Friday, June 19, 2009

knee pain for 3 yrs

50 yr old male patient came due to chronic knee pain for three yrs. Doctors want to do a surgery and he wants to try acupuncture first. his knee pain is located near sp10 (right side) and LV 8 area (bilaterally) he is using a walker due to his pain. he fell and broke his right femur when he was 13 yr old and he was so stressed about 3 yrs ago.

rom restricted for both knee he can move (flex) only 20 degrees or so)

pain is worse with high humidity and cold weather. they swell up at times. he feels heavy and tired at times (usually when it rains) appetite and digestion is fine.

tx: Sp 3 + Li 11- (all left side) right side sp 10 pain is much better then

then left side LV 1 SP 1 - .... right side lv 8 pain is better ROM became full

blood stasis + cold damp bi

2nd tx: LV1 SP 1 - for right knee worked fine. wanted to try master tong point for his left knee. ShinGuan (1.5 cun below sp 9) did not work. then Giun Joong (posterior to LI 14) worked fine for his left knee.

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