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Ortho LB pathologies
Question | Answer |
---|---|
QL strains typical indications. | Typically unilateral (compresses affected side). Worse with movement. Deep ache. Worse with prolong sitting. Worse with transitioning from sitting to standing. Worse in the morning. |
How does QL strains typically occur. | Sudden movements. Lifting (snow shoveling). Poor posture. Poor technique while lifting/exercising. Repetitive stress on the muscles. |
QL strains signs and symptoms. | Pain stiffness lost of movement. Back pain tends to resolve on its own however, if left untreated it can lead to chronic lower back pain |
QL strains. Typical westen treatment. | Rest on a firm surface. Keep the knees elevated. Avoid prone position. Anti-inflammatory medication. Muscle relaxers. Ice pack. |
What is the medical guide line for lower back pain. | Heat. Massage. Acupuncture. Spinal manipulation. |
QL strains typical orthopedic acupuncture treatment. | Perfusion Tx. Ear shen men, ear lower back. Distal points (GB and UB and the paired channels. (Or extra ordinary points.). Local trigger points/motor points. |
What are the motor points for a QL strain | Pi Gen (3.5 cun lateral to L1). And. Yao Yan (3.5 cun lateral to L4) |
SI joint dysfunction identifiers | LBP (below L5). Sensation of lower extremity; pain, numbness, tingling, weakness. Pelvis/buttock pain. Hip/groin pain. Feeling of leg instability. Disturbed sleep patterns from pain. Disturbed sitting patterns. Pain going from sitting to standing. |
What is the hormone released caused by trauma or pregnancy | Relaxant |
SI joint dysfunction typical western treatment | Rest on a firm surface. Keep the knees elevated. Avoid prone position. Anti-inflammatory medication. Muscle relaxers. Ice pack. |
SI joint dysfunction typical ortho acu Tx | Perfusion treatment. Ear shen men, ear low back. Distal points (GB and SJ shu treat points). Needling the joint line (typically 2 needles) |
Glute medius trigger point pains | Pain in the hip, lower back and leg. Pain upon palpation. Mimics sciatica and often misdiagnosed. |
Glute medius trigger points typical western Tx | Keep knees elevated. Trigger pint injections. Anti-inflammatory medication. Muscle relaxers. HEAT PACK. |
Glute medius trigger points typical ortho acu Tx | Profusion treatment. Ear shen, ear low back. Distal points (GB and/or UB). Needling the active trigger points(typically 4 needles (3 cun)/in line technique. Needling the motor points of the glute medius. |
Where are the Glute medius motor point | 5 inch lateral to the sacral hiatus |
Vertebral fixations. Symptoms | Pain local without radiculopathy. Pain is typically in the center. Worse with side bending, flexion and extension of the spine. Vertebras arn’t moving properly due to muscle hypertonicity and that leads to hypo mobility/pain. |
What is the typically western Tx for vertebral fixations | Rest on a firm surface. Keep the knees elevated. Avoid prone position. Anti-inflammatory medication. Muscle relaxers. Ice pack. Spinal manipulation. |
What is the orthopedic acu Tx for vertebral fixations. | Perfusion treatment. Ear shen men, ear low back. Distal (UB). Needling the Huato Jia Ji points of the affected vertebrae as well as ONE above and ONE below. |
Sciatica signs and symptoms | Pain radiating down the leg-foot. Numbness, tingling following the dermatome. Muscle weakness in the leg. Deep tendon reflex (DTR). Usually unilateral. Sharp, electric pain. |
In sciatica problems what is muscle weakness an indication of? | That the pressure on the nerve is pushing in all the way to the middle of the nerve. |
Typical western Tx for sciatica | Keep knees elevated. PT McKenzie Method. Anti-inflammatory medication. Muscle relaxers. Steroid injections. Ice pack. |
Sciatica typical ortho acu Tx. | Perfusion treatment. Ear shen men, ear low back. Distal (UB) points. (Work because of the segmental reflex analgesia). Distal points stimulating the various nerve root branches. |
What is the MP of the glute minimus | 1/2 way between teh greater trochanter and the highest pint of the illiac crest |
What is theMP of the glute maximus | 6 inch lateral to S4 and 1 inch down |