[CASE] Neck pain due to sleeping on the neck the wrong way and Sty on Eye

​Overview
 
The patient was a woman with the age of 50s.
Her complaint was pain in her right neck and shoulder area. When she woke up in the morning she came to the clinic, she couldn’t move her neck very well due to pain. It was difficult to rotate her neck to the right side and when she looked up and down she felt pain below the right side of the back of her neck.
 
She had a lot of painful points with pressure around the area and on the right side of the neck. After the first treatment, she felt easier and less painful to move her neck, but still painful at the end of each movement.
 
The next day she felt better, but there was pain below the right side of the back of her neck at the end of looking up and down and the right rotation. When I checked her neck and shoulder area, the number of pressure pain points were less. After the treatment, she didn’t feel any pain when she moved her neck, so the course of the treatments for her sprained neck ended by 2 treatments.
 
All the treatments were performed with non-insertion needles.

She also had a sty on her right eye. Heat therapy (moxa) on her hands helped make the sty smaller.
 
Detail of Acupuncture Treatment
 
[1st Treatment]
From her symptom, I assumed that the pattern of her condition would be Spleen Deficiency Liver Excess, but actually the pattern was Liver deficiency judging from the pulse, abdomen and light strokes on the channels.
 
I tonified Left LR-3 and performed Spreading Needle on her neck and head and let her take a rest for 15 minutes. After the rest, I gave general treatment on her back and removed painful points with pressure using points on her head and hand. Having her sit up, I gave a little strong stimulation with Dispersion Needle to the points where she still felt painful when she moved her neck. Her neck didn’t become completely better, but I finished the treatment for her neck for the day, considering the dosage of the treatment.
 
She also had a sty on her right eye, so I did moxa on her LI-4.
 
[2nd Treatment]
The pattern of her condition changed to Spleen Deficiency Liver Excess which I had assumed before the 1st treatment. I tonified Right SP-3 and PC-7 with Yang and tonified Left GB-36 with Yin. After 15 minutes rest, I gave her general treatment on her back and had her sit up and removed painful points with pressure around her neck and shoulder using the points on her head. I asked her to check her neck and she still had tightness and pain at the end of the movements. After I used Right TW-3, She felt looser but still had pain at the end of the movements around Right SI-15. After I used Dispersion Needle on the point, the pain was gone.
 
The sty on her right eye already became small, but I added moxa on LI-4 again.
 
Consideration
 
The pattern in the first treatment used for the root treatment might be more for sty in the eye. Spleen Deficiency Liver Excess used for the second treatment must fit sprained neck.
 
I think Spreading Needle on the back of her head which I skipped in the first treatment helped releasing the pain and tightness on the diseased area.
 
I also think the good point to treat often shows up around SI-15 in the case of sprained neck.

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