kikko scar txt Flashcards

1
Q

Kiiko has a chapter on scar treatments in her vol 1 Clinical Strategies
There are many methods to distally treat scars first then can needle into gummy, tight ropy scar areas

A

.. Angle of needle is determined by reduction of pain.. Also check for internal scars at the abdominal wall. Needle should be angled into healthy skin about 5mm from the scar and directed toward the tissue under the scar. When resistance is felt, stop and wait few minutes to continue .. Retain for about 20minutes
Overstimulation can cause irritation or inflammation
Also you can use tigar Warner with Shiunko cream

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2
Q

scar case hx

A

A 42-year-old weekend athlete consulted my office, complaining of disabling right-wrist pain from which he’d been suffering for more than a year. He stated the pain was so intense that his three-times-a-week tennis match had been put on hold, and he had been forced to resign from his company’s softball league.
Not only was this patient suffering from the effects of pain and dysfunction, but he also was suffering from the effects of anxiety, fear and uncertainty of the future. He was obviously despondent.

Two previous orthopedic surgeons had been unable to diagnose the cause of the problem, ruling out the usual: carpal tunnel syndrome, sprain, arthritis or any other plausible explanation. He had suffered no known injury to the right wrist. The pain was a complete mystery. Physical therapy had been to no avail; chiropractic care and treatment by a professional acupuncturist also had failed to provide any relief.

The patient was leery, frustrated and unenthusiastic, but still hoping for an answer. General examination of the right wrist was unremarkable, as were the X-rays from the orthopedist. Since the patient already had received eight acupuncture treatments from a licensed acupuncturist and a fellow of the International Academy of Clinical Acupuncture, I advised the patient that anything I could do would probably not be any more productive than his earlier acupuncture experience.

It was then I noticed a rather large irregular scar on the outside of his left ankle. On inquiry, I learned the scar was from an earlier skiing accident. He had fractured his ankle, requiring surgical intervention and pinning. On further questioning, I learned the skiing accident was exactly two months prior to the onset of the right wrist pain, which occurred suddenly and without incident. The pain and dysfunction he experienced in his wrist defied a logical explanation.
One of the most significant cause-and-effect relationships in healing is “what affects the top affects the bottom and what affects the right side affects the left side and vice versa.” It also is understood that “the right shoulder affects the left hip, the right elbow affects the left knee, the right wrist affects the left ankle, and vice versa.”

With this in mind, I stimulated the entirety of the scar tissue of the left ankle with a teishein (nonpenetrating acupressure device). On the second visit, the scar tissue of the left ankle was stimulated with an electronic acupoint stimulator. I was wondering if the patient thought I was crazy, incompetent, or both, as I had yet to touch his right wrist. On the third visit, the patient advised me the pain was remarkably improved. Following two more visits of the same treatment to the left ankle, the patient said he had played a little tennis with his wife. Three weeks following the initial treatment, the patient reported 100 percent improvement in pain and range of motion. He received a total of eight treatments, and not one time was his right wrist directly treated.

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