EM musculosketal Flashcards
acute pain
last three days
usually isolated, comes quickly, limited duration
usually the result of specific impact or trauma
localized swelling, inability to weight bear or move full motion
subacute pain
3 days - 3 weeks old
fragile scar tissue forming (regenerating new tissue)
yellow green and brown bruising
range of motion increases as inflammation decreases
chronic pain
over 3 weeks old
pain with movement is dull or achy, not sharp
pain at the very end of a range of movement
dull achy pain at rest, no bruising left
inflammation is gone, scar tissue maturing
pain questions
primary site, radiations, nature of pain, severity, duration, frequency, time, better/worse for, associated phenomenon
dull pain
xu
strong pain
excess
burning
fire/heat
stuffy
xu
knife like
phlegm/blood stag
dull
xue stag
moves/intermittent
wind/qi stag
better for light pressure
xu
worse with pressure
excess
the most common condition condition associated with pronation/supination, unstable ankle joints results in overload on the achilles tendon = inflammation, tendons naturally have a poor blood supply and when foot isint flexing naturally the tendon will shorten
plantar fasciitis
treatment plantar fasciitis
invigorate qi and blood to the lateral, interior and medial ankle to strengthen and stabilize tendons
points to stabilize- gb40, st41, sp5, lv4, kd3,4, bl60,62 (moxa, acupressure, acupuncture)
points for pain- gb34,39, bl,58,59, sp6, kd7 (moxa, acupressure, acupuncture, sliding cupping)
spinal problems
include prolapsed (herniated, slipped) disc, sudden strain causing disc rupture allowing the soft interior material to protrude out of the disc and press against the spinal cord
spinal problems TCM diagnosis
qi and blood stagnation localized to the area of herniation
consider spleen qi xu failing to manage vessels
sp 3, ht7 for spine problems
involuntary contractions of the neck muscles, which usually leads to abnormal postures and movements of the head, most commonly caused by (wind invasion) temporarily tight muscles, could also be meningitis or neck injuries and problems with neck vertebrae
torticollis (wry neck)
torticollis symptoms
tight, stiff neck, and surrounding muscles, difficulty moving the neck, especially turning the head to one side, generally one sided, often sudden onset, aversion to cold and wind, some people may experience headaches, pain may radiate down the back or arms
torticollis TCM treatment
exterior invasion of wind cold
release exterior, expel wind, expel cold
gb20, li4, bl12, du14,16, st36, gb39, st40, bl60,62,65, si3, moxa on needle st36, sparrow pecking moxa, slide cupping locally on neck
injury causes pain, stiffness and loss of movement, patients may experience headaches, muscle spasms and pain in the arms or shoulders. sudden hypertension and hyperflexion injures the tendons and ligaments of the cervical vertebrae although the ligament is not ruptured it can still take several months to heal- can take 6-12 hrs to develop
whiplash
whiplash treatment plan
eliminate stasis, invigorate circulation, nourish spleen, and liver to produce more qi and blood
li4 and lv3, sp6, lv8, sp3, st36, r17, bl17,18,20, d4,14,16,20,gb20,21,39,49
