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!
Anthony chronicled his 51-patient day.
No matter how many patients you want to see, how many days a week you want to work, whatever your goals are...EXSTORE™ gives you the ability to see more patients in less time while getting even better results.
You can see as many patients as you want if you learn the Exstore system to the level that you master it. And the best way to master it is come to the clinical intensive this October. There’s two spots left and there’s nothing that can replace this intensive learning experience . You will treat over 60 patients in two days. There’s nothing else like it and no other instructor anywhere in the world is offering anything close to this.
I have a patient who had a spinal stroke at C3-4. He has numbness and tingling through his left arm and leg, weakness in left glutes. I have done upper and lower perfusion treatment on him twice a week for the last 3 mos. He has had some improvement. Should I also be doing any local channel points, scalp points? Anything else other than perfusion?
There are 2 seats left in my Clinical Intensive this Oct 3-4 at my office. Read the outline and register here:https://aseseminars.com/event/clinical-intensive-training-course-at-dr-lombardis-clinic-in-hamilton-ontario-2/
@Exstoreman Difficult case
43 year old woman
CC: R drop foot progressively worsening
Systemic steroids helped the pain but not the drop foot
Has 6 lumbar vertebrae
Imaging:
July 2026: L-spine MRI - moderate/severe L4/L5 disc injury with severe neural stenosis
L6 fracture when 15 years old from diving injury (healed)
Foot drop:
Aug 2025: horseback riding trip (7 days long) no falls, just lots of riding; when travelling back home after her riding days, she notices her R foot stopped dorsiflexing - took 8 weeks to resolve
June 2026: foot drop came back when doing one sided lifting exercises
Neuro-surgeon said if not in severe pain, neurological recovery post surgery is 50/50 so don't risk surgery if not needed
What are your thoughts about treatment? With the severity of her disc issue, is electro-acupuncture going to help at all?
I see her sporadically so I haven’t been able to treat her appropriately. Stimulating the fibular nerve is incredibly uncomfortable on her, but we managed to do it the ...
