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Treatment of Common Lower Body Musculo-Skeletal Conditions Using Electro-acupuncture and Motor points
San Diego, CA 🌝
October 15th and 16th
This seminar covers some of the most common lower body musculoskeletal pain conditions, including proper assessment and treatment using motor points, electro-acupuncture, and soft tissue techniques. You will be able to implement the clinical skills learned in this seminar your first day back in clinic, and experience better results.
Here is what's covered:
A. Foot/Ankle Lecture discussing the relevant anatomy and biomechanical function
•bone, joint, muscle, nerve anatomy of the foot and ankle
•introduction to the fascia of the foot and ankle
•innervation of the fascia and retinacula of the ankle, paratendon and its role in proprioception
•Properties and role of fascia in force absorption and entry point of energy
•Understanding what joint move most during gait (walking) and running
•Learning what accessory movements are and their role in gait and injury along with their effect on the knee, and hip
•Demonstrating manual release and acupuncture treatment using hand positions on an anatomical model of the foot/ankle with prosthetic fascia
•Depth Review of Relevant Clinical Anatomy
•Motor/sensory nerves
•Ligaments, fascia, tendons, joints
•Musculature
•Blood supply
Role of Neurogenic Inflammation
•Review of what is neurogenic inflammation?
•Review of role and time frame of different stages of tissue healing
History/Assessment of Plantar Fascia patients
•ROM
•EXSTORE role
•special testing
•learning history taking
Treatment options and demonstrations of plantar fasciitis
•Electroacupuncture
•Motor point acupucture
•Guasha and manual techniques
B. Classification, Assessment & Treatment of Knee Pain
•Course outline:
What is the difference between traumatic/non-traumatic knee pain?
•pathophysiology
•causes
•risk factors
•anatomy of structures at play
Assessment Protocol
• muscle assessment
• knee/ hip ROM
•orthopaedic testing
Elemental Breakdown of Treatment Protocol
Manual
•guasha application
•manual release
•cutaneous nerve release
Electroacupuncture
•motor points
•Perfusion treatment T10-L2
Patient examples
•Assessment
•Treatment Protocol
•Subsequent Treatments
C. Assessment & Treatment of Hip Pain
•What is an osteoarthritic hip?
•pathophysiology
•causes
•risk factors
•anatomy of structures at play
Assessment Protocol
•meralgia paresthetica
• muscle assessment
•hip ROM
•orthopaedic testing
Elemental Breakdown of Treatment Protocol
Manual
•guasha application
•manual release
•cutaneous nerve release
Electroacupuncture
•motor points
•Perfusion treatment T10-L2
Patient example
•Assessment
•Treatment Protocol
•Subsequent Treatments
D. Assessment and Treatment Low Back Pain
Review of Anatomy and Function
How do you perform an assessment on acute low back pain?
•What are your clinical goals based on your assessment?
•How do determine acupuncture point selection when planning patient treatment?
•What are the different treatment approaches to addressing acute low back pain with electroacupuncture?
Demo: Assessment & Treatment of Acute Low Back Pain Patient
•How to provide an acute low back pain assessment
•Demonstration of acupuncture point selection and treatment of acute low back pain using motor points, the pointer plus, and electro stimulators.
Becoming Familiar With Radicular (Sciatica)Low Back Pain
•What are the causes and physiological mechanisms
•When it is considered a clinical emergency
•Assessment on radicular low back pain
•What are your clinical goals based on assessment
•Determining acupuncture point selection when planning patient treatment
•Different treatment approaches to addressing radicular low back pain with electroacupuncture
Demo: Assessment & Treatment of Radicular (Sciatica)Low Back Pain Patient
E. Assessment & Treatment of Sacroiliac Joint Dysfunction
•What is Sacroiliac Joint Dysfunction
•pathophysiology
•causes
•risk factors
•anatomy of structures at play
•Assessment Protocol of Sacroiliac Joint
•Elemental Breakdown of Treatment Protocol
-Electro-acupuncture
-Manual Work/ Exercises
LIVE Patient(s) Example
•Assessment
•Treatment Protocol
•Subsequent Treatments
F. Assessment & Treatment of Lumbar Spinal Stenosis
Anatomy & Biomechanics of the lumbar spine
-vertebral joint
-zygapophyseal joints
-intervertebral foramen & spinal nerves/vasculature
-key musculature
Pathogenesis of Lumbar Stenosis
-causes
-process of pathology/arthritis
-mechanics
Neurogenic Claudication vs Vascular Claudication
-causes
-process of pathology
-differentiation
Assessment & Treatment of Lumbar Spinal Stenosis
-visual inspection, physical assessment, radiology
-medium to high frequency electroacupuncture based on research
-adjunctive exercises
-manual soft tissue techniques
NEW CONTENT for this seminar has been added!
âś… In depth gait analysis
âś… Functional analysis of the following joints involved in locomotion: 1st MTP,
âś… ankle joint, knee joint, hip joint, sacroiliac joint, lumbosacral joint
âś… Needling protocols to increase ROM in the above joints.
âś… Analysis of foot arches and their effect on knee, hip, and low back pain.
Pre-requisite: You need to have completed the on-line EXSTORE course or attended an EXSTORE live seminar.
Register here:
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.
I have a patient with right hip pain, particularly getting in and out of truck or stepping over his motorcycle. Patient was in a severe motor accident and sustained 28 fractures of the pelvis. Has 5 7.5 inch screws through the pelvis to hold together.
Used Exstore and got some strength back to the muscles that were weak, but still weakness resisted hip flexion. Psoas and adductors resting strong. Has responded well to estim, but wondering if this should also be a patient to use perfusion on at this point? And what realistic outcome should we suspect? Got him down to a 4/10 from a 7/10 and pain goes to a 2/10 for a couple days following treatment but then returns to a 4/10
Thank you for any advice!
Dr. Lombardi will break down how to recognize and diagnose PMR and, most importantly, how to approach treatment in our acupuncture clinics. Whether PMR is something you see in your clinic or simply want to better understand, this is a great opportunity to learn, ask questions, and add to your clinical toolbox.
Everyone is welcome! We’ll finish with a live Q&A, so bring your questions and come hang out with us Saturday! Must register to attend.
đź“…: Saturday, September 12th
⏰: 1pm EDT
đź“Ť: https://us02web.zoom.us/meeting/register/QusfCPtOSxKuf2x93KX0mQ
Spend the weekend inside Dr. Lombardi’s clinic. Real patients. Real problems. Real-time clinical decisions. Approximately 70 patients in one weekend- no carefully curated cases, no predictable presentations, and absolutely nowhere to hide.
Dr. Lombardi will be with you every step of the way while you learn how he assesses, treats, adapts, and keeps his clinic moving. Learn to think faster, treat smarter, trust your clinical instincts, and stop second-guessing every decision you make.
Learn how to grind.
Learn how to become a clinical champion.
This is not a relaxing weekend seminar. This is clinical boot camp!
Join us Sunday at noon and find out if you’re ready.
đź“…: Sunday, September 6th
⏰: 12pm EDT
Must register for this event: https://us02web.zoom.us/meeting/register/pV0qiuBVRCS7eKTrQm9hmA
