Tuesday, April 7, 2009

GB/SI

a lady came with bilateral knee pain for 7 months. she had 6 wks of PT without any improvement. her doctor said she has patillatendonitis. standing walking is painful. icing helps for that moment.
she is average tall and thin. she recalls she was working out more 7 months ago on an elliptical machine.

s/s: insomnia palpitation tenderness at GB 21 SI 11 ashi (1.5 cun medial to ST 35)-tendonitis
cold hand and feet (due to excessive sweating) stuffiness in chest when breath. frequently passing gas.

Dx: SI GB deficiency

Tx: (will SI2- SI3+ GB 41+ UB 66- make her knee feel better? she is thin and knees are better with icing) she also said she was suffering from insomnia for all her life. 'let's go GB'

GB points-master Tong (pain is gone) so far she came 3 x. I did GB points 2x and GB43 + LI 1- once. there is about 50% improvement so far according to patient.

patient came back after 2 months and tells me pain is coming back. knees were ok for a few months and recently it is coming back again and she does not know why.

additional s/s: excessive sweating (arm pit hands) gas in low abd. digestion is fine. cold hands and feet.

tx. si 2 - gb 41 + knees are much better.

so it seems her knee pain was related more to SI then GB

most recent tx:

GB points (master tongs points located in the mid finger) which used to work fine did not work at all for her knees. then tried shenmen (master tongs point about 2 cun distal to the tip of elbow along SI channel) worked like magic. next time she comes I should tonify SI channel again.

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