Bockmann Technique

This one of my patients.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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"5-year hx, worsening. I've seen several dermatologists and allergists who have had me try various oral & topical anti-itch medications, antihistamines, but none have given any relief. ⠀⠀⠀⠀⠀⠀⠀⠀⠀
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Sx started as seasonal (winter/spring), 5 y ago, only on the right dorsal forearm. ⠀⠀⠀⠀⠀⠀⠀⠀⠀
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Have since progressed to left dorsal forearm as well, and worsened in intensity.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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Worst at night. Itching prevents me from sleeping much at all. *I am currently in sleep deprivation d/t these sx.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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Aggravated by scratching it or lightly touching forearms. No relief from benadryl, NSAIDs or topical steroids.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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Some relief with ice or really hot water; have burned my forearms attempting to get relief.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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Most recently saw a rheumatologist. He recommended I investigate neurological treatments.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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*Ultrarunner, endurance athlete. Typically run 40k+⠀⠀⠀⠀⠀⠀⠀⠀⠀
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*I'm a physicist, routinely travel to remote regions (Africa, Asia, South America, etc); traveling most of year.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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*Don't drink much water. Hard to stay hydrated.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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Can rule-out systemic dz d/t all the specialists I've seen for these issues."⠀⠀⠀⠀⠀⠀⠀⠀⠀
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TREATMENT: I doubled his protein (he was low), tripled his water (to 3 liters), performed MFR on neck shoulder & forearms (he was super tight), prescribed neck & shoulder stretches to restore ROM, workstation mods (to remove daily re-injury) and performed CMT to neck & upper back (to restore ROM).⠀⠀⠀⠀⠀⠀⠀⠀⠀
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VISIT 2: ⠀⠀⠀⠀⠀⠀⠀⠀⠀
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"You fixed it. I can't believe that I've seen so many doctors in so many specialties over the years, and nothing they've done has helped. None of the meds have helped.⠀⠀⠀⠀⠀⠀⠀⠀⠀
I haven't scratched my arms for the entire week. Saw almost immediate relief in 2 days of doing the rehab homework."