The patient's main complaint was left ankle pain for a month. Other complaints were upper back, low back and hip pain. Her ankle was a little swollen. When I pushed her foot to twist to inner side, around BL62 and GB40 hurt. When I pushed her foot to twist to outer side, around KD5 hurt. When I pushed her foot downward toward the sole, around ST41 hurt.
After general root treatment and local treatment, I applied spreading needle technique with Ja Teishin around her left ankle and checked how much the pain changed. Twisting to outer side and pushing to downward didn't make any pain, but when I twisted her foot to inner side, she still felt pain around BL62 and also on the top of the foot. This time I searched active points at the blood level around BL62 and top of the foot, and hit those points with Shahoshin 2 times each. When I checked her ankle, twisting to inner side didn't make any pain.
What I noticed from this case is that it is important to deal with the pain at Ki level (shallow) first and then Blood level (deep). Spreading needle technique with Ja Teishin removed the pain at Ki level and the pain which couldn't be removed with Ja Teishin was removed with Shahoshin. Applying spreading needle technique with Ja Teishin first makes the number of Shahoshin decrease, which means the amount of stimulation can decreases, resulting in more gentle treatment.
Also as I expected, I felt Shahoshin has immediate effect.