Abstract In this educational post, I walk you through a modern, ultrasound-guided approach to treating calcific tendinopathy using barbotage —a technique of repeated needle fenestration, injection, and aspiration to dissolve and evacuate pathologic calcium deposits. I explain how the procedure works physiologically, why it reduces pain and restores function, and how we tailor the approach for soft versus hard calcifications using single-needle and two-needle circuits. I present current evidence, clinical nuances, and practical setup steps. I also describe our multidisciplinary care model at Injury Medical Clinic PA (Mission Plaza Injury Medical Clinic) in El Paso, Texas, where I collaborate with Dr. Maria Guadalupe Cardenas, MD (Board Certified in Internal Medicine; NPI #1164426749; Texas MD License #J2933) as our Medical Director and Collaborative Physician. Together, we combine integrative chiropractic , internal medicine oversight , functional medicine , personal injury care , and...
Abstract Welcome to our educational post on Battlefield Acupuncture (BFA) , an advanced auriculotherapy technique gaining significant traction for its remarkable efficacy in managing acute and chronic pain. As Dr. Alex Jimenez, I will take you through the principles, applications, and latest findings on this innovative treatment. We will explore the neurophysiological underpinnings of BFA, detailing the five key auricular points—cingulate gyrus, thalamus, omega 2, point zero, and Shen Men—and how their stimulation can rapidly modulate pain perception. This post presents evidence-based research methods and demonstrates the practical application of BFA using specialized ASP® needles. Furthermore, I will explain how this powerful modality is seamlessly integrated into our multidisciplinary practice at Injury Medical Clinic. Here, my work in chiropractic and functional medicine converges with the medical oversight of our esteemed medical director, Dr. Maria Guadalupe Cardenas, MD, to offer...
