Dr. Anthony Lombardi
Science & Tech • Fitness & Health
A community for Acupuncturists to learn and receive support about physical assessment, electro-acupuncture, motor point acupuncture, orthopedics, case studies, and much more.
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Make Sure to Check This When Treating TMJ

Cervical Range of Motion & TMJ
Sure, TMJ disorders can respond very well to acupuncture. But it isn't just needling ST7 or SI19. And it isn't just ashi needling or needling the masseter motor point.

In fact, before you put any needles in, you should go through an assessment. How else will you know why the patient has TMJ pain and how to treat it?

One important part of the assessment is the exam. During the exam, we need to check the patient's cervical Range of Motion (ROM). There must be cervical extension in order for the jaw to function properly. Go ahead and try it! Open your mouth like you're taking a big bite and you will notice your head tilts back.

A 2003 study found that all participants with TMJ complaints had either reduced or no cervical extension.

If your TMJ patient has reduced or absent cervical extension (their head doesn't tilt back), then you will have to address the neck.

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December 30, 2025

Is anyone practicing in area code 23062 - Virginia, or thereabouts? Williamsburg? For a friend with scoliosis and arthritis. thanks in advance.

December 29, 2025
Hip Px and hEDS

Patient: 34-year-old female, currently 15 weeks pregnant.
Diagnosis: Ehlers–Danlos syndrome (diagnosed 2021), hypermobility type (hEDS).

Surgical history: Four right hip surgeries between 2021–2024 for a torn labrum, ultimately requiring a cadaver graft, as well as repair of a femoral head injury. All four procedures have been deemed unsuccessful. In 2022, she also underwent shoulder surgery for a labral tear.

EXSTORE findings: Weakness noted in the L gluteus maximus, R adductor magnus, R hip flexors, L serratus anterior, and supraspinatus.
Current symptoms: Significant discomfort localized to the R greater trochanter, adductors, and hamstrings, with associated low back pain.

Pain management history: Prior to pregnancy, symptoms were managed with Baclofen, which was discontinued during pregnancy and is planned to resume postpartum. She claims she has had relief from DN in the past.

My understanding is that Ehlers–Danlos syndrome is an umbrella term encompassing 13 connective tissue ...

Metatarsal stress fracture tx?

Athlete with sub-acute second metatarsal stress fracture currently using rest and laser therapy for treatment. For electroacupuncture... Osteopuncture at 100 Hz at the base and head of the metatarsal to cross the fracture ? 30 Hz across the ankle joint at GB 40 and above the sustentaculum tali? Are MPs relevant here?

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