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Wednesday, April 25, 2007

TuiNa Case of Lower Back Pain

Male, 40+
In the spring of year 2000
He had acute lower back pain for 2 weeks.
The pain came to the lower back in a sudden when he put his coat on in the morning 2 weeks ago. He tried physiotherapy, but no effect. The pain is always there on a fixed spot, and getting worse whenever he moves his back. He had no injury on the back, and no shooting pain down to the legs.
He is used to be quite healthy, and doing office work. He is afraid of needles.
Examinations:
Spine (-); Motions: left 0° right 0° forward 10° backward 10°
SLR (-); Pressing pain (+++) on right side of L4~5, pressing pain (+) on both sides of TianZhu (BL10), WieZhong (BL40); Stiff muscles on both side of lumbar spine.
Diagnosis:
Lower back pain (acute myofibrositis)
Treatments:
1st time:
Rou (knead)/Dian (point-press) TianZhu (BL10), FengMen (BL12), and WeiZhong (BL40) for 20 minutes;
Rou (knead)/Dian (point-press) ZhiShi (BL52), ShenShu (BL23), and ZhiBian (BL54) for 20 minutes;
Rou (knead)/Dian (point-press) FengShi (GB31), KunLun (BL60) for 10 minutes;
Ca (rub) lower back for 10 minutes.

2nd time: 2 days later. No more sensitive spots on the lower back, still feels pain and cannot move freely.
Rou (knead)/Dian (point-press) TianZhu (BL10), FengMen (BL12), and WeiZhong (BL40) for 10 minutes;
Rou (knead)/An (press) lower back for 20 minutes;
Dian (point-press)/Rou (knead) ShenShu (BL23), DaChangShu (BL25) 5 minutes;
Dian (point-press)/Rou (knead) ZhiBian (BL54), KunLun (BL60) for 10 minutes;
Tui (push) lower back and legs for 10 minutes;
Yao (rock)/Dou (shake) lower back for 5 minutes.

3rd time: 3 days later. Getting better, only feels pain when turning the body. The lower back still feels stiff.
Rou (knead)/Dian (point-press) TianZhu (BL10), FengMen (BL12), ShenShu (BL23), DaChangShu (BL25), WeiZhong (BL40), and KunLun (BL60) for 15 minutes;
An (press)/Rou (knead) lower back for 15 minutes;
Dian (point-press)/Rou (knead) ZhiBian (BL54), HuanTiao (GB30) for 10 minutes;
¤Ban (turn) right side of the lower back;
Yao (rock)/Tui (push)/Duo (chop) lower back for 15 minutes;
Qian (draw) lower back, Yao (rock) hip joints for 2 minutes.

4th time: 3 days later. Can move freely, only feels soreness after sitting for long time.
Similar treatment of 2nd time.

5th and 6th time: once a week. Comes for relaxing.

2 comments:

Zak Acupuncture said...

good practitiner.
Do you think acupuncture for back pain really work?

Acu-Bridge Clinic said...

i do. i'am using it every day.