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.
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Metatarsal pain

Hi, everybody.
@Exstoreman , I have a new patient with right metatarsal pain that has been going on and off for 2 years. (65 yo female, petite.) It started with Achilles' tendinitis and calf pain, then with foot pain as the calf pain subsided. Eventually, it went away, but came back after wearing a pair of boots with slightly elevated heels. Pain sometimes turns into numbness, and sometimes numbness extends to all toes. Her Tibialis Anterior and Peroneal Longus has trigger points. There is only a slight tightness in the medial gastrocnemius and Soleus. She can lift her big toe while standing without pain. Pain is worse when she is driving. The metatarsal gel pad is the only thing that alleviates pain. (Now she has an orthotic, which she is breaking in slowly.) I treated the Peroneal Longus and the Adductor Hallucis as the first treatment. 1) How do I test these muscles (or others)? 2) Should I be looking at other muscles? FYI, she did PT, Chiro, acu, anti-inflammatory meds, cortisone shots, reflexology, and massage. Nothing helped.
Thanks!

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Videos
Posts
February 14, 2026
Calling EXSTORE Grads

5 patients on needles as i make this video….

00:00:42
January 10, 2026
Foot & Ankle Disfunction

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.

December 29, 2025
Gut inflammation related to knee OA

Give this a read after you watch the video: https://pmc.ncbi.nlm.nih.gov/articles/PMC7689775/

00:01:12

@JoshuaSwart you would be proud. I revised my entire home page today for more of a story driven experience from patient perspective. I'd love your opinion. I just need to change my global header links but I feel everything else is improved and I used my photo shoot pictures for alot of it. Should look very polished soon. I have just a few more condition pages to write and I'll have felt I niched down more with 24 common MSK condition and nervous system articles that can be rotated yearly.

Hi Doc @Exstoreman female with face pain, diagnosed as temporo Auricular neuralgia from tim dysfunction. Patient is chronic systemic, pain seems to be along temporo Auricular nerve and facial n.I have done light stim on facial n and temporal branch and some light neck work which last a few days. Any suggestion. Grazie

Perfusion Protocol

Hello Folks! Couple questions on perfusion protocol:
1. Would it still be effective to use the perfusion principle with only estiming 1 side? For example, pain in the left arm, using perfusion principle on only Left side UB 11-UB15 on the left side and connecting the leads to UB 11-Ub12?

2. In Exstore the leads are attached to right needle to left needle. Would if be effective to attach leads on all left side and all on right side? or must they be attached Right needles to Left needles. For example Right UB 11 to Right UB 12 leads on this side and then Left UB 11 to left UB 12, and so forth.

Thank you, Tina

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