Carolyn McMakin, MA, DC - [email protected]      Kim Pittis, LCSP, (PHYS), MT - [email protected] 01:56 Case Study: Leg Pain and Trigger Points 04:26 Case Study: Muscle Pain and Misdiagnosis 08:13 Year-End Reflections and Practitioner Insights 09:56 Teaching and Treating Complex Cases 10:57 Challenges in Treating Sensitized Patients 20:41 The Importance of Accurate Diagnosis 25:06 Handling Difficult Cases and Knowing Your Limits 33:03 On the Move: First Starbucks Practicum 34:04 Reflecting on Notable Cases of the Year 34:25 Top A Channels of 2025 35:40 Exploring Trauma Frequencies 37:46 Top B Channels and Muscle Insights 42:47 Brain and Midbrain Treatment Insights 44:39 Adipose and Diaphragm Treatment 47:26 Thoracic Mobility and Breathing Techniques 49:33 Intercostal Pain and Nerve Treatment 54:34 Constipation and Bowel Resection in EDS Patients 57:59 Balancing Meridians with Acupuncture ### The Importance of Detailed Patient Histories and Physical Exams One foundational element in patient care is the meticulous acquisition of patient histories and comprehensive physical exams. When faced with challenging cases where progress seems stalled, revisiting these foundational assessments can often reveal overlooked insights. Encouragingly, even the smallest improvements in a patient's quality of life or pain reduction signify substantial progress and should be celebrated as such. ### Understanding the Neurophysiology of Pain For effective pain management, it is crucial to address the central nervous system's role. Pain is often exacerbated or misunderstood due to centrally sensitized conditions, where patients may perceive their pain levels to be disproportionately high. Recognizing these patterns and responding with neurological treatments can help in reducing the body's exaggerated pain response. ### Scarring and its Impact on Mobility When treating persistent abdominal and muscular pain, it is essential to factor in scarring as a significant contributor. Scarring can inhibit muscle function and neural pathways, thereby exacerbating pain or limiting motion. By focusing on reducing scar tissue and enhancing mobility, practitioners can achieve notable improvements in patient outcomes. ### Effective Use of Frequency Specific Therapeutics Incorporating frequency-specific approaches offers a promising frontier in treating complex conditions unresponsive to conventional therapies. By targeting specific cellular functions, practitioners can modulate bodily responses and alleviate symptoms related to nerve and muscle dysfunction. Identifying and using the correct frequencies for issues like nerve pain, muscle hardness, or unresolved systemic conditions can revolutionize patient care. ### Addressing Misdiagnosed Pain Sources Frequent misdiagnoses occur when only one aspect of pain is treated without considering the interconnections within the body. Practitioners are encouraged to adopt a holistic approach—examining musculature, nerve pathways, and cognitive factors simultaneously. This integrated view can uncover underlying issues like trigger points or misunderstood nerve damage. ### The Role of Stories and Continuous Learning Sharing clinical stories and experiences is an invaluable practice for medical professionals. These narratives provide context and enrich theoretical knowledge, making lessons more relatable and memorable. As practitioners progress in their careers, continuous reflection on past cases coupled with ongoing education will enhance their diagnostic and treatment capabilities.    

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