This clip from 2017 sums up one of the biggest issues we see when treating MSK and pain conditions with needles — and also the solution.

The problem is not the lack of different techniques.

The problem is knowing when to use them, why to use them, and when not to use them.

Motor points, trigger points, electroacupuncture, peripheral treatments, central nervous system approaches — all of these can be valuable.

But they are not interchangeable.

The real skill is understanding how to apply those techniques through the lens of neurology, assessment, and clinical reasoning.

That means identifying what type of problem is actually in front of you, determining the most appropriate treatment strategy, and then reassessing to see whether you actually changed what you intended to change.

That is the difference between simply performing a technique and treating with precision.

And that is exactly what the EXSTORE™ Orthopedic System is built to teach.

EXSTORE gives practitioners a complete, ...

Anthony chronicled his 51-patient day.

No matter how many patients you want to see, how many days a week you want to work, whatever your goals are...EXSTORE™ gives you the ability to see more patients in less time while getting even better results.

You can see as many patients as you want if you learn the Exstore system to the level that you master it. And the best way to master it is come to the clinical intensive this October. There’s two spots left and there’s nothing that can replace this intensive learning experience . You will treat over 60 patients in two days. There’s nothing else like it and no other instructor anywhere in the world is offering anything close to this.

Hello!

I am treating a female patient (49) with a long history of severe pain following a surgery (1988) when she was 10y to remove a Ewing sarcoma with skin and other soft tissue underneath her left shoulder blade. Although she does not have much recollection of what was done then, direct observation of her left shoulder suggests that the extensive portions of the upper and middle trapezius were removed. The skin covering the upper trapezius looks like a thin and very tense layer of skin with a thin underlying muscle sheet between the suboccipital area and the acromion. 

In 2023, she was diagnosed with pancreas adenocarcinoma, and recently metastatic nodules were found in the lungs. Earlier this year, she had a surgery to her left lung to remove some nodules, and she is now undergoing an experimental medical trial related to a mutation she carries (KRAS G12D).

HER CHIEF COMPLAINT:
Severe pain and significant restriction of the left (affected) shoulder, with pain / numbness ...