Mr. C, 63-year-old
Visited me in March for the lower back pain. At that time, he could not sit for a little longer. Ct scan showed the disc problem on L5~S1. After 2 times of acupuncture treatments, the pain was completely gone. One week ago, after played table tennis, he got the pain on lower back and right hamstring. A chiropractor said it was pinched nerve. He could not sit down, even disturbed his sleep.
EX: lumbar pressing pain (-), tightness and pain on right hamstring. Deep strength less pulse and dark tongue.
TR: Massage lower back and leg; acupuncture right JuLiao and RouLi, both DaZhong and ShenShu, quick needle on right of L4~5.
There was still pain, but could lie face up or down, coulde not lie on the side. Better when was on the hard area. No pain on the lower back, pressing pain on right FuXi and YinMen area.
TR: massage the lower back; acupuncture on FuXi, FeiYang and L4~5 (all on the right side); cupping on the lower back.
Burning pain on the right hamstring, no problem when walking, running or standing, but painful when sitting and lying on the side. Tightness on right hamstring.
TR: massage the hamstring, and acupuncture on the two AShi points and cupping after.
Same as before, burning pain, worse when driving.
TR: massage and 3 Cun needle on the Ashi point.
A little better. Still burning pain.
TR: Massage and acupuncture on the head, middle, and tail pf hamstring, moxa on the middle one.
Much better, nearly no pain.
TR: Massage; shallow needles on both ShenShu, 3 Cun needle on the middle of hamstring with moxa.
Comment:
This is a simple case but took long time to recover. The reason is the wrong treatment.
First of all, wrong located the problem. Although there is a hernia of disc showed on CT scan, but the pain was on the hamstring and not caused by the lumbar disc. The symptoms are quite similar to the nerve pain, but there was no pressing pain on the lumbar spine.
Second, the moxa should be used earlier, but due to the burning feeling, wasted two treatment sessions.
After all, the lumbar-leg pain is not always caused by the protrusion of the disc, the acupuncture treatment must focus on the true reason to make effect.
