A 51 year old female complained of acute low back and buttock pain. The pain suddenly started 2 days ago and was located from right low back to sacrum and right buttock. She couldn’t bend forward and had pain with rotation as well. She often woke up due to the pain. She had fractured her right transverse process of L5 4 years ago.
Her pulse was fast, and her abdomen was tight overall but there were no tender spots. I diagnosed with Liver pattern and needled on her arm to slow down her pulse with a round-tip needle.
After I confirmed her pulse slowed down, I asked her to lie on her left side. I palpated her low back and buttocks for tender spots. Tender spots were located on her right iliac crest, buttock and upper part of IT band. I inserted some needles on her head and low back to relieve the tenderness. 20 minutes later I removed the retained needles and palpated the area of tenderness. There were still some tender spots left on her right buttock. I needled on her right foot (GB41) to release these tender spots, but 1 tender spot remained. After the treatment, I asked her to stand and move her low back a little. Since she felt better, no additional treatment was done.
Treatment #2 (Next day)
After the first treatment, she felt better, but the pain came back at night and she couldn’t sleep well.
I did almost the same treatment as the first treatment, but the amount of treatment might be too much in the first treatment, so I decreased the amount of treatment.
After the treatment, I asked her to rotate her low back. Since she felt some tightness in her right low back, I did touch-up treatment on her arm. After that, she felt a little bit of soreness, but she said she felt better, so I didn’t do additional treatment to relieve the soreness.
Treatment #3 (Next day)
She had some soreness in her right buttock but felt much better.
The treatment was almost the same as the last treatment. This time it was easier to relieve tender spots on her right buttock and IT band.
After the treatment, I asked her to stand and check her low back, but there was no pain with movements and no soreness, so the course of treatments for her acute low back pain was finished.
[CASE] Acute Low Back Pain (Sciatica)
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