gb 43 UB 66 + LI 1 GB44 - is routinely done for stiffness and pain after cast is taken off. however we as an acupuncturist should be awake all times meaning we should not forget to differentiate based on clinical findings.
40 yr old female patient came due to severe pain in right foot knee and calf along with stiffness in right ankle (she had cast around right ankle for 1 month) she states all pain came along with her ankle injury except her foot pain is chronic.
her right ankle is stiff without pain. at night time she feels heat sensations around the ankle and it travels from the ankle to right knee along st/gb channels.
s.s/ no palpitation no sleeping problems no urination no other heat signs other than the heat sensation around right ankle at night
tx: gb 43 + 30 % better then gb 38 - no more stiffness
foot pain knee pain stay the same
calf pain is better by 80 % (dahm point mater tong added) then calf pain was gone.
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