Posting for Lolane.
Patient: 68-year-old female
Chief Complaint:
• Left-sided periorbital neuralgia for approximately 2 years.
• No history of trauma or identifiable mechanism of onset.
Symptoms:
• Random, sharp “zapping” sensations both superior and inferior to the left orbit.
• Episodes are brief but frequent and bothersome.
• Pain can occur spontaneously without any apparent trigger.
Mechanical Triggers:
Palpation or light touch can reliably reproduce symptoms in several areas, including:
• Along the nasolabial fold
• Frontal sinus/supraorbital region
• Above the left eye
Activities of daily living that commonly trigger the pain include:
• Washing her face
• Touching her face
• Brushing her teeth
• Rubbing alongside her nose
• Occasionally blinking
Treatment Attempted:
Thus far I have tried:
• Upper quarter perfusion techniques
• Temporalis treatment
• Facial nerve treatment
• Motor point needling of the periocular musculature
• Craniosacral therapy
• Fascial release of the temporal, maxillary, and frontal regions
Response:
She has experienced mild improvement in the frequency of the “zaps,” but the symptoms remain persistent and continue to significantly affect daily activities.
@Exstoreman any advice on this?
Anthony chronicled his 51-patient day.
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I have a patient who had a spinal stroke at C3-4. He has numbness and tingling through his left arm and leg, weakness in left glutes. I have done upper and lower perfusion treatment on him twice a week for the last 3 mos. He has had some improvement. Should I also be doing any local channel points, scalp points? Anything else other than perfusion?
There are 2 seats left in my Clinical Intensive this Oct 3-4 at my office. Read the outline and register here:https://aseseminars.com/event/clinical-intensive-training-course-at-dr-lombardis-clinic-in-hamilton-ontario-2/
