A lot of foot pain gets called plantar fasciitis. Whether it is or isn't really doesn't help me. For each person I need to know where and when it hurts and then I want to figure out what to treat.

Do you feel like you need to keep the patient on the table longer than necessary so they perceive more value in the treatment?

If you can correct a problem in 10 minutes, is it worth less than if they were lying on the table for 30 minutes?

This is how I feel the different levels of needling into muscles for treatment with motor point or trigger point acupuncture.

It's not just about being on a channel. It's about knowing how deep you are and how deep you need to go to get to the muscle that you want to treat.

Some muscular entrapments of the radial, ulnar and median nerve that every orthopedic acupuncturist should know.

3 orientations of muscle fibers, 2 origins, 2 innervations

Trigger points can cause pelvic pain

a couple cases of adductor magnus injury 

give your athletes more explosive power on hip extension, especially for hockey, football, cycling, and weight lifting.

We should be able to help most chronic pain patients without seeing them for 20 or 30 visits.

Ideally it should take under 10 visits and often 3-7 visits.

I follow Janda's guidance on treating pain. I'm not treating the pain; I'm treating the dysfunctional movement and limited range of motion. When normal movement, stability and ROM are restored, the pain will be gone (or greatly reduced).

My opinions about needle gauges and lengths for motor and trigger points.

Ischemic muscle, tight over-facilitated muscle, postural muscles. They all require a thicker gauge needle for easy insertion and treatment. 

Sheering forces pull the spine forward or backward and our body needs to protect the spine by protectively tightening the erectors, QL, multifidi and psoas as part of the core's intrinsic stabilization function.

(Sorry for the dog noises. My dogs only play this much when I'm trying to record. 🤦‍♂️)

What is Deep Gluteal Syndrome?

Got patients with gluteal pain on sitting?

Do you treat piriformis for sciatica but ignore the other deep rotators?

I hope this will encourage you to start treating them on most of your hip and sciatica patients.

I've been using the pain referral charts from Travell & Simons to successfully treat low back pain for years.

If you can't do an assessment with manual muscle testing because your patient is in too much pain or because your patient is somewhere else where you can't palpate or test, this should give you some guidance on how to assess so you know what they need to work on for relief.

I mentioned my ebook in this episode. If you're interested, here's the link:

https://www.smashwords.com/books/view/453750