Sunday, November 22, 2009

post operative knee pain for 1 month

40 yr old female patient came in to get some relief for her pain in hip and knee. she had a surgery on her knee and since then her knee feels so stiff and tight. rom is limited in her knee joint.

s/s: nausea, indigestion, occasional st acid. low appetite. abdominal distention her knee and hip (all right side) pain is worse when it is cold and humid. slight insomnia and occasional palpitation. she does not look like depressed or anxious type.

Tx: tonify sp. sp 1 lv 1 - sp 2 ht 8 +
patient says she feels bubbles in her stomach and much better after 15 min of tx.

2nd visit
she states she feels better in her stomach but not in her knee or hip.

TX: sedate GB GB 38+ SI 5+ (to dry damp and expel cold)
ROM improved about 50% and pain lessened by about 50%

3rd tx (I did not want to use 5 element points since those points are relatively sensitive)
Shin Guan (double needle tech) BiYik (nose) -- worked as good as GB 38 and SI5

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