This is a case of acute groin pain improved by 2 acupuncture treatments.
The patient is 18-year-old male who injured his left groin yesterday while playing hockey. When he bends forward and twists his back to the left, he feels pain in his left low back, and when he raises his left knee, he feels pain in his left groin.
I had him lie on his right side on the treatment table and checked his left low back, buttock and groin for pressure pain with my fingers and found tender points on his left low back and groin. I needled on his head and low back and released the tender points and let him relax for 10 minutes with the needles.
After removing the needles, I had him stand up and checked his movement. When he raised his left knee, he still felt some pain in his left groin, so I gave a little bit of stimulation on an acupuncture point on his foot with my finger and asked him to raise his left knee again. This time he didn’t feel any pain, so we finished the first treatment.
His groin pain was better but when he raised his left knee, there was a little bit of pain in the area.
At the beginning of the treatment, I added the treatment to relax whole body from his head, leading to the improvement of the flexibility of raising his legs on the treatment table.
I did almost the same acupuncture treatment as the last session and added the treatment to improve the strength of his legs.
I had him stand up and confirmed he didn’t have any pain in his left groin when he raised his left knee and fished the course of the treatment for his left groin pain.
Chick here to check other cases treated with acupuncture treatment.
The patient is a woman in her 50s, who is a caregiver.
3 days ago when she tried to change the posture of a heavy person on the bed, she hurt her left low back. She feels pain when she walks and bend her back backward.
When I checked her pulse, I thought this was a typical acute low back pain because her pulse was very tight. So I gave her the treatment for acute low back pain, removing tender spots on her low back and buttocks and attached a very short needle with sticker on her low back. She felt pain when she got up, so I added an adjustment of her rib cage. When I had her stand up and check her back, she felt much better, so I fished the first treatment.
2nd Treatment (2 days later)
Yesterday, when she moved the heavy person again, she felt pain in her right low back. Today she feels pain in the center with bending backward and in each side with bending sideways.
Since she had pain on both sides of her low back and also the center of the low back, I chose to treat both sides of her low back with normal low back pain treatment. After the treatment, her low back was not improved at all. I added some needles to remove tender spots found when she stood up, but her low back pain didn’t change.
I thought she might have had another acute low back pain on her right side and asked her to lie on her side and gave the treatment for acute low back pain. When she stood up and checked her low back, her low back was not completely better, but was improved. I stopped treatment here to avoid too much amount of treatment.
3rd Treatment (2 days later)
2 days after the last treatment, her low back pain was much better. Only when she bend her back to the left, she felt pain on her left buttock. She was standing all day but didn’t do the work to move the heavy person. I treated her left low back and buttock and when she stood up, she still felt some pain with bending side way, so I found painful spots on her left buttock and removed them with a touch-up needle. I asked her to check her back again and this time she felt better. Since she felt much better on her low back, I finished the treatment for her acute low back pain.
At the second treatment, I couldn’t recognize another acute low back pain was happening on the other side at the beginning because I had no idea that 2 acute low back pain happening within a few days. I learned that I should carefully check the patient’s condition without preconceptions.
A woman with the age of 60s came to my clinic with pain and tingling sensation in her left inguinal area, low back, buttock and thigh.
4 weeks ago she had visited a doctor and had been diagnosed with shingles, and a week later she had visited another doctor and had been diagnosed with Meralgia Paresthetica. She had tried to cool, warm the area of the pain, apply CBD cream and take pain killers every 4 hours, but there had not been any improvement.
She was referred to my clinic by her niece who was my patient, but very skeptical about acupuncture.
Her symptom showed up when she lay on her side during sleep. After the first treatment, pain and tingling sensation in her left thigh disappeared and she could sleep on either side, but she seemed still skeptical and was thinking that it got better because one week had passed.
After the second treatment, pain and tingling sensation in her low back, buttock and inguinal area disappeared mostly as well. At this point, she seemed like trusting the effectiveness of acupuncture treatment.
I finished her third treatment telling her to come back for 2 more treatments to prevent reoccurrence.
Dangerous Low Back Pain
It is said that many of low back pains are caused by stiffness or scars of the muscles, but there is a dangerous low back pain caused by the compression of the nerve in the low back, which is a herniated (intervertebral) disc.
A herniated disc is the condition that the disc between bones in the low back, which called Intervertebral disc, bulges out and stimulates the nerve, causing low back pain or numbness in the leg (Fig. 1).
How to check whether your low back pain is caused by a herniated disc or not
(1) Stand with your feet shoulder-width apart (Fig. 2).
(2) Stand on tiptoe for 10 seconds.
If you stagger or your heels touch the ground within 10 seconds, you may have a herniated disc.
When the nerve from the back to the leg is disturbed by a herniated disc, the calf doesn’t have strength or feels numb, making difficult to stand on tiptoe stably.
Exercise to prevent a herniated disc
(1) Sit straight on a chair (Fig. 3).
(2) Bend your upper body forward slowly to more than 45 degrees and return to the original state (Fig. 4).
(3) Repeat 10 reps.
I had been feeling uncomfortable in my right hip joint, but I went out for running and stopped running after I ran 5 miles due to pain in my right hip joint.
The next day I felt pain in the hip joint only after a half mile walk and when I’m sitting or lying down, I felt pain in the inside of my right knee and lower leg, squeezing feeling in my right thigh, ankle and top of my right foot.
It is difficult to treat yourself because you can’t reach where the cause of the pain is or where you want to needle, especially when the symptom is on your back side. But since the condition was the same on the following day, I decided to start treating myself.
After self-acupuncture treatments of about twice a week for 1 month, there was no pain while sitting or lying down, and less pain when I walked, so I tried to run about 3 miles. While I was running, there was no pain so that I thought my hip joint got better, but the next day I couldn’t walk more than a half mile without pain.
Again I started treating myself. I continued self-treatment for 2 weeks, but this time my hip joint didn’t get better at all even though I did the same kind of treatments I had done before.
When I started to think that I should visit another acupuncturist, an idea came to my mind. I usually put the thinner side of a round-tip needle on an acupuncture point, but I came up with the idea of putting the thicker side of the round-tip needle on an acupuncture point, flipping the round-tip needle.
Then I touched an acupuncture point located on the side of my abdomen called GB26 with the thicker side of the round-tip needle, and moved my right hip joint. When I was touching the point with the thinner side, there was pain by moving the hip joint, but touching the point with the thicker side decreased the pain in the hip joint.
After that experience, I continued self-treatment, incorporating this method, and the pain in the hip joint gradually disappeared. 2 weeks later I tried to run again about 3 miles, but the pain in the hip joint didn’t happen. Then I tried 6 miles and 9 miles, but the pain didn’t come back.
As I mentioned at the beginning, self-treatment is difficult because what can be done on myself is very limited compared to the treatment for others, but it is a very good chance to find better way to treat a patient because I can try something I usually don’t do on my patients.
A patient with the age of 30s came to my clinic for low back pain. Her low back hurt with bending forward and backward. She was also suffering from a severe headache from the back of her neck to the back of her left eye for 3 days. She took medication, but the headache didn’t get better. She had had a chronic headache since she was a child almost every day.
When I checked her body, she had a lot of painful points between shoulder blades and her left buttock. After removing all the painful points with 2 needles on her head and left low back, her headache was gone.
After some touch-up treatment, I had her stand up and check her back. There was no pain in her low back with bending forward and backward.
Since she had a headache in the back of her eye, I was planning to use another acupuncture point which was usually used for such a headache at the end of the treatment, but it was not necessary.
I think that her headache comes from the tightness between her shoulder blades and continuous acupuncture treatment helps improve her chronic headache from her childhood.
5 Best Acupuncture Points You Can Easily Press and Improves Symptoms Chosen by 100 Acupuncturists (5/5)
1st: Chosen by 31 out of 100 Acupuncturists
Stiff neck and shoulders, Headache, Cold intolerance, Edema, Stress, Anxiety, Insomnia, Tiredness of Eyes, Low back pain, Knee pain, Constipation, Menstrual cramps, rough skin, High blood pressure, Diarrhea, Pollen allergy, Sore throat, Toothache, Dizziness, Snoring, Ringing in ears
This acupuncture point is all-around and the strongest acupuncture point effective for various symptoms all over the body.
Large Intestine-4 (LI4)
Location of LI4
LI4 is located where the bones of the index finger and the thumb meets and is the index finger side (Fig. 1).
Pressing LI4 promotes the secretion of the substance having an analgesic effect and affects the symptoms all over the body.
How to press LI4
Push your thumb into the inside of your index finger and count 10 (Fig. 2).
5 Best Acupuncture Points You Can Easily Press and Improves Symptoms Chosen by 100 Acupuncturists (4/5)
2nd: Chosen by 23 out of 100 Acupuncturists
Low back pain, Knee pain, Tiredness of legs, Constipation, Tiredness of stomach
Location of ST36
ST36 is located where the finger hits the bone when pushing the bone below the knee upward (Fig. 1).
Pressing ST36 improves the blood flow around the low back and the whole legs and promotes the function of the stomach and intestines through the brain.
How to press ST36
(1) Overlap your thumbs one another on ST36 and push toward your knee (Fig. 2).
(2) When you push for 5 seconds, release for 5 seconds (Fig. 3).
(3) Repeat 5 times.
This Blog is for a memo of my clinical realizations, information about health I have learned recently and update information.