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). 

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 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

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. 

I have been treating a lot of neuropathy cases lately.

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

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

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?

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. 

No one can own orthopedic assessment or treatment with motor points and trigger points. And you can't own acupuncture points. But we don't have a generic name for a treatment of motor points with electrical stimulation to treat pain and mobility issues. We see plenty of names that were created to represent a single person's perspective but that others are not supposed to use if they didn't study that method.

We need a term that anyone who is sitting in front of a computer can search for to find an acupuncturist who uses orthopedic assessment and treatment of motor and trigger points to relieve pain and improve mobility. 

And it needs to be free to anyone who wants to learn and use it. 

Neuromodulation is a big word. I wanted to be sure I knew what it was and I realized that we should all be using this word more often to explain what we do, especially when we talk to medical professionals.

Here's the link to the study I mentioned: https://www.mdpi.com/2076-3417/10/13/4647/pdf