Hi! @Exstoreman I watched and took notes on the 12 Peripheral Nerve entrapments, and I have many questions. I couldn't find clarifications on these upon searching, but let me know if I missed them anywhere.
First, I am confused on how to know if I start with exstore, or work on nerve entrapment? Do I only know if it’s nerve entrapment by western med tests or muscle atrophy below the compression? Is this what the motor tests are for? How do I know if I need to work on peripheral entrapment vs cutaneous entrapment, nerve root compression, or others like thoracic outlet, chemo neuropathy, B6 neuropathy, burning in low back, etc? Is all numbness/tingling one thing, vs muscle atrophy, or other?
Next..
How do we connect the information from these tests that you provided, as they don’t have direct correlation? For instance, you list the individual nerves, and the individual vertebrae level tests, but those don’t have direct correlation and do have overlap. How do we use info gathered from ie nerve innervation (femoral) and motor or sensory tests L2?
For example you listed:
1)Nerve Innervations (ie Femoral: L2-4, quads, sartorius; Obturator L2-4 most adductors),
2) Sensory Exam ( ie L2/3: mid thigh lat to med distal. L4: medial calf spleen channel),
3) Motor Exam ( ie L2: legs apart, I push on lateral to medial they push lateral.
L3: bring knees together, I try to pull them apart and they push medial.
L4: quad, extend leg/knee a little bit, I push down they push up),
4) (And extra motor tests: ie Anterior Obturator nerve L2/3: lay on back. ADDUCTORS Keeps legs at 0-5 degrees, I push out you push in, testing adductor longer and brevis, supplied by anterior obturator.)
5) Nerve access locations (?): ( ie Femoral nerve: find inguinal ligament which runs from the asis to the pubic bone, feel for pulse, go lateral to nerve.)
I am confused at how to put the data together from all of these pieces.
I have more questions, but this is a great place to start in helping me to understand. Thank you so much!
Assessment & Treatment of 12 Peripheral Nerve Entrapments Using Electroacupuncture
This question came up at the December EXSTORE seminar. When does Anthony use the Pointer versus the ITO? (Or other longer-use estim device)
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.
Here is the list of webinars in the library.
This does not include the recorded labs or the other webinars annual members get.
@Exstoreman @JoshuaSwart
I just wanted to express my thanks today for all that y'all put together and hope y'all keep showing up for this community and an ever growing number of people. Thank you for your mentorship.
Today I go into my 6th year in business and I feel EXSTORE and the techniques learned truly are essential to my practice. There is friction in growing a business but I am thankful to have y'all help grease the wheels to move forward with more ease and grace.
I'd like to attend EXSTORE again this year as well to catch up with old and new faces. Please send link for retake when you can.
Again I cannot express my thanks enough.
Patient: F 38 y.o
CC: Inability to evacuate bladder.
Hx:
- life-long hx of UTIs
- 2021 L side sciatica w/ drop foot ( L4/L5 disc bulge)
- Oct 2024: Laminectomy: partial disc is still in tact; cut out portion of bulging disc & grinded down some bone
Testing has shown she still has 1/3 of urine in bladder even when she feels she has emptied. Worse since sciatica and the surgery. She still has numbness in her L lower leg since the sciatica episode that I tried to treat but it wasn’t successful as I didn’t see her enough and/or its been too long/4 years since the initial episode so too late for nerve healing maybe. Last week, she has been told she needs a catheter to empty her bladder and she is wondering if I can help her prevent this. She says her body feels like she is done emptying, but testing shows she still has urine present. She is quite active, rides a motorbike/ goes to the gym. Has a history of trauma and has been historically quite sensitive to the needles.
Thoughts!? @Exstoreman
