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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Chronic Periorbital Neuralgia

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?

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What else you may like…
Videos
Posts
When you have a hammer, everything looks like a nail

This clip from 2017 sums up one of the biggest issues we see when treating MSK and pain conditions with needles — and also the solution.

The problem is not the lack of different techniques.

The problem is knowing when to use them, why to use them, and when not to use them.

Motor points, trigger points, electroacupuncture, peripheral treatments, central nervous system approaches — all of these can be valuable.

But they are not interchangeable.

The real skill is understanding how to apply those techniques through the lens of neurology, assessment, and clinical reasoning.

That means identifying what type of problem is actually in front of you, determining the most appropriate treatment strategy, and then reassessing to see whether you actually changed what you intended to change.

That is the difference between simply performing a technique and treating with precision.

And that is exactly what the EXSTORE™ Orthopedic System is built to teach.

EXSTORE gives practitioners a complete, ...

00:02:40
Anthony's 51 patient day

Anthony chronicled his 51-patient day.

No matter how many patients you want to see, how many days a week you want to work, whatever your goals are...EXSTORE™ gives you the ability to see more patients in less time while getting even better results.

00:02:57
50 today, 50 three days ago

You can see as many patients as you want if you learn the Exstore system to the level that you master it. And the best way to master it is come to the clinical intensive this October. There’s two spots left and there’s nothing that can replace this intensive learning experience . You will treat over 60 patients in two days. There’s nothing else like it and no other instructor anywhere in the world is offering anything close to this.

00:00:51
September 03, 2026
Join us this Sunday at noon for a free webinar introducing the Clinical Intensive: A Weekend with Dr. Lombardi.

Spend the weekend inside Dr. Lombardi’s clinic. Real patients. Real problems. Real-time clinical decisions. Approximately 70 patients in one weekend- no carefully curated cases, no predictable presentations, and absolutely nowhere to hide.

Dr. Lombardi will be with you every step of the way while you learn how he assesses, treats, adapts, and keeps his clinic moving. Learn to think faster, treat smarter, trust your clinical instincts, and stop second-guessing every decision you make.

Learn how to grind.
Learn how to become a clinical champion.

This is not a relaxing weekend seminar. This is clinical boot camp!

Join us Sunday at noon and find out if you’re ready.

📅: Sunday, September 6th
⏰: 12pm EDT
Must register for this event: https://us02web.zoom.us/meeting/register/pV0qiuBVRCS7eKTrQm9hmA

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You need to learn this well

Come to Mesa AZ this Oct 24-25.
Its a write-off!

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August 27, 2026
🚨 Learn about our upcoming cadaver-based clinical anatomy course!

Join Dr. Lombardi for a free live webinar introducing the upcoming Pre-Dissected Cadaver-Based Clinical Anatomy Course, taking place July 24–25, 2027, at Experience Anatomy in Charlotte, North Carolina.

Discover how this one-of-a-kind course integrates:

• Pre-dissected cadaver anatomy
• Instruction from Experience Anatomy’s PhD anatomists
• Clinical anatomy and palpation
• Needling considerations and safety
• Hands-on station rotations
• Electroacupuncture practice
• Dr. Lombardi’s 24 years of clinical experience

During the webinar, Dr. Lombardi will explain how the course is structured, what you can expect inside the lab, and why this approach may completely change how you visualize anatomy when treating patients.

📅: August 31, 2026
⏰: 8:00 p.m. EDT
📍 Must register: https://us02web.zoom.us/meeting/register/jwIBFxqaS4yI25RHOByhjg

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