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?
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, ...
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.
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.
College basketball player, chronic sesamoiditis, not able to play basketball anymore. Treating FHL and FHB. Is this a case where you would needle directly towards the sesamoid bones themselves with high frequency stim? Thanks!
1. Assessing & Treating Pain and Dysfunction with EXSTORE™ - Case studies of patients
Sunday September 20th at 12:30pm EST
https://us02web.zoom.us/meeting/register/GwAyqCcmQVuPp1DPOpfD9g
2. Anatomy, Pathology and Treatment of Medial Shin Splints
Wednesday September 23rd at 6:30pm EST
https://us02web.zoom.us/meeting/register/fqtnBgynQr-2eZBMxLpahw
