Stiff Neck

Question 0

Clinical Feature

Answer 0

SCM/trap limited ROM, Cervical Spondylosis, Acute sprain, Limited ROM, Strained mm

Question 1

Def

Answer 1

Also called Wry neck/torticollis is a muscular disorder in which the neck is twisted and the head is pulled to one side. It’s usually caused by a poor sleep posture, improper turning of the neck or exposure of neck to pathogenic wind cold

Question 2

Etiology

Answer 2

Qi and Blood Stasis –> Improper pillow height

                   - -> Improper sleep posture }Chronic Strain of mm in neck
             - --> Muscular sprain
             - --> Sudden turn of head } Acute mm sprain in neck

Invasion of Wind Cold –> Exposure to wind cold during sleep
–> Living in wet place } Disturbance of local
circulation of Qi and Blood in Meridians

Question 3

What does WADS stand for?

Answer 3

Whiplash Associated Disorder

Question 4

Education

Answer 4

Adjust pillow height
Keep warm
Avoid EPF
Self Massage to move Qi
Warm up before exercise to avoid injury

Question 5

Distending pain on one side of the neck, oblique head to the diseased side, lower jaw turning to healthy side and limited movement, pain may radiate to upper back and upper limb, may have history of injury, no obvious general symptoms

Answer 5

Qi and Blood Stagnation

Question 6

Distending pain on one side of the neck, oblique head to the diseased side, lower jaw turning to healthy side and limited movement, pain may radiate to upper back and upper limb, chills/fever, general aching, heavy sensation of head

Answer 6

Invasion of Wind Cold

Question 7

Invasion of Wind Cold T & P

Answer 7

T: Thin and white or white and sticky, normal
P: Superficial and tight or superficial and moderate

Question 8

Qi and Blood Stagnation T & P

Answer 8

T: Thin and white, normal or slight purple body

P: Wiry

Question 9

Qi and Blood Stagnation Points

Answer 9

Local Pts:
Du 14
UB 10
GB 20/21
SI 14
Ashi

Question 10

Invasion of Wind Cold Points

Answer 10

Distal pts:
SI 3/7
GB 39
UB 60
Lu 7 - Command pt Nape and Neck
SJ 5
Laozhen

Question 11

Tx:

Answer 11

Moxa Du 20
Cupping
Guasha
EA - 2-4Hz
Auricular: neck, Liver/sp, sub cortex
Acute vs. Chronic
Min 3 sessions 1-2 times a week for 5-7 Tx

Question 12

Differentiation

Answer 12

*Pain on one side*
Radiating to shoulder and arm
Worse/occurs at night
Limited ROM
Palpate for meridian involved

–> chronic can be due to degeneration of cervical spine: numbness, slow onset etc. Need an X-ray to rule this out

–> Meridian Differentiation, palpate, ROM difficulties - “Moving acup
Technique”

–> Qi Stag vs. Wind Cold Signs and Symptoms