MEDICAL EXAMS

By clicking on this link you have access to a link to download on your PC all the recent exams I did:


ESAMI EMATOCHIMICI – 12 MB

ESAMI GASTROINTESTINALI – 6 MB

NEXT AND REMOTE HISTORY

Marco Fallini 1987, 33 years old


CURRENTLY, HYPOTHESES ON THE ORIGIN OF THE PROBLEM:

1) RIGHT AND LEFT ACETABULAR FEMORAL CONFLICT operated badly or too late compared to the onset of symptoms. The conflict creates an injury to the acetabular roof, with damage to the cartilage, and more damage to the acetabular lip, and consequent pain.

2) CENTRAL SENSITIZATION due to the memory of pain in a problem that has become chronic continues to activate and keep excited the nociceptive neurons of the spinal cord and of the sensitive brain area (state of constant hyper alert)

3) Rheumatological problem SPONDILOENTHESO ARTHRITIS of rare origin and which does not respond to classic drugs.


SYMPTOMS:

2002 Body chart of the pain in the inital phase of the illness
2021 Body chart of the pain now

-Constant pain in the groins, sacroiliac trochanters and pelvis, sitting, driving, standing, walking and all other activities, the pain increases with increasing activity. Even when lying down, the pain remains.

-Pain also at rest, but increases upon activation of the hip flexors, adductors and in the flexed hip position maintained

Pain in the abdominal and psoas region, increased after bilateral surgery with damage of psoas and nerve

-To endure the pains, I am forced to lie quite a lot, but above all to sleep for about 12 a day, otherwise I cannot manage a day. I had to quit my job as a physiotherapist and psychologist and any job where physical activities are included. I have changed jobs 5 times. Then I also had to leave the jobs sitting. Now I can’t work anymore, I have to conserve energy and endurance to take care of me.

Sports totally limited

Right knee painful to load and flexion

Diarrheal stools, air, burps and cramps and digestive difficulties (intolerance to some foods)

Visual difficulty: worsened, difficult small writings, blurred, fatigued, sore by artificial lights (keratoconus sufficient cause?)

PHARMACOLOGICALLY:
Pantoprazolo 40,g
Anafranil 150 mg
cannabis bedrocan 4drops and bediol 16 drops: 2x die
Pain medicaments interrupted, because with no benefit



PHYSICAL EXAM

PASSIVE MOVEMENT:
LEFT HIP:
FLEX/EXT 120°/30° free but with pain
ABD/ADD pain at the end of the movement
INTERNAL EXTERNAL ROTATION pain at the end of the movement
MAXIMUM PAIN: FABER AND FADIR (flex add and internal rotation) (flex abd and external rotation )

RIGHT HIP:
FLEX/EXT 120°/30° free but with pain
ABD/ADD pain at the end of the movement
INTERNAL EXTERNAL ROTATION pain at the end of the movement
MAXIMUM PAIN: FABER AND FADIR (flex add and internal rotation) (flex abd and external rotation )

BEFORE I HAVE PAIN UP TO THE AGE OF 15 YEARS

• very active sportsman: football, skiing, volleyball, swimming, hiking, cycling, high jump, dancing, martial arts.

SKELETAL MUSCLE PROBLEMS

• 2002 JUNE, AGED 15: BILATERAL PUBALGIA. Pain in the groin, pelvis, lumbosacral area. months of physiotherapy and exercises, without beneficial effects
-2002 October: BILATERAL INGUINAL HERNIA SURGERY;

Pubalgia continues.

Various attempts to decrease pain: osteopathy, shiatsu, Chinese medicine, craniosacral, chiropractic, acupuncture, postural rehabilitation, mezies method, motor control, sharmann method

• 2010 OCTOBER: BLUNT TRAUMA OF THE MEDIAL FEMORAL CONDYLE IN THE RIGHT KNEE. rmn highlights edema of the femoral condyle. Load and flexion pain. Symptomatology has never diminished until today.

• All this despite physiotherapy, muscle strengthening in the gym, daily exercises, protein supplements etc.

• 2013 pain desensitization treatment with varied activities with a very gradual approach. Detailed diary of all the activities I did during the day, with the time and progression of the duration and intensity

• 2013-2014: numerous orthopedic visits, and FKT treatments
Numerous osteopathic treatments, without success

Numerous psychotherapeutic, psychosomatic and meditative works aimed at decreasing or transforming pain over the years, family constellations, metamedicine, zazen meditation, dynamic active meditations, mindfullnes, somatic experience, trauma training, autogenic training, CD with guided views, acupuncture, Chinese medicine , regressive hypnosis, eriksonian hypnosis, without success

• Until 2012 the pain in the groins and back decreased thanks to: walks on the plains of at least 1 hour. I swim 2 times a week in a mild way. From 2012 things start to change for the worse.

• 2013 – DIAGNOSIS BILATERAL FEMOROACETABULAR IMPINGEMENT (MRI, X-ray and clinical history): conservative FKT treatment for two years, without results

• 2015 – SURGERY: BILATERAL HIP ARTHROSCOPY WITH MILLING AND CARTILAGE GRAFTING, WITHOUT ANY BENEFIT. Pain worsens thereafter. During the operation, the surgeon performs a left and right lysis of the ileus psoas tendon, which causes a worsening of symptoms, and a 50% decrease in the volume of the two muscles (detectable by MRI) and cannot be explained.

• 2016 – Constant and limiting pains in groins and right knee. ADL become unmanageable. Unbearable to drive, sit, walk. I need to lie down all the time, without being able to feel no pain.

Various pharmacological attempts to reduce pain, without success. My body doesn’t respond to painkillers. I attach a separate sheet with list of tested drugs.

• 2016: Outpatient visits PAVIA PAIN CENTER: several attempts to infiltrate the upper and lower right hip, pubic symphysis, sacroiliac joint, femoral ileus nerve, without benefits

Cortisone treatment, with morfinosimili, OXYCODONE, 5 10 20 mg, without benefits

• 2017 rheumatological visits and suspicion of possible SERONONEGATIVE RHEUMATOLOGICAL DISEASE SPONDILOENTESO ARTHRITISà attempts to cure with biological drugs: HUMIRA 6 months and COSENTYX 4 months, without any benefit

• 2017 October: hospitalization for 40 days in a pain center in Bern: mild physical activities, physiotherapy, psychology, social assistance. Treatment attempts with unnecessary opiates (describe me as unresponsive to opioids, like 30% of the population)

• 2017 ARTRO MRI RIGHT AND LEFT HIP WITH TRACTION: they show that the operations on the hips had been badly done by the surgeon. Injuries to the capsule, psoas, cartilage and bilateral bile aceta lip. They propose corrective surgery on the hips, with hip dislocation, primarily on the left, then on the right.

• Several doctors are against the operation and say that indeed I could get worse by operating.
I refuse surgery on the left hip, for lack of certainty about the possible success and warnings not to perform it.
In the following years the pain slowly worsened

• Regressive hypnosis 10 sessions without effects

• Eriksonian hypnosis 10 sessions without effects

• 2018 Lugano pain center experience opioids: 35mg hybridumorphin and 12mg palladone, with no effect. They say there is nothing more to do.

• 2018 Several doctors believe they cannot do anything else. Operations too risky to get worse and too young. There are no more drugs to try.  living with them the rest of life. Contact an ongoing psychological support, already in place.

• 2019 I TURN TO EXIT, an association that accompanies patients who cannot be resolved to assisted suicide. I do the visits and evaluations. I am an appropriate case. Suffered enough years with the torture of pain constatly. If there is nothing more to do, I will opt for this, the only way to stop the pain. Being young, they make me wait several months.

 2019 MRI left hip MRI lesions of the capsule, lip, psoas and cartilage are confirmed.

 2019 OTI OXYGEN HYPERBARIC THERAPY RAVENNA 60 SESSIONS (8 WEEKS) at 2.2 atm, aim to reduce chronic pain and regenerate damaged tissues
Pain therapy: 100mcg fentanyl infusion for 10 days, associated with lidocaine and colexodone 200mg. No benefits, if not light and associated with intense side effects. Suspended.

RHEUMATOLOGICAL VISITS

  • Sister with psoriasis, mother with Reynaud
  • Reynaud episode in 2001
  • Keep my elbows under control
  • Recommended capillaroscopy every year, with no obvious results
  • Many tendinitis spread throughout the body and quickly provoked. Hardly solvable.
  • Ana sometimes above norm 100 and something
  • HLA B27 negative test
  • Non-specific ileus inflammation – colonoscopy 04.2016
  • Sore Olecranon inflamed (bursitis) while using Humira.  liquid withdrawal is inflammatory. Cortisone infiltration. Bern says it is a local rather than a systemic process.
  • No response to selective fans and cox 2 and algix, Humira
  • Mesalazine for 6 months inconsistent response. As soon as it stopped, I made compact and little diarrhea


PRO REUMACONTRA REUMA
-Sister withPsorasi
-Mother with reynaud.
-Many recurrent and easy tendinitis, very slow to heal. Some do not heal.
-High ANA 100 and something.
-MRI with different tendinitis and bone edemas 08.16.
-Colon with nonspecific inflammation 04.16
-daily diarrhea and cramps
-Inflammation of the link elbow,
-Sacroiliac edema 08.16 rmn not explained		-no blood.
-No HLA-B27.
-Night pain and morning stiffness absent.
-No obvious MRI and RX signs. (Broglia only)
-No specific colon inflammation.
-Local and non-systemic inflammation of the elbow.
-And not necessarily it must give high ves and pcr. It can but it shouldn’t.
-No response to 1-2 cox fans.
-No response to cortisone.
-No respons to mesalazine.
-No benefit TNF Humira 6 months
-No benefit TNF Cosentyx 4 months.
-Reynaud is another family compared to spondyloarthritis.

NEUROLOGICAL AND PSYCHOLOGICAL ASPECT

  • Negative neurological visits (sensitivity and reflexes. No other tests performed)
  • CEREBRAL PET October 2019 which does not show signs of central sensitization (no thalamus anomalies and caudate nuclei)
  • Endless FKT treatments and strengthening and stretching exercises. Thousands of hours of exercises with no results.
  • For the consequences that this chronic pain and functional limitations bring to the level of mood and social life, I am followed psychotherapy and pharmacologically with antidepressants.
  • controlling pain is practically impossible. Stretching exercises, strengthening of the hip muscles, stabilization and centering etc. also did not lead to anything.

INTERNAL MEDICINE PROBLEMS less important and less disabling.

  • 998 – 2002 Headaches and intermittent (chronic) nausea, especially after meals.
  • 2000 Episode of Reynaud’s disease in the hands (swollen and red for several days). 3-4 episodes.
  • 2003 Homeopath advises me to eliminate dairy products and tomatoes from the diet. Headaches and nausea definitely improve. Elimination continues today.
  • 2006 to now: intestinal problems (“contracted” colon and frequent loose stools, diarrhea). Pain and after 5 minutes discharge strong and abundant. Frequent, while paying attention to food.
  • Intolerance to various foods (dairy products, gluten)
  • 2016 reduction in gluten, fruit, vegetables and legumes
  • 2016 gastroscopy signals the principle of gastric erosion and incontinent cardias

TAKEN DRUGS

PROVEN PAIN-REDUCING DRUGS WITH NO BENEFIT AT ALL:

  • Paracetamol
  • Paracetamol + codeine
  • NSAID COX 1 (all types of molecules for 4 weeks 3 times a day)
  • NSAID COX 2 Algix
  • Salazopyrin 2000 mg/day for 8 weeks (intestine)
  • Etoricoxib cox 2 selective
  • Tramadol (it took away the discomfort, but not the pain)
  • Targin 5/10 mg
  • Pregabalin – Lyrica
  • Hyaluronic acid infiltration in the joint (knee and right hip)
  • Infiltration of cortisone and anesthetic in joint (3x right, 2x left)
  • Infiltration of cortisene and anesthetic to the sacroiliac joints
  • Deltacortene cortisone 25mg for 6 days.
  • Gaba pentine 1800mg /day for 2 months
  • Paroxetine ( for years)
  • Sertraline ( for years)
  • Duloxetine (3 months)
  • Venlafaxine (3 months)
  • Amisulpride ( 3 months)
  • Clomipramine – anafranil (from August 2016, 150 mg)
  • Amitriptyline
  • Cymbalta 9 months
  • Hemp oil
  • Oxycodone 5 – 10 -20 mg
  • Palexia 50 – 100 mg
  • Mesalazine 6 tablets for 7 months (10.16/05.17)
  • Humira 7 months (10.16 /04.2017)
  • Cosentyx 5 months
  • Brupenorphin 35 mg
  • Palladone 12 mg
  • Fentanyl /100 mcg infusion for 10 days (plus oral, overdose)

MEDICAL PERSONNEL MET

DOCTORS AND THERAPISTS MET SINCE 2002

  1. Ortopedico Dott Meggi (Atalanta calcio) 2002
  2. Fisioterapista Ruggiu 15 sedute ed esercizi – Muggiò 2001
  3. CHIRURGIA ERNIE INGUINALI BILATERALI  Chirurgo Bartolomeo Rizzi 2001
  4. Psicologa – Chiara Stoffel  2002 2003 2004
  5. Operatore shiatsu –  Emilia Lusenti 30 sedute, 2004
  6. Operatore reiki – Reny Lardè Maloja Grigioni 18 sedute 2004
  7. Psicoterapia – Yvan metamedicina 2006
  8. Psicoterapia – Claudia Rainville 2007
  9. Fisioterapista osteopata – Laura Massari Faenza  2007
  10. Fisioterapista osteopata – Mara Giordano Asti 2008
  11. Pranoterapeuta – Mario Azzoni 2008
  12. Fisioterapista Angela Scariato Pavia 2009
  13. Chiropratico Andrea Vlacos Pavia 2009
  14. Chiropratico Brice David San Rocco  Como 7 sedute 2009
  15. Chiropratico Pieter Stockelynck San Rocco Como 10 sedute 2009
  16. Reumatologa Niguarda 2009
  17. Reumatologo Pavia2009
  18. Reumatologo Mastaglio Gravedona 2010
  19. Ortopedico ginocchio – Dott. Maggi 2011
  20. CHIRURGIA ARTROSCOPICA GINOCCHIO DX dott Maggi Milano 2011
  21. Ortopedico ginocchio  Minola 2011
  22. Fisioterapista e osteopata Staffa Claudia  Pavia 8 sedute-  2011
  23. Ortopedico del piede Franco Daverio Pavia 2011
  24. Ortopedico Marco Schiraldi – Alessandria 2011
  25. Ortopedico Vincenzo Angi Gallarate 2011
  26. Ortopedico ginocchio  F.Benazzo Pavia 2011
  27. Ortopedico ginocchio Dott Testa Pavia 2011
  28. Fisiatra ginocchio Baldini Sondrio 2011
  29. Ortopedico ginocchio G.Pini – Loriero 2012
  30. Osteopata ospedale di Faido, 2012
  31. Fisioterapista Scascighini Lugano 5 sedute 2012
  32. Fisioterapista  Varese –  Walter Marchesi 12 sedute 2012
  33. Fisioterapista Maitland – Walter Rolf fkt chiasso 2012
  34. Fisioterapista osteopata Guido Grawe Berlino DE 9 sedute 2013
  35. Ortopedico artroscopista Berlino 2013
  36. Fisioterapista Grosjean Minusio Ticino 8 sedute  2013
  37. Ortopedico anca – Grappiolo Humanitas 2014
  38. Ortopedico anca Pasolini Galeazzi  2014
  39. Ortopedico anca non artroscopista dott Baldo Franco 2014
  40. Ortopedico f.c. internazionale dott. Galli 2014
  41. Fkt Claudia Merz Bioggio, 15 sedute 2015
  42. Fkt Luca Rimoldi mendrisio, 13 sedute 2015,
  43. osteopatia Paola mendrisio 5 sedute 2015
  44. Fisioterapista Gianni Maffei Lugano 4 sedute 2015
  45. Operatore energetico sciamano Birocchi Lugano 5 sedute 2015
  46. Fisioterapista Osteopata Corinne Lugano Cademario 12 sedute 2015
  47. Ortopedico anca artroscopia Randelli 2015
  48. Radiologo anestesista dott Aliprandi 2015
  49. CHIRURGIA ARTROSCOPIA ANCA BILATERALE  2015 Ortopedico anca artroscopia – Fontana
  50. Lettura akashika – Cristina Vignato- Roma 2015  
  51. Fisioterapista Monica da monte – Ticino sopraceneri 2016
  52. Fisioterapista Sgariboldi – chiavenna 9 sedute 2016
  53. Fisioterapista Chicca Scaramellini – chiavenna 11 sedute 2016
  54. Operatore energetico life Alignement- Valter celestino –Valle d’aosta  13 sedute 2016
  55. Neurologo ortopedico medicina del dolore – Marchettini San Raffaele 2016
  56. Ortopedico anca artroscopia Toni Bologna 2016
  57. Dottoressa psico-biologia ed  omeopata – Silvana Cominetti Lecco 14 sedute 2016
  58. Biopsicotronica, Azzoni, Como 2016
  59. 5 anni Psicoterapia,Psicoterapeuta – Elena Crema 2012, 2013, 2014, 2015, 2016, 2017
  60. Psichiatra Milano – dottoressa Toni Cristina 2016
  61. Medico cinese Bernasconi – Lugano 10 sedute 2016
  62. Ipnotista – Gustav Birth 2016
  63. Ipnotista – Antonella Biglio  Giubiasco 6 sedute 2016
  64. Terapista dolore – Milano San Carlo 2016
  65. Terapista del dolore – Bonezzi – Pavia 2016
  66. Reumatologo- Gaetano Pini 2016
  67. Reumatologo – Sarzi Puttini Sacco 2016
  68. Fisioterapista – Tiziana Nava Milano 2016
  69. Psichiatra – Tiziana strada 2016
  70. Allergologa- immunologa – Milano 2016
  71. Medico di base  cannabis– Nussbaumer Lugano 2016
  72. Reumatologo – Badaracco Lugano 2017
  73. Ortopedico – Uffenast Lugano 2017
  74. Gastroenterologo – Vannini Lugano 2017
  75. Fisioterapista – Claudia clinica luganese 2017
  76. Fisioterapista –  Petazzi Claudio  clinica luganese 2017
  77. RICOVERO 21 giorni  Inselspital Berna Reumatologia  2017
  78. Reumatologo – Inselspital Berna, Dott schwarz  – Berna
  79. Fisioterapista –  Inselspital Berna 2017
  80. RICOVERO  6 settimane Centro del dolore di Berna drsssa Vorbrueggen e altri – Inselspital 2017
  81. Ortopedico Tannast Inselspital Berna 2017
  82. Ortopedico Noetzli Sonnenhof 2018
  83. Dottoressa del dolore Remy Ospedale italiano Lugano 2018
  84. Psicologa dolore cronico dott.ssa Nesa Claudia, SSP cantonale 2018
  85. Fisioterapista 5 vie  Michele Wirth Lugano 2018
  86. Operatrice energetica e medicina ayurvedica Deise Gonzalez – Lugano 7 sedute 2019
  87. Operatrice energetica Upadhi Rita Maggi – Casole d’elsa  2018
  88. Dottoressa Psichiatra Domenighini Francesca – Lugano  2018
  89. Terapista cinese dott.ssa Ye  Ospedale Italiano – Lugano 8 sedute 2019
  90. Terapista corenergetica complementare Milena Rottmann, 15 sedute – Lugano 2019
  91. Costellazione familiare, 4 incontri – Milena Rottmann  Morcote 2019
  92. Terapista LEC lavoro emotivo corporeo Willi Maurer – Lugano
  93. Terapista LEC lavoro emotivo corporeo Francesca Bescialli – Lugano 2019
  94. Dottor Bruni omeopata – Verona 2019
  95. Dott. Paolo Tessari, ortopedico – Verona  2019
  96. Osteopata Jermini Marco – Bioggio  2019
  97. Psicoterapeuta Gianella Daria – Lugano Palingenesi, 3 sedute 2019
  98. Neurologa centro Luvini – Lugano  2019
  99. RICOVERO 7 SETTIMANE OTI OSSIGENOTERAPIA IPERBARICA E TERAPIA DEL DOLORE Ravenna Italia 2019
  100. Medico direttore sanitario centro iperbarico Longobardi – Ravenna centro iperbarico 2019
  101. Fisiatra Francesco Fontana – Ravenna centro iperbarico 2019
  102. Terapista del dolore Molesi – Ravenna centro iperbarico  2019
  103. Ortopedico Anca Vlachopoulos – Balgrist Zurigo 2019
  104. Ortopedico Anca Pfingg- Balgrist Zurigo  2019


PSYCHO-EMOTIONAL-ENERGETIC-RELATIONAL THERAPIES

  • PSICOTERAPIA Psicoterapeuta Claudia stoffel, – Chiavenna 2 anni, 1 seduta a settimana 2003-2005
  • METAMEDICINA Claudia Rainville 2006 -2009

LME  lIberazione memorie emozionale, 3 giorni intensivi

Metamedicina 1              7 giorni intensivi di seminario di gruppo

Metamedicina 2              7 giorni intensivo seminario di gruppo

Metamedicina 3              7 giorni intensivi seminario di gruppo

  • PSICOTERAPIA Psicologo Claudio Tosoncin, Pavia- terapia settimanale  2009 – 2011
  • PSICODRAMMA DI GRUPPO, Milano, 2010, 20 incontri
  • PSICOTERAPIA Psicoterapeuta Elena Crema Lugano 2013 – 2017, 50 sedute e più
  • TERAPIA SOMATIC EXPERIENCE Renata Chianese, Lugano 2015 10 sedute
  • COSTELLAZIONI FAMILIARI Albert Brecht Lugano 2016 seminario
  • PSICO-BIOLOGIA Silvana Cominetti 2016 20 sedute
  • PSICHIATRA Toni Cristina Milano 2016 10 sedute
  • LETTURA AKASHIKA Cristina vignato 2015 2 sedute
  • LIFE ALIGNEMENT Valter celestino 2015-2017 10 sedute
  • IPNOSI REGRESSIVA Antonella Biglio e Gustav Birth 2017 6 sedute        
  • TERAPIA PRANO Azzoni, como 2017 10 sedute
  • IPNOSI ERIKSONIANA Dott.ssa Ferrera EOC 2018 5 sedute
  • PSICOTERAPIA  Claudia Nesa, Lugano 2018 fino ad oggi  3 sedute al mese
  • PSICHIATRA Domenighini Francesca, Lugano 2019 3 sedute al mese
  • COSTELLAZIONI FAMILIARI Milena Rottmann Lugano 2019 3 seminari
  • CNV COMUNICAZIONE NON VIOLENTA Milena Rottmann, Lugano 2019 3 seminari
  • LEC lavoro emotivo corporeo – Willi Maurer Lugano 2019 seminario e 3 sessioni individuali
  • FIORI DI BACH 2015 – 2019
  • PALINGENESI, Dottoressa Gianella Daria, Lugano 2019 3 sedute