prolotherapy Review for Lower Extremity Injuries

ABSTRACT: Lower extremity soft tissues injuries account for a large proportion of musculoskeletal injuries. In cases where medication, physical therapy and cortisone injections do not provide complete relief, dextrose prolotherapy is a viable treatment option that has been available for many decades. In our clinic, dextrose prolotherapy is particularly effective in patients who are [...]

Folate-Deficient Hypermobility Syndrome: A New Diagnosis

Jacques Courseault, MD, CAQSM, FAAPMR August 26, 2022 - The area of hypermobility and Ehlers-Danlos research is gaining more traction with the recognition of peculiar clinically presenting patterns in flexible patients. Because of the thorough evaluation performed at the Tulane Hypermobility and Ehlers-Danlos Clinic, we noticed a trend of high folate levels during the [...]

By |2023-02-02T04:57:00+00:00August 26th, 2022|Hypermobility|

Fascial Hydrodissection for Medial Scapular Border Pain: Case Series of Treatment for Myofascial Pain Syndrome

ABSTRACT: Neck and upper back pain can be common issues among athletes. Myofascial pain due to fascial adhesions can explain these athletes’ symptoms and prevent them from performing. In this retrospective series, three athletes diagnosed with myofascial pain syndrome at the medial scapular border are treated with ultrasound-guided (USG) hydrodissection. All athletes reported significant [...]

Comparison of Electrolyte Supplements for Dysautonomia

Intended Audience: Patients seen in the Tulane Hypermobility and Ehlers-Danlos Clinic, who have been diagnosed with Dysautonomia or Postural Orthostatic Tachycardia Syndrome (POTS), and patients who have been instructed by their provider to consume oral electrolyte supplementation.   Article by Catherine Kingry, MD Many patients seen in the Tulane Hypermobility and Ehlers-Danlos Clinic experience some [...]

By |2022-10-22T12:02:36+00:00August 22nd, 2022|Supplements|

What is Hypermobility

What is Hypermobility? Hypermobility refers to the natural flexibility of joints. Thirty to fifty percent of the population has joint hypermobility, which in many cases, offers an athletic and competitive advantage. Because of flexible joints secondary to hypermobility, those who are hypermobile can run faster, jump higher, avoid certain injuries and throw farther than [...]

Fascial Hamstring Hydrodissection in A College Football Player

Introduction A fascial hamstring hydrodissection can be used for acute and chronic hamstring pain. Hamstring injuries keep many out of recreation and competitive sport. Historically, hamstring therapy with physical therapy, massage, dry needling, and trigger point injections have been helpful but continue to result in delays in returning to competition. At the Fascia Institute [...]

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