@matthawkes @Exstoreman
Matt emailed me this question, and it's a good one. Many people have this same question.
"Hi Dr. Lombardi I have a question from the April Exstore seminar in Tampa about the point you used to stimulate the cervical plexus. I believe it is level with C4, posterior to SCM and just anterior to levator scap MP. I can't remember if I am supposed to roll anteriorly over the transverse process of C4 or stay posterior to the transvesre process. Also, what is the proper depth? Thank you Matt"
I'm pretty sure I have a video of this, I will track it down and post it.
January’s webinar is here! This one is a favorite of mine because it includes the fascial lens when teaching the movement of the foot and ankle. It cover anatomy, fascia, and accessory motion of the foot and ankle. Definitely worth checking out.
Give this a read after you watch the video: https://pmc.ncbi.nlm.nih.gov/articles/PMC7689775/
Athletic Intensive Myofascial Release
Location: Shokunin CrossFit, Mesa, AZ
Pre-requisite: EXSTORE
Register here:
https://aseseminars.com/event/athletic-intensive-myofascial-seminar/
What permissions are generally needed for a hospital visit? I have a patient that wanted me to do a hospital visit for her parent. I told her with approval from her physician and hospital that I could do a visit.
Is there any paperwork outside of the normal paperwork I should know about to keep myself protected?
I have a new patient, 44 year old man, who has L sciatic pain, starting in his left gluteals and down his left leg upon standing or walking/running for 7 or more minutes, but all other positions or activities actually improves the pain: sitting, lying, weightlifting, biking, squatting, jump rope, sit ups, etc although it worsens after hours of sitting at work. On walks he often has to squat to get relief. Sensation is numb tingling to knife sharpness or electrical. He has had imaging diagnosing mild stenosis L5-S1 but nothing the doctors considered worth intervening for. Onset of sciatica was insidious 2 years ago with no clear initiating incident. He’s had PT for a year with no effect.
EXSTORE: He is very strong and my pressure is not that well calibrated I think, so at best I felt a little sponginess in the TFL and gluteus minimus/posterior gluteus medius. But it was unclear. He did have more restriction in SLR, about 60-70 degrees compared to 80-90 for right.
Only other thing going on...
