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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Stay true to the system and it won’t let you down

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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What else you may like…
Videos
Posts
November 08, 2025
November Webinar: Plantar Fasciitis

If you treat patients with plantar fasciitis, this video is worth your time. Anthony breaks it down with key treatment targets you might be missing.

November 11, 2025
Make it your goal to be booked solid!

Register for the next EXSTORE course or book a refresher if you need to brush up:

https://aseseminars.com/event/the-exstore-orthopedic-system-for-dry-needlers

00:00:49
November 03, 2025
Must watch if treating throwers

Dr Lombardi shares a titbit about the importance of following the Exstore scan for TVA

00:01:14

Hi all, is there an alternative needle placement for cervical perfusion? I have a patient here today with a spinal cord stimulator with leads at T3 who needs c spine perfusion.

November 13, 2025
Intro to Exstore and Live Lab is Tonight @ 8pm EST

Know anyone curious about treating MSK issues? Invite them!
Tonight’s webinar and live lab are free and open to the public — you just need to register first.

Webinar: 8pm EST
Live Lab: 8:30pm EST

Register Here: https://us02web.zoom.us/meeting/register/cVU76uSoSiy11CJzk4Aq0g

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November 12, 2025
Knee pain arthritis + chronic systemic

I have a patient, on her 70's, Hx of cancer with chronic knee pain. She states that her knee hurts when she moves. Because of cancer Hx, I am assuming she is considered a chronic systemic patient , correct? She has arthritis on her knee. Do I needle her knee intra-articular with 100 Hx? or 20 hx? Or should I not needle her knee intra-articular?
I am getting a little confused when to use 100hz versus 20 hx in a patient with arthritis and pain in knee.

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