EM musculosketal

Question 1

acute pain

Answer 1

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

Question 2

subacute pain

Answer 2

3 days - 3 weeks old
fragile scar tissue forming (regenerating new tissue)
yellow green and brown bruising
range of motion increases as inflammation decreases

Question 3

chronic pain

Answer 3

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

Question 4

pain questions

Answer 4

primary site, radiations, nature of pain, severity, duration, frequency, time, better/worse for, associated phenomenon

Question 5

dull pain

Answer 5

xu

Question 6

strong pain

Answer 6

excess

Question 7

burning

Answer 7

fire/heat

Question 8

stuffy

Answer 8

xu

Question 9

knife like

Answer 9

phlegm/blood stag

Question 10

dull

Answer 10

xue stag

Question 11

moves/intermittent

Answer 11

wind/qi stag

Question 12

better for light pressure

Answer 12

xu

Question 13

worse with pressure

Answer 13

excess

Question 14

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

Answer 14

plantar fasciitis

Question 15

treatment plantar fasciitis

Answer 15

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)

Question 16

spinal problems

Answer 16

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

Question 17

spinal problems TCM diagnosis

Answer 17

qi and blood stagnation localized to the area of herniation
consider spleen qi xu failing to manage vessels
sp 3, ht7 for spine problems

Question 18

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

Answer 18

torticollis (wry neck)

Question 19

torticollis symptoms

Answer 19

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

Question 20

torticollis TCM treatment

Answer 20

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

Question 21

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

Answer 21

whiplash

Question 22

whiplash treatment plan

Answer 22

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