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?
Help with a patient with chronic shoulder pain

Hi everyone, I have a 70 yo female chronic systemic patient with fibromyalgia, with pain everywhere for 40 years, surgeries on both knees, on toes on both feet, and on right rotator cuff. 1 year ago fell to the floor and damaged her shoulder)
After 4 months of EXTORE, herbal medicine and diet, all pains has gone but the shoulders. Before she couldn't move them without pain, now still have pain under minimal resistence. still difficult to do normal life.
She got an MRI with the next results:
Right Shoulder: Full-thickness tear in supraspinatus tendon with 4-5 cm tendon retraction.
Tendinopathy and partial thickness articular surface tearing in the infraspitatus tendon.
Effusion and synovitis in the glenohumeral joint
AC joint arthritis, subacromial/subdeltoid bursitis. Partial tear of subscapularis tendon. Posterior labral tear. Mild supraspinatus muscle atrophy.
Left Shoulder: partial thickness articular surface and substance tearing in the supraspinatus tendon 1 cm from its insertion onto the greater tuberosity. Effusion and sinovitis are seen in the glenohumeral joint.
Full-thickness tear in the subscapularis tendon of the lesser tuberosity with up to 3 cm of tendon retraction. Partial tearing of the long head of the head of the biceps tendon
AC joint arthritis and subacromial bursitis.
Type II SLAP tear.
Subscapularis muscle atrophy

Do you have any suggestions on how to keep treating her?
I have been doing perfusion, working on her serratus, and basically all muscles around the shoulders, and also 20 Hz on her AC joint (but this only 4 times, should I do it constant 2xweek or somehthing like that?
Thank you very. much for your help!

Interested? Want to learn more about the community?
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
November 21, 2025

@Exstoreman @JoshuaSwart My regular tennis patient said:

I tore my plantar again last Saturday. Same foot, same feeling. Haven't gone to doc or gotten mri but feel exactly the same. Unfortunately they can't see me til Tuesday 2:45 and then imaging will come after...want me to push out til I know more?

  • Should I wait for her to get an MRI to confirm that her plantar fascia or achilles tendon was torn before I treat her, or should I just treat her before that imaging appointment? Thank you! Sarrah
November 21, 2025

@JoshuaSwart I always hear about people niching down but also writing articles to discuss their niche.

Treating MSK and there are many conditions that fall under that category.

Would you say there are major categories and minor categories of niching?

What articles are essential for a MSK EXSTORE practitioner? What image creation is essential?

What articles do you feel are needed for promoting SEO of a website geared towards MSK for higher ranking over time so the algorithm picks up on your niching down by article promotion?

I have been rewriting a few articles from my website builder so they sound less mysticism and more scientific.

If there is a best scripted / article for talking about a topic then could there be collaboration of what is best said rather than us paying ghost writers separately? Most of the information seems the same but in slightly different words. Why not have a standardized article for EXSTORE practitioners so we can set a standard on what practitioners should know ...

November 18, 2025
Kenny Easley dies from kidney Failure

Kenny Easley, Hall of Fame defensive back in the NFL passed away yesterday at the age of 66. He had to retire retire early because team doctors were giving him an absurd amount of nonsteroidal inflammatory drugs, which caused him to go into kidney failure and retire before the age of 30. Check out this excerpt of a New York Times article based on a piece written in a journal back in 2002. It’s important for athletes at all levels to have their own physicians and healthcare professionals so that they can act independently in the best interests of the athlete.

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