The Acupuncture Outsider Podcast

Trigger Points: Do. Or Do Not. There is no try.

When it comes to treating an active trigger point, you're either all in or all out. Otherwise you are just kicking the hornets' nest.

Update on the Hip Pain Case and the new Podia course

This is an update on the new patient I saw last week and there's info on the Podia Course that just went live.

 

Here's the link to the Podia site:

richardhazel.podia.com

Also look at Andry Vleeming's books and Brookbush Institute for more info on Myofascial Slings.

 

 

Interesting Hip Pain Case this Week

I had a 77yo male with left hip pain, very painful for the past 8 months. Painful to stand and painful to sit on a hard chair. If the pain got very bad he also felt testicular pain. 

The hip surgeon who replaced that hip 2 years ago thinks it's coming from his back. 

The Physical Therapist (for his back) thinks it's muscular.

I walk through how I was thinking about it and how it was quickly resolved (I hope). 

 

 

Do we need a new NCCAOM board exam?

Can we ever have good orthopedic acupuncture education from our Acupuncture Schools if we don't first have an NCCAOM exam that sets the standard?

I’m waiting for my new Pantheon P12 PENS and here’s why I needed it

I love my ITO ES 130's but I need my electric stim device to do more than a continuous one frequency stimulation.

 

Here are a couple things I mention in this episode:

https://pantheonresearch.com/p12pens/

 

https://journals.lww.com/anesthesia-analgesia/Fulltext/1999/04000/The_Effect_of_Stimulus_Frequency_on_the_Analgesic.30.aspx

 

 

An Interesting Neck Pain, Levator/Trap Pain Case that Was Something Different

This was an unusual neck pain case that looked like a levator/upper trap pain case but it was something different that I didn't expect.

When it got bad the patient couldn't let her arm hang unsupported without pain in the upper pec and midback and when she raised her arm to get dressed, the neck pain went up to the area behind the mastoid where levator usually causes pain. 

Some of my Tough Cases for the Week, Mostly Seniors

I have been treating a lot of neuropathy cases lately.

Here are some of them. Some new and some after a few treatments.

 

 

Most of my Favorite Resources for Getting Great Results are not Acupuncturists

I like to learn from the best and many of the best for orthopedic assessment and human movement science are not acupuncturists.

Why reinvent the wheel? We already have excellent resources that were created by physical therapists, doctors and other movement specialists.

And you will do better to learn from live courses and videos than from books and blogs (and podcasts) :-)

 

Here are the ones I mentioned:

 

https://brookbushinstitute.com/

 

https://www.stopchasingpain.com/

 

https://www.youtube.com/c/athleanx/videos

 

 

Subclinical Muscle Dysfunction is Real

If a muscle tests strong when you expect it to be weak, do you not treat it?

If you expect a muscle to be tight but the length test is fine, you don't treat it?

What about maintenance for your patients? You only treat what tests weak?

 

Deep Peroneal Nerve Trunk Stimulation for Drop Foot

This is an excellent way to stimulate the deep peroneal nerve for someone with drop foot. 

I walk you through the location of the nerve trunk and how best to position the patient for a comfortable stimulation that is often very successful.