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Ortho Neck Acupuncture > Ortho Neck Acupuncture > Flashcards

Ortho Neck Acupuncture Flashcards

1
Q

What are four questions to ask of MC?

A
  1. Onset of pain
  2. What is mechanism of injury
  3. Structures involved
  4. Level of disability
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2
Q

Three questions to ask about pain?

A
  1. Pain location
  2. Pain quality
  3. Pain Type
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3
Q

Other questions to ask patient about neck pain?

A
  1. Headaches
  2. Dizziness/Fainting/Seizures
  3. Sleep Position
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4
Q

Where does nerve impingement below C5 create numbness and tingling?

A

Shoulder, arm and hand

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5
Q

What meridians are associated with C6?

A

LU/LI

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6
Q

What meridians are associated with C7?

A

PC/TW

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7
Q

What meridians are associated with C8?

A

HT/SI

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8
Q

Where can nerve impingement above C5 produce numbness and tingling?

A

Along the GB meridian and affect the ear and throat.

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9
Q

What is Upper Extremity Movement Impairment Syndrome?

A

Rounded shoulders and forward head posture.

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10
Q

How is palpation of neck structures best performed?

A

Supine where muscles are relaxed.

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11
Q

What does Myotome assessment achieve?

A

Determines muscle weakness that originates from motor fibers of cervical nerve roots. Hold for 5 seconds.

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12
Q

Neck Flexion tests which muscle group and which nerve root?

A

SCM and C1/C2

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13
Q

Neck side flexion/bending tests which muscle group and which nerve root?

A

Levator Scapula, Upper Trap, Scalenes medius) and C3

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14
Q

Thumb Extensions tests which which nerve root?

A

C8

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15
Q

How do you test C6 and which muscle group is affected?

A
  • Elbow flexion, wrist extension.

- Brachialis, Bicep Brachii, wrist extensors

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16
Q

What Cervical Vertebrae is tested by shoulder abduction?

A

C5 - Supraspinatus (rot cuff), deltoid

Arms out to the side, press down on upper arms.

17
Q

How do you test C4?

A
  • Shoulder elevation, press down.

- levator snap, upper trap, scalenes (ant/med)

18
Q

How do you test C7?

A
  • Elbow extension, wrist flexion
  • patients arm straight out palm faced down. Place your hand on patients elbow crease press down there while pressing up on patient’s hand. Have patient resist. Count for 5-6 seconds.
19
Q

The patient is standing during Myotome testing - true or false?

A

False - sitting is best.

20
Q

True or False: Perform the most painful movements first, when assessing AROM?

A

False

21
Q

What is the normal ROM for neck flexion?

A

80-90°

22
Q

What is the normal ROM for neck extension?

A

70°

23
Q

What is the normal ROM for neck side bending?

A

AROM 20-45°

24
Q

What is the normal ROM for neck rotation?

A

70-90°

25
Q

Source and Luo Points for the Neck?

A

Si4 + HT5, BL64 + KD4, TW4 + PC6, GB40 + LV5

26
Q

What is Wry Neck?

A
  • Invasion of wind cold (acute)

- Cervical facet joint disorder (chronic)

27
Q

Where does myofascial pain typically present?

A
  • Levator scapula
  • Upper Trapezius
  • Rhomboids
28
Q

Name five typical TCM diagnosis for neck pain?

A
  • LV Qi Stagnation
  • Lu Qi Deficiency
  • SP/LV Blood Deficiency
  • KD deficiency
  • OPI
29
Q

What are the group Luo points?

A
  • TW8 (3 arm yang)
  • PC5 (3 arm yin)
  • GB39 (3 leg yang)
  • SP6 (3 leg yin)
30
Q

What do the Group Luo point treat?

A
  • Qi and Blood btw 3 channels
  • 3 channel disharmony
  • Imbalance of yin/yang
31
Q

Name 4-6 physical things that neck pain and injury can involve?

A
  • bony misalignment
  • ligament injuries
  • muscle injury
  • disk compression
  • osteoarthritis
  • compression of the spinal chord
32
Q

Causes of cervical nerve root lesion?

A
  • stenosis
  • cervical spondylosis
  • osteophytes
  • facet joint problems
  • herniated disc
33
Q

What is the most common muscle in the neck associated with stiff neck?

A

Levator Scapula (pain referring into the Si14 area and extends into the scapula.

34
Q

What muscle is worse with side bend-flexion away from effected side?

A

Levator scapula

35
Q

What is the likely TCM diagnosis of myofascial pain of the levator scapula AKA “stiff neck”?

A

Constrained Liver Qi / Local stagnation of Qi and blood in Si,BL, TW channels

36
Q

Name some points to treat levator scapula “stiff neck”

A

GB20, GB21, Si3, Si11, Si14, Si1, Bailao, LV3, Li4, LV14, BL18…Tuina, traction

37
Q

What is TCM pattern for Wry Neck?

A

Acute Invasion of wind cold, usually due to cold room while sleeping.

38
Q

What is treatment for Wry Neck?

A

Do neck ROM. Disperse Wind and Cold in BL & GB Meridians. Louzhen on effected side. stimulate while moving. Moxa over Ahi needle. Warming Tuina. 1-3 tx. resolve in a week.

Ortho Neck Acupuncture (1 decks)

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