Must impress Dad/GB disease/hip/low back pain

[Guest guest]

My father is in town for my wedding (gulp) and he wants me to treat

him (double gulp). This is my big opportunity to finally win my

father's approval (!) and prove to him that acupuncture is for

real!! Yeah, I know, I'm really setting myself up here...and for

some reason when it comes to treating my Dad my brain just doesn't

work...

 

I'm doing lots of research for ideas, but thought I'd see if you all

had any additional suggestions. Here are his main complaints: He's

68 years old with R Groin and hip tightness and stabbing, sharp pain

that is around the greater trochanter and also around GB 26/St 30

area (this is not exact, by the way). He thinks its the illiopsoas

muscle. This started 3 or 4 weeks ago after too much softball. A

dull ache in front of R thigh that only happens at night and wakes

him also started 3 to 4 weeks ago (st, sp area). The other priority

is R low back pain with a bulging disc---sharper pain at R sacral

area then tight on R around T 9 or 10 to around L 4. He has the

sense that he might have a little sciatica, but is not sure. He has

been dx'd with stenosis (I'm thinking that's yin xu because it is a

narrowing of the cavity down the spine). His R hip is higher than his

L, which pulls it off the ground, making it shorter than the L hip

(not obvious to others).

 

He has a history of bilateral knee replacements and shoulder rotator

cuff surgeries. Has always had " bad feet " . Also in the past year he

has had " gallbladder attacks " and has been told it may need to be

removed (choleocystitis? he's not sure). Had 12 inches of his LI

removed after diverticulitis in 1998.

 

Other things: Tongue has Lots of cracks, is red, and has cracks

downt the center (horizontal and vertical) and sides, not much

coating. His tongue used to have a yellow coating until he cut back

on fats for his GB (now tell me diet doesn't work!). Pulse: Deep

level is very weak, surface is soft. 3rd pulses weak, esp. on R.

 

Ringing in the ears, chronic hoarseness, nosebleeds his whole life,

smoked age 15 to 35, long history of profuse sweating with heat (no

odor), enormous appetite, thin body, eyes a little dry with some

floaters, wakes frequently and worries, somewhat low energy his whole

life but works like a horse, tends to be grumpy and impatient but

also very sweet.

 

Any help would be appreciated, not just to impress him...but also

because I'm worried about him. He's had pain his life and never

complained...and he's starting to whine a little (I'm thinking that's

a sign things are pretty bad). Naturally I'm also interested in

treating his GB organ disease along with the areas of pain, so any

herb ideas would be welcome too. Thanks in advance!

[Guest guest]

Pain radiating across the hip and into the groin can be due to a disc

lesion or similar spine problem There's a nerve which crosses over

the hip and goes down the inside of the leg (from the L2-L4 area,

don't remember which one but it's in your favorite anatomy book).

Treating the corresponding DU and HTJJ and UB points can help

alleviate it. This is not a one time treatment. It will probably take

a while to alleviate.

 

But usually the pain radiates further down the leg. I remember david

legge said that this same pain can come from quadratus lumborum

trigger points (and doesn't necessarily radiate down the leg)

although I've never had a patient with this in clinic. In this case

you'd treat the outer two trigger points in the quadratus lumborum

muscle - the upper around and below the tip of the 12th rib and the

lower is below it above the hip. If the back pain is primarily on

the right side this could be an indication.

 

You can test if someone has a tight psoas with them lying on their

back and raising their knee to their chest. Keep the other hand on

the opposite ASIS and feel how much the pelvis tilts when the knee is

pushed to the chest. Then check the other side. The tight side is the

one that gives the most pelvic tilt. To loosen it up you can do deep

massage around the ST27 area.

 

--brian

[Guest guest]

You may want to open up Dai Mai.

 

 

> [Original Message]

> briansbeard <brian_s_beard

> <Chinese Medicine >

> 7/27/04 6:39:14 PM

> Re: Must impress Dad/GB disease/hip/low back pain

>

>

> Pain radiating across the hip and into the groin can be due to a disc

> lesion or similar spine problem There's a nerve which crosses over

> the hip and goes down the inside of the leg (from the L2-L4 area,

> don't remember which one but it's in your favorite anatomy book).

> Treating the corresponding DU and HTJJ and UB points can help

> alleviate it. This is not a one time treatment. It will probably take

> a while to alleviate.

>

> But usually the pain radiates further down the leg. I remember david

> legge said that this same pain can come from quadratus lumborum

> trigger points (and doesn't necessarily radiate down the leg)

> although I've never had a patient with this in clinic. In this case

> you'd treat the outer two trigger points in the quadratus lumborum

> muscle - the upper around and below the tip of the 12th rib and the

> lower is below it above the hip. If the back pain is primarily on

> the right side this could be an indication.

>

> You can test if someone has a tight psoas with them lying on their

> back and raising their knee to their chest. Keep the other hand on

> the opposite ASIS and feel how much the pelvis tilts when the knee is

> pushed to the chest. Then check the other side. The tight side is the

> one that gives the most pelvic tilt. To loosen it up you can do deep

> massage around the ST27 area.

>

> --brian

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