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Beth Conroy Compendium - Thoracic Back Pain - Acupuncture Physical Medicine

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Edit 0 Physical 0 1 Thoracic Back Pain - Acupuncture Medicine

ThoracicBackPainAPM
Thoracicbackpainispain,discomfortandstiffnessinthemidtoupperbackatthelevelofthe spinousprocessesT1T12.Patientscanexperiencepainbetweentheshoulderbladesandin themusclessurroundingT1T12.

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WWW.triggerpoints.net AcupuncturePhysicalMedicinebyMarkD.Seem AcupunctureOsteopathybyMarkD.Seem AcupunctureImagingbyMarkD.Seem PATTERNSOFDISHARMONY/DIAGNOSIS(FacesofFatigueZoneorTM

Dysfunction
SpinalIrritation

ClinicalManifestations
Pain/discomfort/stiffnessinthethoracicarea

PALPATORYFINDINGS
Tightnessandconstrictioninthemajormusclesoftheupperandmiddledorsalzone: Trapezious Rhomboids Paraspinals Subscapularis levatorScapulae

TREATMENTPRINCIPLES:
DisperseTaiYangZoneExcess/DuMoExcessRegulateKidney/HeartProtectorMeridians

TREATMENTPLAN:
A)JingLevel: BL62opensYangQiaoMai SI3opensDuMo B)YingLevel: KD3+BL58sourceandluopointsthatcompletetheinternal/externalcircuit BL23Kidneyshupoint C)Wei:
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Beth Conroy Compendium - Thoracic Back Pain - Acupuncture Physical Medicine

Bl40Commandpointfortheback Bl63xicleftpointforthebladderchannel *Triggerpointsandashipointslocaltotheareaandalongtheaffectedchannels ThepatientisfirstneedledatthejinglevelusingtheDuMoandYangQiaoMai.Thisopensup thedorsal/taiyangzone.Attheyinglevel,thesource/luooftheKDandHTcompletetheTai YangShaoYincircuit.Theshupoints,mostpowerfulfortheorgansbeinglocatedrightabove them,affectthecorrespondingorgans.TheWeilevelpointsdealwithanymyofascial constrictions,bringbloodandqibacktothoseareas,relievesymptomaticpain,andallowthe musclesandtheirmytoticunitstofunctionproperlyagain.Byallowingthemusculatureofthe backtorelaxthepractitionerisalleviatingpainsymptomsandalertingtheclienttoholding patterns.Triggerpointdryneedlingleavesasorenessthatwillbeaconstantbuttemporary reminderofwheretorelaxinthefuture.

PATIENTEDUCATION/RECOMMENDATIONS:
Ifpainwascausedbyaninjurythepatientshoulddoqigongexercisestostrengthenthearea sothatfutureinjurycanbeprevented.Thisisimportantsinceatrophyofmuscleshasstarted tohappenduetoinjury.Ifthepainwascausebytightmusclesthanthepatientneedstolearn torelaxby:1.Watchinghisposturewhensitting/standing,2.Aerobicexercise34xaweekfor ahalfhour,3.Doqigongexercisesspecifictotheareathatistight.Patientsshouldcomefor onetreatmenteveryweekfor3or4weeksandthenonceamonthforfollowups.Ifthis prescriptiondoesnotimprovethepatientsconditionitisrecommendedtohimtoconsulthis primarycarephysician.

Prognosis:
Regularexercise,acupuncturetreatmentsand/orstopping/limitingactivitiesthatcausedinjury cangetridofpainsymptoms.Patientsmustbementallyvigilantandpayattentiontoposture, whatactivitiestheydidtocausepainandseeingiftheygetenoughexercise.

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