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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September 15, 2022
Don’t base your value on time

Results - not time - are how to measure how effective your treatments are. Never base your rates in time.

I would take any mention of time OFF your website. If you want to include wording to the effect that an initial visit may be up to a certain amount of time, that’s one thing. But you aren’t an insurance company and your treatments should not be attached to a pre determined amount of time. That’s setting an expectation that you don’t want the patient to have

I had more happy patients when I spent less time with them but used skills that were much more effective.

Believe me, patients don’t want to be in your clinic for an hour or more. Unless you serve alcohol and food.

Caveat - you don’t need to spend 10 years learning how to be effective and deliver exceptional results. We have the training to get you there much faster.

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What permissions are generally needed for a hospital visit? I have a patient that wanted me to do a hospital visit for her parent. I told her with approval from her physician and hospital that I could do a visit.

Is there any paperwork outside of the normal paperwork I should know about to keep myself protected?

January 16, 2026
Sciatica after 7 minutes

I have a new patient, 44 year old man, who has L sciatic pain, starting in his left gluteals and down his left leg upon standing or walking/running for 7 or more minutes, but all other positions or activities actually improves the pain: sitting, lying, weightlifting, biking, squatting, jump rope, sit ups, etc although it worsens after hours of sitting at work. On walks he often has to squat to get relief. Sensation is numb tingling to knife sharpness or electrical. He has had imaging diagnosing mild stenosis L5-S1 but nothing the doctors considered worth intervening for. Onset of sciatica was insidious 2 years ago with no clear initiating incident. He’s had PT for a year with no effect.

EXSTORE: He is very strong and my pressure is not that well calibrated I think, so at best I felt a little sponginess in the TFL and gluteus minimus/posterior gluteus medius. But it was unclear. He did have more restriction in SLR, about 60-70 degrees compared to 80-90 for right.

Only other thing going on...

January 13, 2026
Anyone near Vero Beach, FL?

Have a nice LBP/Knee patient for you.

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