@Exstoreman .I have this patient with chronic neck pain. She is 51 years old. She said a flare up started around xmas 2025. She has stiff neck, sharp pain, and have headaches (all starts occipital RT side and go temporal). She also complained of pain around the masseter.
Hx: Sjogren's disease (diagnosed 2020)
Shingles December of 2023
Thyroid nodule + surgery 2009, treatment for hypothyroidism since
Well, i have seen her 8 times. She was coming 2x per week , for 3 weeks, now is coming weekly. She says her headaches are no longer present, and she said her facial pain is gone(I actually had to remind her that she was complaining of face pain and pressure). Well she seemed like she was getting better, and stating that her neck was feeling stiff and weird, but the sharp pain was better.
On feb 3nd she came in and said she had a really bad sharp , shooting pain, over the weekend. She said that the pain would come and go. I treated her and then she came back the same week on Friday, and said she was feeling much better and she did not need to take any ibuprophen. Now yesterday (2/10), she came and said that over the weekend she had such bad, shooting pain, that she could not sleep and wanted to scream, because was so bad shar , shooting pain. The pain would shoot up, stop and come back. She said she has never felt such pain, and that this pain was worse than ever. She said was worse than when she started the treatment. The pain was so bad that she decided to see a MD and now she is on GABABENTIN. Conclusion, I'
m not sure what to do at this point, not sure why she got worse. Last tx i did perfusion treatment, and needle cervical plexus, needle around UB 10, GB 20, trapeziums. Is it possible I needled to deeply?
I did exstore testing, all showed up was serratus inhibition. all in the RT side, where her neck pain is. But im not supposed to use motor point right?
She ended up having xrays this Monday2/9, and she was diagnosed with degenerative disorder and stenosis of cervical spine. Any suggestion?
She also is getting adjustment by a chiropractor
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/
@Exstoreman: I’ve been reading about cross-education and the role of supraspinal and corticospinal neural drive when working a muscle contralaterally, and it made me start thinking about the clinical implications. For example, could contralateral needling- esp MP’s- be helpful in a post-surgical shoulder patient who isn’t far enough along to treat the involved side yet? Eccentric movement seems to provide the strongest stimulus for cross-education, but since needling also has neural effects, I’m curious whether similar principles might apply clinically.
The thing I love about using electro Acupuncture for set pain protocols like stenosis or Bell’s palsy or TMJ- they make you so efficient. This morning. I worked from 730 and I was out by 11:15 AM and I saw 20 patients. There’s no other way this can be done without leveraging electro needling .
