1. CYMATHERAPY ® Homeodynamic Change Case Study Dupuytren’s Contracture Case Study Dupuytren’s Contracture Copyright  2006 Elizabeth Bauer. All Rights Reserved.

2. Case Study A 72 year old female with a ten year history of Dupuytren’s Contracture

3. Baseline Photo Left Hand Left Hand Thickened Pretendinous Fascia Painful Nodule

4. Baseline Photo Left Hand Left Hand Painful nodule Immovable to palpation Pain level 7 on a scale of 10 Painful nodule Immovable to palpation Pain level 7 on a scale of 10 Thickened Pretendinous Fascia 30º Extension Contracture 30º Extension Contracture Tissue Discolored Pale Hard Fibrous Tissue Discolored Pale Hard Fibrous 30º

5. Left Hand Left Hand Baseline Photo Tissue Discolored Pale Hard Fibrous Tissue Discolored Pale Hard Fibrous

6. Extension Contracture Baseline Photo Left Hand Left Hand

7. Left Hand Left Hand After First Session Nodule Softer Smaller Movable on palpation Pain level 4 on a scale of 10 Nodule Softer Smaller Movable on palpation Pain level 4 on a scale of 10 Fascia cord softer Contracture improved Fascia cord softer Contracture improved Tissue Color Improved Pinker

8. Left Hand Left Hand 15º Extension contracture Contracture reduced by 15º 15º Extension contracture Contracture reduced by 15º After First Session 15º

9. Left Hand Left Hand 15º Extension contracture Contracture reduced by 15º 15º Extension contracture Contracture reduced by 15º After First Session

10. Left Hand Left Hand Nodule Much softer Smaller Movable on palpation Pain level 3 on a scale of 10 Nodule Much softer Smaller Movable on palpation Pain level 3 on a scale of 10 Tissue Color Improved and Pink within Normal Range Tissue Color Improved and Pink within Normal Range Fascia cord much softer Contracture significantly improved Fascia cord much softer Contracture significantly improved After Fourth Session

11. Left Hand Left Hand Nodule Much softer Smaller Movable on palpation Pain level 3 on a scale of 10 Nodule Much softer Smaller Movable on palpation Pain level 3 on a scale of 10 Nodule and tissue color significantly improved Tissue pink within normal range Nodule and tissue color significantly improved Tissue pink within normal range After Fourth Session

12. Left Hand Left Hand Relaxed hand shows normal extension of effected digit Equal to last 2 digits Relaxed hand shows normal extension of effected digit Equal to last 2 digits After Fourth Session

13. Left Hand Left Hand Nodule soft Significantly smaller Movable on palpation Pain level 3 on a scale of 10 Nodule soft Significantly smaller Movable on palpation Pain level 3 on a scale of 10 Full extension After Fourth Session

14. Left Hand Left Hand Full extension After Fourth Session

15. Summary Subject reported an improvement in range-of-motion (ROM) Subject reported a decrease in pain level during hand movement -Pain level decreased from a baseline of 7 to 3 on a scale of 10 Subject reported an improved tissue flexibility and an ‘easing up’ of contracture and constriction Subject reported an improvement in range-of-motion (ROM) Subject reported a decrease in pain level during hand movement -Pain level decreased from a baseline of 7 to 3 on a scale of 10 Subject reported an improved tissue flexibility and an ‘easing up’ of contracture and constriction

16. Summary Subject noticed an overall improvement Subject was very satisfied with her results Subject reported a dramatic softening of her nodule Subject reported a dramatic softening of her affected pretendinous fascia Subject reported an improvement in skin color Subject noticed an overall improvement Subject was very satisfied with her results Subject reported a dramatic softening of her nodule Subject reported a dramatic softening of her affected pretendinous fascia Subject reported an improvement in skin color

17. Followup~6 Months This subject did not receive any further Cymatherapy ® sessions for 6 months Range of motion was even better than after last session received Nodule and pretendinous fascia continued to improve Pain levels continued to improve even with increased levels of activity and weight bearing activities This subject did not receive any further Cymatherapy ® sessions for 6 months Range of motion was even better than after last session received Nodule and pretendinous fascia continued to improve Pain levels continued to improve even with increased levels of activity and weight bearing activities

18. Followup~6 Months These changes indicated that her condition did not deteriorate (Dupuytren’s is progressively degenerative) despite a very long gap in between Cymatherapy ® sessions. These changes may be indicative of a continuing regenerative process of the tissue once harmonic frequency rebalancing is established in the cells, resulting in healthy cell renewal. These changes indicated that her condition did not deteriorate (Dupuytren’s is progressively degenerative) despite a very long gap in between Cymatherapy ® sessions. These changes may be indicative of a continuing regenerative process of the tissue once harmonic frequency rebalancing is established in the cells, resulting in healthy cell renewal.

19. Nodule soft Remains significantly smaller Movable on palpation Pain level 0 at rest on a scale of 10 Nodule soft Remains significantly smaller Movable on palpation Pain level 0 at rest on a scale of 10 Full Extension Maintained Fascia cord remains much softer Contracture significantly improved Fascia cord remains much softer Contracture significantly improved Left Hand Left Hand Tissue Color Remains Normal Pink Tissue Color Remains Normal Pink Followup ~ 6 Months

20. Left Hand Left Hand Full Extension Maintained Followup ~ 6 Months

21. Left Hand Left Hand Followup ~ 6 Months Full Extension Maintained

22. Followup ~ 6 Months After 1 Session Followup ~ 6 Months After 1 Session Left Hand Left Hand Full Extension Relaxed hand

23. Followup ~ 6 Months After 1 Session Followup ~ 6 Months After 1 Session Left Hand Left Hand Close-up Fascia cord area Full extension

24. Relaxed hand Followup ~ 6 Months After 1 Session Followup ~ 6 Months After 1 Session Nodule

25. Followup ~ 6 Months After 1 Session Followup ~ 6 Months After 1 Session Relaxed Hand

26. Followup ~ 6 Months After 2 Sessions Followup ~ 6 Months After 2 Sessions Full Extension

27. Followup ~ 6 Months After 2 Sessions Followup ~ 6 Months After 2 Sessions Left Hand Left Hand Relaxed hand Can you find the nodule or fascia cord?

28. Summary Pain level 0 at rest on a scale of 10 Able to carry heavy objects i.e. luggage Pain level may spike to 4 for a few seconds after heavy lifting but returns quickly to 0 Pain level 0 at rest on a scale of 10 Able to carry heavy objects i.e. luggage Pain level may spike to 4 for a few seconds after heavy lifting but returns quickly to 0

29. Copyright  2006 Elizabeth Bauer. All Rights Reserved. CYMATHERAPY ® Homeodynamic Change Case Study Dupuytren’s Contracture Case Study Dupuytren’s Contracture