78 years old - female
CC: L sided LBP --> L hip & BL dorsal foot pain
- onset 2007 after acute attack of transverse myelitis @ T10/T11
- L leg was paralyzed for 2.5 months - at the time was receiving chiropractic treatment - after 4 sessions she regained feeling in her L foot - since then has been dealing with on and off pain
- 2015 - BL dorsal foot pain with altered sensation on L foot - getting worse - can be sharp or achey (dispersed anywhere on top of foot, cannot pinpoint)
- on and off gets drop foot in L foot
- started taking Lyrica which helped with nerve pain but has now gained 60 lbs in 6 months. Doctor has just started her on Ozempic now.
- has altered function in bowels and bladder since 2007 - constipation and leaky bladder.
I couldn't do much testing on her because her L hip pain is so intense and she is guarding a lot. I did test big toe extension which is very strong BL. Historically when she has had full nerve exams, the doctors are always amazed at her function.
major surgeries: Aortic valve replacement trans aortic 2020. Revision in 2025
Treatment today: Mar 13 2026
- HTJJT8-L5 with ITO at 2hz- 20 mins + LR3, GB40
- (L) glut med, glut min, SI joint
I am curious on other's thoughts? @Exstoreman is there any chance of giving her relief? I have never treated anyone with Transverse Myelitis before.
Spring is coming… eventually. And when it does, runners will start emerging again, not just the die-hards who have been braving the cold all winter. I treat a whole spectrum of runners in clinic, from Ironman athletes to weekend joggers and everything in between. This webinar is an absolute goldmine, and I hope you get as much out of it as I have.
Learn how learning Exstore actually stimulates the Reticular Activating System in your brain. Register here: https://us02web.zoom.us/meeting/register/b3ElQAxqSKW4cymSEJUVig#/registration
Happy March! ☘️ This session will introduce the foundational concepts of Exstore along with a real clinical case involving the management of a bone fracture in a competitive golfer. Practitioners will see how orthopedic acupuncture can be applied to support tissue healing, manage pain, and facilitate a safe return to activity. Whether you are new to Exstore or looking to deepen your clinical reasoning, this case-based discussion will offer practical insights you can bring directly into practice.
If you know a colleague who is curious about orthopedic acupuncture or interested in expanding their treatment approach, please feel free to share this event and help spread the word.
📅 Saturday 3/14
⏰ 1pm EDT
Registration required: https://us02web.zoom.us/meeting/register/b3ElQAxqSKW4cymSEJUVig
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 ...
