Скачать или смотреть (Part IV) Neurofunctional Electroacupuncture: treatment of 'Pain with Movement Disorders'

✨ Discover how neurofunctional electroacupuncture transforms clinical practice in this Part IV of the series. Dr. Alejandro Elorriaga shares insights, diagnostic blueprints, and treatment strategies that help practitioners achieve grandmaster-level precision.

Dr. Elorriaga started by answering question from Part III. He clarified there are no contraindications for using electroacupuncture near surgical hardware (plates, screws, rods, artificial joints).
Orthopedic materials have higher resistance than human tissues, preventing current accumulation.
Alternating current avoids risks of electrolysis or burning, unlike galvanic current.
Treatment should always remain "distinct, but not uncomfortable".

Exception: Avoid stimulation directly near implanted electrical devices (e.g., pacemakers, infusion pumps) due to possible interference.

Core Clinical Strategy
The foundation of this methodology is to select the best neuroreactive sites for needle insertion, much like choosing the best move in chess.

Goals: Improve perfusion, restore neuromotor activation, enhance segmental integration.
Targets: Peripheral nerves, dermatomes, myotomes, sclerotomes, and autonomic segments.
Inputs: Peripheral nerve trunks, motor points, trigger points, or receptor sites.

Local, Axial, and Systemic Inputs
Dr. Elorriaga explains a three-tiered input design:

Local Inputs: Direct neurological connectivity to the region of dysfunction (e.g., supraclavicular nerve for AC joint issues).
Axial Inputs: Posterior rami near the spine, often one thumb from the midline—safe and highly reflexogenic.
Systemic Regulatory Inputs: Distal or auricular points influencing central regulation, stress, fatigue, and anxiety.

Neuroreactive Sites and Techniques
Neuroreactive sites include receptors (Golgi, Pacinian, mechanoreceptors), motor points, and nerve trunks.
Safe needling techniques were emphasized to avoid pleural or visceral injury, such as keeping trunk needles parallel to the surface.
Auricular inputs were highlighted for their strong reflexogenic properties and vagus/trigeminal innervation, making them powerful in stress-related treatments.

Diagnostic Approach and Neuromapping
Diagnosis in this system is mechanism-based, not categorical. Labels like “impingement syndrome” offer little value without understanding function. Instead, practitioners should:

Assess movement, neuromotor, and sensory behavior.
Build a map of dysfunction across levels.
Use limited but precise needle placements to evaluate response and refine treatment.

Blueprint for Articular Dysfunction
Dr. Elorriaga introduced a blueprint method combining three perspectives:

Topographic: Based on the region where pain is perceived (e.g., anterior shoulder).
Neurofunctional: Based on directional failure of movement (e.g., abduction dysfunction).
Structural: Direct targeting of specific tissues (muscle, tendon, capsule).

By combining these, practitioners can design highly targeted interventions—treating agonist, antagonist, synergistic, and stabilizing muscles for more complete restoration.

Segmental and Systemic Integration
Segmental levels (e.g., C4–C6 for shoulder) should be paired with sympathetic vascular levels (e.g., T1–T5 for upper limb perfusion).
Distal points like LI4 add systemic regulatory effects due to rich innervation and reflexogenic potential.
Combining local, axial, and systemic inputs with contralateral stimulation often produces superior results.

#NeurofunctionalElectroacupuncture #Neuromappingacupuncture
#Functionalneuroanatomy #Auricularacupuncture #Motorpointacupuncture