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.
Interested? Want to learn more about the community?
December 28, 2024
Anterior thigh pain

I have a 71 year old male patient presenting with L anterior thigh pain that radiates around the hip & to lower back. Hx of L2-L5 laminectomy this past June. Has had no relief from surgery. The pain is constant and he has been to orthopedics & neurologists since surgery. He had an epidural at the end of October with no relief. Before Exstore I have been treating him mostly with trigger point work. His rectus femoris and adductors are tight bands. The referral pattern makes me think psoas. I'm wondering if I've been causing flare-ups.

The problem is he cannot stay in one position for long periods as the pain in his thigh becomes uncomfortable. I tried to do the perfusion treatment dueing his last treatment but was only to retain the needles for 3 minutes with stim. His best position is side-lying and I know he can stay in that position for a minimum of 20 min.

I really feel like the perfusion tx would be excellent for him as he has a long hx of low back pain, he's on a boatload of meds, he is stressed out from being in constant pain. He likes to be active and wants to do some of things before his back surgery such as walking for more than 15 minutes without pain.

So my question is can I do the perfusion tx in side-lying position and any other advice to get over this hump would be greatly appreciated. I've been treating him 2x week since the end of October with trigger point & soft tissue work. We missed a few treatments due to the holiday but I am treating him Monday.

Interested? Want to learn more about the community?
What else you may like…
Videos
Posts
April 12, 2025
Assessment and Treatment of Osteoarthritic Hip

We all have those patients who come in with osteoarthritic hips. This seminar dives into efficient, effective ways to get them moving again—definitely worth checking out!

Intro to Curve Analysis of Scoliosis

In this webinar Anthony goes over assessment and understanding of the major scoliotic curves. This includes how to base rehab prescriptions and how to select acupuncture treatment protocols for major scoliotic curves. We also review scoliotic curves on Xray and review what muscles are affected and the structural implications.

01:06:47
January 14, 2025
Stimulating the Femoral Nerve

From the December 2024 EXSTORE seminar.

List of All Webinars in the Library

Here is the list of webinars in the library.

This does not include the recorded labs or the other webinars annual members get.

List_of_Locals_webinars_that_all_supporters_have_access_to.pdf
Wins (Let's Hear 'Em)

Let's hear some wins!

Now that my practice runs so smoothly thanks to years of experience with Exstore, most of my participation in this community is when I hit the wall on a case. So no one gets to hear about all the fantastic daily wins.

I'm sure this may be true of all of you, so let's share some of those more interesting or surprising instances where Exstore and the principles we've learned here have really made a huge impact!

I'll go first:

3 days ago, new patient came in with low back pain and pins/needles down the back of his left leg.

Exstore revealed inhibition of most muscles of the left hip, including a positive SLR. His L leg couldn't be elevated beyond 30-40 degrees without 8/10 pain. Any higher was 10/10.

With a few needles and soft tissue work, his pain was down to 1-2/10 in 12 minutes. He scheduled his follow up, practiced nerve flossing, paid and was gone in less than 40 minutes total.

He returned today without pain. We'll see him again once next week to make ...

April 12, 2025
⚠️ IMPORTANT: PLEASE READ⚠️

We’re hearing that not everyone is receiving announcements—and that’s a problem. It’s important to us that everyone stays in the loop when it comes to our community.

post photo preview
See More
Available on mobile and TV devices
google store google store app store app store
google store google store app tv store app tv store amazon store amazon store roku store roku store
Powered by Locals