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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November 09, 2023
Why isn’t my practice growing?

I’m doing all the right things. I’m working out, I’m getting up at 5am, I stopped caffeine or stopped drinking alcohol…

I see this a lot within the profession as a whole. The idea is you want to be a better, healthier person. You want to be a good example for your patients, you want to feel great, have more energy. If you do this, you’ll be a better practitioner. If you do these things, your practice will follow and also be healthier.

But then your practice doesn’t grow.

Having healthy routines, while good for you, means absolutely nothing for your practice.

The only thing that helps your practice is actually working in, and on, your practice. Your practice doesn’t care if you met a PR in CrossFit. It doesn’t care if you can do splits, hand-stands, back flips, or if you eat clean.

In fact, oftentimes these things are another distraction and a way to avoid working on your actual practice.

There are many broke “healthy” people.

Health and wealth is an overall measurement of your life. Not a single stat.

So you quit alcohol? Got off caffeine? Started doing enemas? Meditate for 2 hours?

Great! Your practice doesn’t care.

OF COURSE you want of be healthy and feel great. But my point is…is your practice?

And are you doing more for your health as a distraction or because you’re avoiding something else?

It’s all about balance. And not making a mountain out of a mole hill. Simply do that food drive in your clinic. Reach out to local media. Do that talk. Have that in-house event. Call your local rotary. Find the health fairs. Hand your patients business cards and tell them to refer people. Follow up with patients that fell off your schedule. Be a part of your community, not just another business within it.

There aren’t secrets. It’s just hustle.

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January 02, 2026
Where do you start with this?

61 year old male with various changing musculoskeletal complaints: R neck and shoulder pain, sometimes cervical tightness causes numbness and tingling in arms. Bilateral hip pain/tightness which is intermittent, compared to the shoulder pain is more constant, but none of these are severe. Scoliosis in low back, often the L low back and flank hurt more than right.

R leg longer by 1/4”. L2-L5 or S1 very curved. R pelvis juts out compared to L. R shoulder significantly lower than L.

Currently his most acute symptom is tenderness in his L inguinal crease. There was a period of bleeding in urine and semen for 2 weeks that has stopped; he went to the doctor and they ruled out UTI, STD, and hernia. On palpation the edge of the pelvic bowl is a bit tender and the most tender spot subjectively is right over the femoral pulse.

EXSTORE:
Lower extremity: Bilateral psoas, TFL, gluteus medius, gluteus minimus.
Upper extremity: Supraspinatus, serratus

It just feels like a lot and I'm ...

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 ...

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