Archive for the ‘Musculo-Skeletal’ Category

The Acupuncture Treatment of Shoulder Pain

Musculo-Skeletal

Chief Complaint: Right shoulder pain

Medical History: Patient is a 54 year old female massage therapist seeing 10-15 people per week. She has been seeking help for this problem for the past 2 years with the results being that it takes the pain away yet it always returns. Her outlook is positive and she has healthy diet and exercise habits.

Questioning exam: The pain is worse stress and on palpitations her whole right side is tender along that gallbladder channel. Patient has bouts of insomnia which have no particular cycle.

Last modified: September 8, 2009 · al · No Comments
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Acupuncture Treatment for Hand Injury

Musculo-Skeletal

Chief Complaint: Pain and immobility of hand

Western Diagnosis: Hand Crush Injury.

Medical History: Crush injury of right hand during work-accident.

Questioning exam: Continuous pain in right hand, immobility of hand and fingers with exacerbation of pain with movement. Insomnia, decline in libido and sexual performance since injury.

OM Diagnosis: Injury of PC channel, with attendant symptoms of PC organ, causing insomnia and sexual and libido decline.

Last modified: September 8, 2009 · al · No Comments
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Acupuncture Treatment of Shoulder Pain

Musculo-Skeletal

Chief Complaint: Shoulder pain and reduced ROM

Western Diagnosis: Diabetes Mellitus, Hypertension, Shoulder pain

Medical History: 69 yr old lady, sedentary, average American diet, slightly obese, mentally and socially well adapted. On Beta blocker, lasix, glucophage, and human insulin.

Questioning exam: Patient reported that she’d like to be off all her medications and would like to be able to used her shoulders which had gradually deteriorated over a period of 1 year.

Pulse exam: Crepitis in shoulders with very restricted active ROM, and pain elicited on passive ROM study. Pulse Wide, slippery, firm and forceful.

Last modified: September 8, 2009 · al · No Comments
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Acupuncture and Herbs for Calf Pain and Swelling

Cardiovascular

Chief Complaint: calf pain and swelling

Western Diagnosis: phlebitis

Medical History:
1.Recurrent phlebitis on left calf-had same exact symptom seven years ago. He took Chinese herbal medicine and the symptoms were completely gone. It took 6 weeks to cure it.
2. smoker
3. lost his right leg on auto accident
4. doesn’t drink alcohol but drinks a lot of water
5. He delivers auto parts-driving 8 hours per day. He used to work at a post office where he had to stand for 8 hours per day, again
6. His blood pressure and pulse rate is normal.

Last modified: September 8, 2009 · al · No Comments
Tags: , ,  · Posted in: Cardiovascular, Musculo-Skeletal

Acupuncture for Pain and Swelling in Ankles and Feet

Musculo-Skeletal

Chief Complaint: pain and swelling in ankle and feet, alcohol abuse

Medical History: Patient: 53 year old female

Occupation: art student

History: family history of alcoholism, pain in legs since 1978

Current presentation: Patient has stiffness and swelling in her feet and ankles making ambulation difficult. The pain is 8-9 on a scale of 0-10 with deep, heavy, sharp quality that is worse at night. She can recall no injury or precipitating factors. Feet are cool to touch, soft, pale with non-pitting edema. The patient smokes and drinks six beers a night. She eats cold foods for lunch.

Last modified: September 8, 2009 · al · No Comments
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Oriental Medicine for Knee Pain

Musculo-Skeletal

Chief Complaint: Pain is in the back of the left knee

Western Diagnosis: Meniscal tear; a ganglion cyst.

Medical History: the patient is a 47-year-old female whose weight is over 200lb. The patient fell down and injured her left knee ten months ago. Soon after the patient started to experience pain in her left knee. MRI reveals meniscal tear and cyst behind the left knee.

Questioning exam: The patient experiences pain in the back of her left knee. It is difficult for her to walk downstairs. The patient could not walk more than five minutes without pain. She also has knee pain when sitting.

Last modified: September 8, 2009 · al · No Comments
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Acupuncture for Chronic Low Back Pain

Musculo-Skeletal

Chief Complaint: chronic low back pain

Western Diagnosis: L5/S1 disc herniation s/p laminectomy

Medical History: Patient is 31 yr. old female with two year hx of low back pain as a result of a fall at work 9/99. Diagnosed with L5/S1 disc herniation and radiculopathy at same level. Laminectomy performed 5/00. 14 months later low back, bilateral leg pain and left foot numbness continues.

Questioning exam: Other medical history significant for daily headaches, irregular dizziness, poor appetite, insomnia and bi-polar disorder.

Last modified: September 8, 2009 · al · No Comments
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Acupuncture Treatment of Arthritis in Thumb and Wrist

Musculo-Skeletal

Chief Complaint: Pain in right thumb and wrist

Western Diagnosis: Arthritis

Medical History: Pt. is a 52 yo dental hygienist who presented with painful wrist and thumb that threatened to force her to quit her job. Problem began 9 or 10 years ago and has gotten progressively worse. Her health history is unremarkable, although she had a benign lump removed from her right breast approximately 10 years ago. Her diet is relatively good but she has a great deal of stress due to her aging parents. Sleep and digestion are good.

Last modified: September 8, 2009 · al · No Comments
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Acupuncture and Herbs for Osteoarthritis

Musculo-Skeletal

Chief Complaint: pain and stiffness in both thumbs

Western Diagnosis: osteoarthritis

Medical History: P is 54yr female currently menopausal, @40lbs overweight, has a hx of auto-immune disease in form of psoriatic arthrosis is the lumbar spine. overuse of yoga triggered the disease. Also has minor patches of psoriasis on legs and arms. Diet is rich in dairy, wheat, sugar, salt and wine.

Last modified: September 8, 2009 · al · No Comments
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Acupuncture and Oriental Herbs for Rheumatoid Arthritis

Auto-Immune

Chief Complaint: joint pain

Western Diagnosis: rheumatoid arthritis

Medical History: Female, 34 years old, physical therapist. Joint pain since she was little. Has seen regular physician. Take low dose prednisone off and on.

Ankle, knee and hip joint pain bother her a lot. Recently the both knee swollen, pain, feeling warm and affecting function.

Last modified: September 8, 2009 · al · No Comments
Tags: , , ,  · Posted in: Auto-Immune, Musculo-Skeletal