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.
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.
We all see migraines in our clinics—here’s how to treat them successfully and efficiently!
Here is the list of webinars in the library.
This does not include the recorded labs or the other webinars annual members get.
Any tips on treating someone with "cam type femoroacetabular impingement" and"Mild multilevel degenerative disc disease and facet arthrosis and Multilevel spondylolisthesis. There is some anterior translation of L4 and L3 with flexion, suggesting instability."
Her main complaint is hip pain (L) and low back pain: pain intensified a week ago and was shooting down the posterior thigh in the hamstring, sometimes the lateral side of thigh, all the way down to the foot.
Patient is a 53 y.o. woman. I saw her yesterday for a first visit for this issue (she's had hip pain off-and-on in the past but it's been months but as of 2 weeks ago became constant, unrelenting, worse with sitting but there all the time, and can be intense. No obvious onset.) She's taking an oral steroid and gabapentin in order to sleep. She carries a heating pad around with her, which seems to yield some relief.
EXSTORE: weak glut max BL, L lateral hip abudctors, L glut med had a very tight band, L QL mildly HT, tender upon ...
Okay can we talk about cortisone injections? What are your thoughts about pairing them with acupuncture or electro-acu? @Exstoreman and anyone else who has experience/ opinions. My thoughts are that we are causing inflammation and cortisone injections are stopping inflammation. So to me, they seem counter-productive!
