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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Why crowdsourcing treatment advice almost never works

It’s exhausting when you don’t have a system to work within. When every patient that comes in is like starting over and not knowing what to do. Every treatment is guesswork and not knowing if something will work, or why it did one time and not another. Or worse yet, why what you’ve used before flared up this new patient.

Too often practitioners work on assumptions or guessing. They base treatment on what worked for a past patient, or because a colleague said it worked on their patient.

And much of these recommendations come from Crowdsourcing for treatment advice on social media. I started a group that has over 7500 members. But I had to get away from it.

The issue is, absent using a working system, crowdsourcing is ineffectual at best, and reckless at worse. It was the same thing over and over. Tons of people hopping in offering random suggestions absent any real case history, and it was all piecemeal. It was unhelpful and only confused the practitioner who posted the original question even more. The practitioner wasn’t taught how to fish. They were just fed temporarily. But even worse, the fish wasn’t even edible. (Ok enough analogies)

Can you imagine if your patient knew you were trying some random technique because another practitioner offered advice on Facebook?! When you think about it that way it’s pretty crazy.

But asking for advice CAN be helpful when it’s done in a certain way. Asking questions on a forum is much more valuable when it’s within a system and we’re speaking the same language. You can build within a system. You can make sense of the patient when you have a base of knowledge to work from. When someone posts a history of the patient, better advice can be offered. This also helps practitioners grow and not just have a crutch. I want practitioners to ask questions and learn more than just “here try this”. It’s much better to know the why and empower them to be more self sufficient…to grow into getting the answers themselves and knowing how to find them. Offering treatment advice is much more profound in this way.

A forum works much better this way and it works extremely well on our Locals community, where EXSTORE is the system that everyone works under. Its just a more responsible - and very effective - way of running a forum.

Size doesn’t matter. Having a smaller more effective community is better. The community continues to grow, but not just for the sake of growth.

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March 09, 2026
Long Distance Running

Spring is coming… eventually. And when it does, runners will start emerging again, not just the die-hards who have been braving the cold all winter. I treat a whole spectrum of runners in clinic, from Ironman athletes to weekend joggers and everything in between. This webinar is an absolute goldmine, and I hope you get as much out of it as I have.

February 14, 2026
Calling EXSTORE Grads

5 patients on needles as i make this video….

00:00:42
January 10, 2026
Foot & Ankle Disfunction

January’s webinar is here! This one is a favorite of mine because it includes the fascial lens when teaching the movement of the foot and ankle. It cover anatomy, fascia, and accessory motion of the foot and ankle. Definitely worth checking out.

78 years old - female
CC: L sided LBP --> L hip & BL dorsal foot pain

  • onset 2007 after acute attack of transverse myelitis @ T10/T11
  • L leg was paralyzed for 2.5 months - at the time was receiving chiropractic treatment - after 4 sessions she regained feeling in her L foot - since then has been dealing with on and off pain
  • 2015 - BL dorsal foot pain with altered sensation on L foot - getting worse - can be sharp or achey (dispersed anywhere on top of foot, cannot pinpoint)
  • on and off gets drop foot in L foot
  • started taking Lyrica which helped with nerve pain but has now gained 60 lbs in 6 months. Doctor has just started her on Ozempic now.
  • has altered function in bowels and bladder since 2007 - constipation and leaky bladder.

I couldn't do much testing on her because her L hip pain is so intense and she is guarding a lot. I did test big toe extension which is very strong BL. Historically when she has had full nerve exams, the doctors are always amazed at her function.

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