| Author |
Message |
    
Ophirb
Username: Ophir
Registered: 07-2006
| | Posted on Saturday, July 07, 2007 - 11:36: | |
Dear Shmuel,
I am trying to help a friend with a stuburn muscular pains and stiffness for long time.She is a fragile female in her late 20's. It all started by working as a cook in a busy catering company, with all the tasks involed. pain started 2 years ago, with sharp sensations and stiffness of neck shoulders and arms. pain felt more when she was in rest at nights, and less when she was working. she took a leave only after 18 months working in the same feild. massage relieved the pain but only for a short time. acupuncture did the same. now stiffness is still in same areas and any light physical work will aggravate stiffness, and may create an almost numb sensation of top right shoulder (GB21) and sometimes radiating pain down along all yang arm channels.Pain is worse on the right but exist on left side as well. She's been lately to oesteopath that found C2&5 out and T1 out and is working on it but the condition is still very limiting. Do you have any advise?
thank you.
|
Shmuel Halevi
| | Posted on Saturday, July 07, 2007 - 18:41: | |
The advise is to be patient and treat her several times a week. Sometimes, such conditions may take quite a time to heal, and you may need to use other modalities such as cupping (or blood cupping), Tuina or Shiazu massage, or cupping massage, if cold is an issue here then apply warm needling and so forth. Try to locate the Ahshi points on the area of the pain and use gentle needling there and use acupuncture mainly on the painful area and less on distant points. |
Dr. A I Kabbara
Username: Abdallah
Registered: 06-2007
| | Posted on Saturday, July 07, 2007 - 23:30: | |
Sounds from the discription a radiculopathy , involving disc herniation and spondylosis .I have almost half of my busy practice patient like her and my suggestion is to try the following : acupuncture needles at c2 c4 ,c5 c7 ,t2 t5 bilateral with gb 21 abd gb 20 abd bl 10 with electric stimulation cross cover between c2 + c4 and c5+ c7 , t2 + t5 , apply negative to c2 , positive to c5, negative to t2 and negative to gb 21 bilateral at 30 hz for 20 min .Patient likes it and i had excellent results with it .If ne improvement at all with few session cervical epidural steroid injection are advisable in my opinion . |
Dr. A I Kabbara
Username: Abdallah
Registered: 06-2007
| | Posted on Sunday, July 08, 2007 - 10:56: | |
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Shmuel Halevi
| | Posted on Sunday, July 08, 2007 - 11:08: | |
I'd go along with everything you said, except for the cervical epidural which can result in disaster. This problem, as you have said, is usually quite responsive to acupuncture. In many occasions it needs between 5-20 sessions in order to resolve. There are many approaches to treat this, including the electro-acupuncture approach which you have so nicely delineated here. Looking at your image Abdallah, I myself prefer to use acupuncture, with or without electricity, at the Huato points, which are much closer to the vertebrae than the points you have been using here. |
Jan Jedryka
Username: Jan
Registered: 06-2007
| | Posted on Sunday, July 08, 2007 - 14:05: | |
Fragile female: Occupational injury. Don't forget to treat this situation as well. |
Jan Jedryka
Username: Jan
Registered: 06-2007
| | Posted on Sunday, July 08, 2007 - 14:57: | |
Shmuel,
Are they the points that are paravertebrally only .5 cun lateral to the lower border of the spinous processes?
How do you strengthen the constitution in a case like this? Replace sugar with honey or dark brown sugar is a must.
Si-3 is a must for a distal point treatment.
Si-10 Earth point
Si-15
Bl-10 Bones and muscles
Bl-11 Bones and muscles
Check out Bl-60 and 62 for Ah shi.
Sp-21 Spleen/Earth/nourishes muscles and tendons
Gb-34 Earth point AP of tendons |
Shmuel Halevi
| | Posted on Sunday, July 08, 2007 - 22:38: | |
quote:Are they the points that are paravertebrally only .5 cun lateral to the lower border of the spinous processes?
Yes, exactly. |
Ophirb
Username: Ophir
Registered: 07-2006
| | Posted on Monday, July 23, 2007 - 14:27: | |
Hi, thanks for all of your responses. I have been treating her for a long time, and the only improvement and comfort sensation came after electro-acu.
I wanted to ask Abdallah in regards to cross electro that you mention- I know that we shouldn't cross the spine with electric currency - is that what you ment? can you expend on that?
Lately she has been to oesteopath which also helped by adjusting the spine from C2 downwards. |
Jan Jedryka
Username: Jan
Registered: 06-2007
| | Posted on Wednesday, July 25, 2007 - 10:54: | |
Crossing the spine with relatively high current electricity will definitely cause anomolies in the conduction of spinal nerves. The spine is designed for up/down current traffic. Forcing it to conduct across is like short circuiting a circuit. Best not done!!!! |
Simon Light
Username: Simon
Registered: 12-2006
| | Posted on Saturday, September 15, 2007 - 21:29: | |
Yes please, Dr Kabbara, more explanation on crossing. Great advice so far.
Don't forget to keep pattern differentiation simple:
Symptoms worse now with work or effort = qi and probably bood diffiency, so tonification of qi, blood or even yin might be necessary.
If symptoms are better with activity, as if the area needs to "warm up", there might well have been invasion of cold. Check if things were worse in the morning but eased a little as the day went on. Tingling might be a sign of dampness. A fab point for damp in the should (trapezius, scapula) is St 38. |
Dr. A I Kabbara
Username: Abdallah
Registered: 06-2007
| | Posted on Friday, September 21, 2007 - 16:25: | |
The school that taught me accupuncture never head any issue with crossing of electricity across the spine, they are doing it all the time , and i see no contraindication my self knwoing that this is indeed how TENS units works and they have been applied accoss the pine ..in either case the needles are never place in real vicinity to th espinal cord itself , at most they are close to neve root , i do regulary Radiofrequency ablation of nerves without any complications, and i think using electric acupuncture is safe . |
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