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Acupuncture > Foot & Ankle > Flashcards

Foot & Ankle Flashcards

1
Q

List the 4 taught foot & ankle points and describe their location

A

Foot & ankle points

  1. LR3

Midway between the first and second metatarsals at the level of the midpoint of the second metatarsal. (Analogous to the location of LI 4 in the hand)

  1. BL60

In the center of the depression located approximately midway between the most prominent aspect of the lateral malleolus and the posterior border of the Achilles tendon, superior to the calcaneus.

  1. KI3

On the same horizontal line as the most prominent aspect of the medial malleolus in the depression between the medial malleolus and the Achilles tendon.

  1. GB40

Anterior and inferior to the lateral malleolus, in the sinus tarsi, lateral to the extensor digitorum longus tendon.

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2
Q

LR3 location and needling technique

  • Location
  • Insertion
  • Depth
A

LR3 location and needling technique

Location

Midway between the first and second metatarsals at the level of the midpoint of the second metatarsal. (Analogous to the location of LI 4 in the hand)

Insertion

aim slightly superiorly from the perpendicular, towards the junction of the first and second metatarsal

Depth

0.5 cun

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3
Q

List relevant LR3 anatomy

  • Muscles (1)
  • Nerves (1; deeper - 1)
  • Vessels (6)
A

LR3 Anatomy

Muscles

  1. first dorsal interosseus
  2. extensor hallucis brevis tendon

Nerves

  1. deep peroneal (fibular) nerve (medial terminal branch) L5
    * Deeper*
  2. digital nerves (terminal branches of lateral and medial plantar nerves

from tibial nerve L4-S3)

Vessels

  1. & 2. deep peroneal artery and vein
  2. arterial arches in the foot
  3. & 5. first dorsal metatarsal artery and vein
  4. dorsal venous network
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4
Q

List 6 neuroanatomical LR3 indications

A

LR3 indications

Nb. Sympathetic Switch

  1. Pain, inflammation in the foot, e.g., gout
  2. Pain in the lower extremity particularly of sympathetic origin, e.g. reflex sympathetic dystrophy
  3. Rheumatoid arthritis
  4. Osteoarthritis of the foot
  5. Pain in the anterior aspect of the medial malleolus
  6. Pain anywhere in the lower extremity
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5
Q

BL60 location and needling technique

  • Location
  • Insertion
  • Depth
A

BL60 location and needling technique

Location

In the center of the depression located approximately midway between the most prominent aspect of the lateral malleolus and the posterior border of the Achilles tendon, superior to the calcaneus.

Insertion

lateral to medial

Depth

0.5-1 cun

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6
Q

List relevant BL60 anatomy

  • Muscles/tendons (3)
  • Nerves (1)
  • Vessels (2)
A

BL60 anatomy

Muscles/tendons

  1. Achilles tendon
  2. peroneus longus tendon
  3. peroneus brevis tendon

Nerves

  1. sural nerve S1

Vessels

  1. & 2. peroneal artery and vein
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7
Q

List 5 neuroanatomical indications for BL60

A

BL60 indications

Nb. Sympathetic Switch and special point for musculoskeletal disorders

  1. radicular sciatic pain due to lumbar disc problem
  2. pain and inflammation of the sciatic nerve
  3. lateral ankle sprain/strain
  4. Achilles tendonitis
  5. pain and inflammation of peroneus longus and brevis tendons
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8
Q

KI3 location and needling technique

  • Location
  • Insertion
  • Depth
A

KI3 location and needling technique

Location

On the same horizontal line as the most prominent aspect of the medial malleolus in the depression between the medial malleolus and the Achilles tendon.

Insertion

medial to lateral

Depth

0.3 - 0.5 cun. Deeper insertion towards BL 60 is possible

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9
Q

List relevant KI3 anatomy

  • Muscles/tendons (4)
  • Nerves (1; deeper - 1)
  • Vessels (2)
A

KI3 anatomy

Muscles/tendons

  1. Achilles tendon
  2. Fllexor hallucis longus
  3. Flexor digitorum longus tendon
  4. Tibialis posterior tendon

Nerves

  1. saphenous nerve L3-4
    * Deeper*
  2. tibial nerve L4-S3 (medial and lateral plantar nerves)

Vessels

  1. & 2. posterior tibial artery and vein
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10
Q

List 5 neuroanatomical indications for KI3

A

KI3 indications

  1. Tarsal tunnel syndrome (compression of tibial nerve)
  2. Medial sprain/strain of the ankle
  3. Achilles tendonitis
  4. Inflammation of ankle: osteoarthritis, rheumatoid arthritis
  5. Lower back pain
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11
Q

GB40 location and needling technique

  • Location
  • Insertion
  • Depth
A

GB40 location and needling technique

Location

Anterior and inferior to the lateral malleolus, in the sinus tarsi, lateral to the extensor digitorum longus tendon.

Insertion

intra-articular, perpendicular to the skin. Use Betadine® or Stanhexidine® to avoid joint infection

Depth

1 - 1.5 cun

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12
Q

List relevant GB40 anatomy

  • Muscles (1)
  • Nerves (1; deeper - 1)
  • Vessels (1)
A

GB40 anatomy

Muscles

  1. extensor digitorum brevis

Nerves

  1. sural nerve S1 in the skin
    * Deeper*
  2. superficial peroneal nerve L5-S2

Vessels

  1. anterior lateral malleolar artery
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13
Q

List 3 neuroanatomical indications for GB40

A

GB40 indications

  1. Inflammation of the ankle
  2. Lateral ankle sprain
  3. Osteoarthritis
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Acupuncture (23 decks)

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