Guest guest Posted October 5, 2004 Report Share Posted October 5, 2004 I have a patient with hand contracture which means that she can't straighter her fingers and her knuckels are also displaced. I have been doing PC 8 and Heart 8 and liver 3 and 8 and Gallbladder 40. I can't say that this is doing too much good. Do you have any suggestions. Zinnia Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 5, 2004 Report Share Posted October 5, 2004 Hi, Zinnia, Try ba xie points (in web of fingers), including LI 4,needle JS 5 toward the fingers. Use 10's unit if you have one and a TDP lamp. Should help quite a bit. Good luck, Pam Price > > > I have a patient with hand contracture which means that she can't straighter > her fingers and her knuckels are also displaced. I have been doing PC 8 and > Heart 8 and liver 3 and 8 and Gallbladder 40. I can't say that this is doing too > much good. > > Do you have any suggestions. > > Zinnia > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 5, 2004 Report Share Posted October 5, 2004 The problem may not be in the hand at all, even when the signs are. Is the flexor aspect or the extensor more pulled? This will impact the treatment approach. If the flexors are laxed to extensors, the problem will be in yin channels on the hand. If the extensors are laxed to flexors, the problem will be in yang channels on the hand. After you have established this, narrow down a channel, even a channel-complex, and here you will look more to sinew channels in addition to the conventional one. SI - the conventional and sinew channels run up the edge of the limb and squarely into the scapular region, after which each goes up the neck to the face. Any asymmetry in the scapular region, neck [scaleneus ms; brachial plexus], or in the set of the zygomas, will impact the hand. LI - the conventional and sinew channels run up the edge of the limb bypass the scapular region to via the neck enter the face. The LI sinew channel often impacts the lay of the hand by it's sinew, just as it does the ubiquitous pain at T 3 to 7, which plagues people, and has the remedy in the hand. Try not to set the hand right [with all due respects to suggestions hitherto], and wait till possibly the hand relaxes by the remote approach. This way you will have handled the root as well as the stem. How to find out if there is a remote problem centered around the scapulae? 1. Check shoulder height, the set of the hips, leg length for discrepancy. 2. Look out for a 'humped' GB 21, it's a major sign. 3. Look for a 'congested sector at the medial end of the scapular ridge, where a point reflecting the SI 13 will be found under the ridge, just as SI 13 is above it. If found, the area will be swollen, congested, grainy, raised, indurated. Again a major sign. a. Establish tender points in the scapular region, it might be at the area mentioned in notation 3 above, or at GB 21, or at SI 12, certainly likely at SI 14. Work the point SI 11, but somewhat gingerly, it can cause bradycardia, sometimes even fainting. It is by and large not implicated in musculoskeletal problems. b. After you have the triggers, work the channels from wrist to shoulder, more in forearm, for grainy spots. c. Massage the points found at step b. to release tightness etc at step a. If all this has been possible, the hand will have begum to release by degrees. It is best to be gradual, because the muscles may release, and the tendons, but the not the adhesions in the small joints of the hand. If all this works for you let me know for more input. By and large I work with thesurmise that it's no good to beat up the hand which already a victim. Best treat the Silent Shadow wherever it lurks. Dr. Holmes Keikobad MB BS DPH Ret. DIP AC NCCAOM LIC AC CO & AZ www.acu-free.com - 15 CEUS by video. NCCAOM reviewed. Approved in CA & most states. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 5, 2004 Report Share Posted October 5, 2004 Phil It all depends on the cause of the severity of the contracture. Although it takes more experience/focus to use Gua Sha and Cupping below the wrist into the hand and fingers......this is often as important as releasing above the wrist. Phil....based upon actual cases I have treated.....BaGuaFa has benefited in all categories of severity but one must always keep in mind that every situation and every patient is individual. There are many variables locally and systemically involving what I refer to as 'fluid dynamics' and others have referred to as 'fluid physiology'. Regards, Richard In a message dated 10/5/2004 9:02:58 PM Eastern Daylight Time, writes: Hi All, & Pam & Zinia, Zinnia wrote: > I have a patient with hand contracture which means that she can't > straighter her fingers and her knuckels are also displaced. I have > been doing PC 8 and Heart 8 and liver 3 and 8 and Gallbladder 40. > I can't say that this is doing too much good. Do you have any > suggestions. Zinnia Pam Price replied: > Hi, Zinnia, Try Baxie points (in web of fingers), including LI04, > + needle TH05 toward the fingers. Use TENS unit if you have one > and a TDP lamp. Should help quite a bit. Good luck, Pam Price Pam, I have not tried to treat such cases, even though I have some friends with the condition. Orthopedic experts here regard severe contracture as a definite indication for surgery. I would expect AP +/- TENS or Guasha (especially at points ABOVE the wrist, on/near the muscles attached to the affected tendons) to help in early or mild cases, but can it help much in severe or chronic contracture? Pam, are your comments just theoretical, or based on actual experience treating hand contracture? If based on actual experiences, are you referring to early/mild or late/severe cases? Any comments from other colleagues who have treated such cases? Best regards, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 5, 2004 Report Share Posted October 5, 2004 In a message dated 10/5/2004 6:15:15 PM Eastern Daylight Time, aryaone writes: The problem may not be in the hand at all, even when the signs are. This is a more global approach as more easily seen in Carpal Tunnel syndrome where 'multiple crush' syndrome is the culprit. Which basically means that anywhere and often in multiple locations the nerve and/or vascular networks are compressed in the soft tissue. Ranging from the nerve root - anywhere along the nerve pathway - including at the carpal tunnels. Richard Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 5, 2004 Report Share Posted October 5, 2004 Zinnia Contracture as previously commented on is ONE thing. Knuckle displacement is quite another issue. Experiencially....one needs to break up as much stagnation as possible right at the knuckle joints. Needles, moxa and focused gua sha would definitely help. If someone places a 50lb cinder brick in blocking the opening of a door.....working indirectly just won't go very far in moving it. One must at least in part... directly move the blockage 'out of the way'. Richard In a message dated 10/5/2004 2:21:34 PM Eastern Daylight Time, cmszinnia writes: I have a patient with hand contracture which means that she can't straighter her fingers and her knuckels are also displaced. I have been doing PC 8 and Heart 8 and liver 3 and 8 and Gallbladder 40. I can't say that this is doing too much good. Do you have any suggestions. Zinnia Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 6, 2004 Report Share Posted October 6, 2004 Hi All, & Pam & Zinia, Zinnia wrote: > I have a patient with hand contracture which means that she can't > straighter her fingers and her knuckels are also displaced. I have > been doing PC 8 and Heart 8 and liver 3 and 8 and Gallbladder 40. > I can't say that this is doing too much good. Do you have any > suggestions. Zinnia Pam Price replied: > Hi, Zinnia, Try Baxie points (in web of fingers), including LI04, > + needle TH05 toward the fingers. Use TENS unit if you have one > and a TDP lamp. Should help quite a bit. Good luck, Pam Price Pam, I have not tried to treat such cases, even though I have some friends with the condition. Orthopedic experts here regard severe contracture as a definite indication for surgery. I would expect AP +/- TENS or Guasha (especially at points ABOVE the wrist, on/near the muscles attached to the affected tendons) to help in early or mild cases, but can it help much in severe or chronic contracture? Pam, are your comments just theoretical, or based on actual experience treating hand contracture? If based on actual experiences, are you referring to early/mild or late/severe cases? Any comments from other colleagues who have treated such cases? Best regards, Email: < WORK : Teagasc Research Management, Sandymount Ave., Dublin 4, Ireland Mobile: 353-; [in the Republic: 0] HOME : 1 Esker Lawns, Lucan, Dublin, Ireland Tel : 353-; [in the Republic: 0] WWW : http://homepage.eircom.net/~progers/searchap.htm Chinese Proverb: " Man who says it can't be done, should not interrupt man doing it " Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 6, 2004 Report Share Posted October 6, 2004 Yes, Phil and all, I have a good deal of experience with the problem. I worked in Alaska for years and treated fishermen who'd had surgery for it. Several were so bad off after the surgery they cried with just light/gently palpation of arms/hands. These were tough, and I mean tough, men! They had enough relief to support themselves fishing again. If anyone's fished in the Bering Sea, you know what a tough life is. It may take a few months and a lot of patient rest, but it's worth giving it a good try. I did not use gua sha below the wrist. And Do Not use electro AP on LI 4. Surgery should a last resort. Listen to Richard, he has excellent advise and explains protocols better than I. Thank you, Pam Price Quote Link to comment Share on other sites More sharing options...
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