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

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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

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Oriental Medicine Treatment of Crohn’s Disease

Digestive

Chief Complaint: sporadic diarrhea followed by severe Rt. quadrant pain and high fever

Western Diagnosis: Crohn’s disease

Medical History: Diagnosed as Crohn’s Disease ten years ago. The frequency of the episode progressively changed to few times a year to twice a month. History of double hernia surgery 15 years ago.

Questioning exam: Malar flush, mild afternoon fever.

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

Musculo-Skeletal

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 · No Comments
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Acupuncture and Herbs for Trigeminal Neuralgia

Neurological

Chief Complaint: Facial Nerve Pain

Western Diagnosis: Trigeminal Neuralgia

Medical History: This is the 3rd bout of TN in the last 2 years. Patient takes a ferry to and from work which is cold and windy. Patient also has a history of injury to the face, which is suspected as cause of current problem. Patient is slightly overweight, with slightly high blood pressure.

Questioning exam: No symptoms other than pain in the right cheek, worse with chewing, smiling, and laughing.

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

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Acupuncture and Herbs for Eye Pain

EENT

Chief Complaint: Right eye pain/pressure

Western Diagnosis: Secondary Hypertension

Medical History: Leukemia 10 years ago, remission. Truck driver with occasional sciatica. Secondary hypertension, stress from truck driving. Eats well, exercises regularly. Drinks excessive coffee on the road.

Questioning exam: Right eye pressure and pain for one week. Pressure behind the eye. Stress and worry about money and health issues. Bp was normal on examination. Difficulty falling asleep, prone to anger and feeling overwhelmed.

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