Archive for the ‘Musculo-Skeletal’ Category
Acupuncture Treatment of Chest and Low Back Pain
Chief Complaint: Chest and Low Back Pain
Medical History: 30 yrs, female, regular smoker, thin build, 2 years severe pain in chest and back western dx not available – heavy pain and muscle relaxant meds, bloating after eating, headaches shaoyang 1-2x / wk.
Questioning exam: night sweats, irritability, strong stress in life especially at the time of onset, dark circles under eyes, cold hands and feet, tendency toward constipation, wakes 1x at PM to urinate, PMS – mood swings, breast sensitivity, period – dark clots and cramps, heavy flow.
Last modified: September 8, 2009 · 
al · 
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Tags: Acupuncture, chest, low back pain, pain · Posted in: Musculo-Skeletal, Neurological
Acupuncture and Herbal Medicines for Shoulder Pain
Chief Complaint: Pain in the Shoulder joints
Western Diagnosis: Shoulder Pain
Medical History: 17 year old male patient with a history of numerous bodily injuries due to playing football. The shoulder injury history of six months. Pneumothorax history ten years prior.
Questioning exam: Right shoulder pain constant dull ache, to sharp pain upon movement. Pain scale 8/10. Energy level 9/10. No decreased motion in joints.
Last modified: September 8, 2009 · al · No Comments
Tags: Acupuncture, pain, shoulder · Posted in: Musculo-Skeletal
Acupuncture Treatment of Neck Pain
Chief Complaint: Neck Pain
Western Diagnosis: Cervicalgia
Medical History: Amateur tennis player.
Past History of car accidents, (2001, 2004)
Standard American Diet.
Craves coffee, spicy food.
Questioning exam: Localized, dull, achy pain with stiffness.
Last modified: September 8, 2009 · al · No Comments
Tags: Acupuncture, neck, pain · Posted in: Musculo-Skeletal
Acupuncture and Herbs for Rheumatoid Arthritis
Chief Complaint: Severe pain, edema and stiffness of various joints for 8 weeks.
Western Diagnosis: Rheumatoid Arthritis
Medical History: Severe pain, edema and stiffness of various joints which were symmetrical and typical of RA. Joints affected included ankles, knees, hips, fingers, wrists, jaw, elbows and shoulders. Patient’s mobility was very poor and she needed considerable help with her personal needs. All activities were painful, the majority severely.
Questioning exam: Dull ache with stiffness. Worse at night. Trigger by coldness and tiredness.
Last modified: September 8, 2009 · al · No Comments
Tags: Acupuncture, ankles, arthritis, RA · Posted in: Auto-Immune, Musculo-Skeletal
Acupuncture for Osteroarthritis
Chief Complaint: Shoulder Pain
Western Diagnosis: Osteoarthritis
Medical History: Patient shot competitive target archery as a teen and wore shoulder joint out. He shot 3+ hours per day 7 months out of the year for 9 years
Questioning exam: Left shoulder was painful, described as an ache that worsened with cold and damp. There was lots of popping and grinding in shoulder joint. There was limited range of motion.
Last modified: September 8, 2009 · al · No Comments
Tags: Acupuncture, osteoarthritis · Posted in: Musculo-Skeletal
Traditional Asian Medicine for Shoulder Pain
Chief Complaint: Right shoulder pain for 2 months.
Medical History: In two months ago, he started a new job where he does a tremendous amount of lifting and balancing of heavy doors and cabinets. He feels sharp and stabbing pain over his right upper trapezius muscle and around his shoulder joint when he moves his shoulder in abduction. He feels better after a massage and hot Epsom salt baths but nothing has totally relieved his pain. Physical exam revealed pain and tenderness on palpation of the right upper trapezius, biceps brachii tendon, deltoid, pectoralis minor insertion and all of the neck muscles especially the scalenes and posterior muscle group.
Last modified: September 8, 2009 · al · No Comments
Tags: Acupuncture, Herbs, pain, shoulder · Posted in: Musculo-Skeletal
Oriental Medicine for Rheumatoid Arthritis
Chief Complaint: Pain in the Joints.
Western Diagnosis: Rheumatoid Arthritis
History: The patient complained of small joints starting in the winter from a long time. Gradually, it spread to larger joints mainly in the knee.
Symptoms: Joint Pain, Muscle pain, Body Ache, Tiredness, Stiffness, Swelling in the legs, too much weakness while doing even small work she was feeling weak.
Palpation: Pulse is thin and wiry.
Last modified: September 8, 2009 · al · No Comments
Tags: acupuncturist, arthritis, joints, pain, RA · Posted in: Auto-Immune, Musculo-Skeletal
Acupuncture Treatment of Low back pain
Chief Complaint: Low back pain
Western Diagnosis: Lumbar Spinal Stenosis
Medical History: Patient is a 82 year old male. He has had back pain for over 10 years. Relevant symptoms include achy, radiating sensation down the anterior right thigh and leg. Numbness and tingling in both feet. Major pain is at the right sacral area at the PSIS. It is tender to the touch. He has had back surgery, laminectomy of the L2,3 and 4 vertebrea. Left knee replacement 7 years ago and right hip replacement 15 years ago. he complains of no pain any where else in the body.
Last modified: September 8, 2009 · al · No Comments
Tags: Acupuncture, low back pain · Posted in: Musculo-Skeletal
Acupuncture Treatment of Heel Pain
Chief Complaint: Heel Pain
Western Diagnosis: Plantar Fasciitis
Medical History: 52 year old female, thin body type. Runs 5-7 miles, 3-5 times per week for exercise. Menstruation ceased three years previously.
Questioning exam: Orthopedic physician diagnosed plantar fasciitis. NSAIDs, rest, shoe inserts and physical therapy stretching regimen offered little relief.
Pulse exam: Pulse is thin, moderately strong, moderately slow. Both third positions and Liver position are weakest.
Last modified: September 8, 2009 · al · No Comments
Tags: Acupuncture, heel, pain, plantar fasciitis · Posted in: Musculo-Skeletal
Acupuncture Treatment of Neck and Back Pain
Chief Complaint: neck & back pain
Medical History: car accidents (2) 25 years apart. 1st frontal. and hit from passenger side by truck. Seat belts worn. 12th rib removed, partial kidney damage and surgery to repair. Patient overweight, low energy limited mobility, also suffering family loss, unrelated to accidents. Now has “head of family”responsibilities…
Questioning exam: poor sleep. always hungry, gets very irritated when food is deprived. Limbic system is out of control. Pain is localized to C3 left side. Tightness across the T3 line, limits range of motion. Low energy. Other vitals unremarkable, except pulse rate is a bit high ( 80 – 90 ) avg.
Last modified: September 8, 2009 · al · No Comments
Tags: Acupuncture, back, neck, pain · Posted in: Musculo-Skeletal
