Archive for the ‘Musculo-Skeletal’ Category

Acupuncture Treatment of Golfer’s Elbow

Musculo-Skeletal

Chief Complaint: Pain in right forearm near the elbow

Western Diagnosis: Golfer’s elbow

Medical History: Since a month ago, patient has pain in right forearm. It’s localized sharp pain that aggravates when patient tries to lift something and playing golf. 9 out 10 in pain scale and pain has been consistent since the beginning. Irregular diet, plays golf regularly, rides motorcycle occasionally, smokes 10 cig/day.

Last modified: September 8, 2009 · al · No Comments
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Acupuncture for Pain in the Lower Back and Hips

Musculo-Skeletal

Chief Complaint: Seasonal Allergies/pain in lower back and hips (SI joints)

Western Diagnosis: Seasonal allergies and Ankylosing Spondilitis

Medical History: Patient is a healthy appearing 28 year old male who has a history of allergies (ragweed, dust) since childhood and more recently diagnosed with Ankylosing Spondilitis 3 years ago after a pain in his toes (middle toe on rt, second on lt). No treatments have affected the seasonal allergies. Patient is currently taking Hydroxychloroquine for the Ankylosing Spondilitis as needed by his rheumatologist. Stiffness in the morning but gets better as day goes along. Nothing remarkable in the diet. Patient is physically active as a father (4 year old) and soon to be again.

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

Musculo-Skeletal

Chief Complaint: Jaw Tightness

Western Diagnosis: TMJ

Medical History: 34 y.o. Female Doctor. Past history of 3 seizures while in med. school. Currently experiences bi-lateral, constant jaw tightness. She also feels anxious daily. Sleep is dream-disturbed, and she has trouble falling asleep. She is physically very active, good health otherwise. Four times per week headaches on the top of her head. LBP, achy, past bi-lateral ACL surgeries. Slight cramping with menses. Damp producing diet, low meat intake.

Last modified: September 8, 2009 · al · No Comments
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The Treatment of Sciatica Pain with Acupuncture

Musculo-Skeletal

Chief Complaint: sciatica

Medical History: The patient’s history included having his right femur crushed in a car accident 50 years before, and right knee replaced 3 1/2 years before.

Questioning exam: A seventy-nine year old man presented with sciatic pain which had begun 6 weeks before, in the early winter. The pain began in the lumbar area and traversed down the posterior aspect of the right thigh, calf, and into the 4th and 5th toes, following the Urinary Bladder channel. In addition, pain also went into the right inguinal area and down the medial aspect of the right thing, following the Liver and Kidney meridians.

Last modified: September 8, 2009 · al · No Comments
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The Acupuncture Treatment of Sciatica

Musculo-Skeletal

Chief Complaint: Leg numbness, sciatica

Western Diagnosis: Narrowing, of L-4,L-5 diskspace

Medical History: 59 year old male,sedentary, overweight. Gradual onset of low back pain leading to sciatica now with numbness of in L-4, L-5 dermatone. Numbness began 2 years ago.

Questioning exam: Low back pain is dull, numbness increases with movement and cold and/or damp weather. Frequent urination as well as dribbling of urine.

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

Musculo-Skeletal

Chief Complaint: Severe burning foot pain

Western Diagnosis: Sciatica

Medical History: Patient suffered traumatic fall and damaged sciatic nerve resulting in burning foot pain

Pulse exam: slightly rapid and wiry

Tongue exam: pale pink body, thin white coat

Last modified: September 8, 2009 · al · No Comments
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Acupuncture and Chinese Medicine for Prickling Pain

Musculo-Skeletal

Chief Complaint: Prickling pain the lower legs and feet and low back pain

Western Diagnosis: Ideopathic peripheral neuropathy, osteoarthritis, osteopenia

Medical History: Patient is a 64 year old female who suffered an anxiety attack five years ago and a TIA three years ago before being diagnosed hyperthyroid and underwent a radioactive iodine treatment. She is now hypothyroid taking supplemental levothyroid and a daily 80mg aspirin. Patient suffers from osteoarthritis in the knees, feet and hands with visible deformity. Patient also suffers from osteopenia and takes Fossamax weekly. Otherwise, patient has an excellent diet and walks regularly. Patient lives near her family and sees them regularly, she also participates in various classes for seniors at the local community center.

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

Musculo-Skeletal

Chief Complaint: neck and shoulder pain/tension

Medical History: patient woke up with crick in neck one week ago, initially got better, then today much worse.

Questioning exam: pain at base of skull (UB10/GB 20 area) and shoulders (GB21 area) more L sided; irritability; pain at 7 on scale of 1-10.

Pulse exam: pulse wiry overall

Tongue exam: red sides and tip, scant coat

Last modified: September 8, 2009 · al · No Comments
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Acupunture and Herbal Treatment of Low Back Pain

Musculo-Skeletal

Chief Complaint: low back pain

Medical History: 37 year old male presents with acute low back pain occurring for two weeks after turning to the left while squatting, and simultaneously holding a tire/wheel assembly, during an emergency tire change. Patient is a taxi cab owner/driver, sedentary, and a regular smoker.

Questioning exam: Patient has desire to sleep after eating, a bitter taste in mouth and experiences acid reflux. He drinks 8 cups of coffee daily, in addition to sodas. He sleeps in an uncomfortable bed 3-5 hours a night, has trouble falling asleep, and wakes up at night due to light, restless sleep and occasional disturbing dreams. Patient also reports an energy level of 5/10, low libido, a left knee that has pain in response to changes in weather, and a history of migraine headaches for 4 months.

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

Musculo-Skeletal

Chief Complaint: Elbow pain

Medical History: Female patient

Age: 56

Questioning exam: Right-side elbow pain due to the injury for 6 months

Pulse exam: Wiry pulse

Tongue exam: Normal

Last modified: September 8, 2009 · al · No Comments
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