Guest guest Posted January 13, 2006 Report Share Posted January 13, 2006 Marian: Don't get too lost in the TCM pattern differentiation. ST 36 happens to be the motor point of the tibialis anterior. It is quite likely that you elicited a twitch response in the muscle (the patient could be mistaken about obtaining qi) which sometimes results in post-treatment soreness. Those who do a physical medicine type of acupuncture are all too familiar with this response. Also, if you needle GB 30 in a lateral recumbent position, you have to be very precise with the location, and careful not to irritate the sciatic nerve. Once irritated, it takes a couple of days to calm down. Alon, Tom.......your thoughts? Kay King, DC, FIAMA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2006 Report Share Posted January 14, 2006 Marian A twitch as nothing to do with motor point it has to do with a mechanically sensitive muscle and can be elicited at other areas not classically considered to be motor points, IE myofascial trigger points. Oakland, CA 94609 - Marian Blum Chinese Medicine Saturday, January 14, 2006 12:07 PM tibialis anterior pain Kay, I've taken a couple courses with Matt Callison on needling motor points. I found practicing that method was frequently painful and drove quite a few patiients away although I liked the concept. (I don't mind a little pain as long as I'm getting results.) I do use the technique often in the upper traps where I elicit a twitch and the patient is often relieved of tension with no soreness afterwards. I haven't gotten nor tried to get a twitch at ST36-do you get a twitch there? I thought the patient would feel a twitch response and I would see it if it occurred. I guess you're saying that's not always the case. In the other case, I needled GB30 with the patient prone. I wonder what makes the sciatic nerve irritated sometimes and not others. When you mention precise location are you saying that getting too close to the nerve can irritate it? That certainly makes sense to me. I will generally go on how the patient feels. Some qi sensation is good but outright pain I avoid as I did with this patient. Thanks for your response. Marian >Message: 8 Fri, 13 Jan 2006 13:57:26 -0800 " " <alonmarcus Re: Re: Tibialis anterior pain clearly Oakland, CA 94609 - Kay King Chinese Medicine Friday, January 13, 2006 12:05 PM Re: Tibialis anterior pain >Marian: Don't get too lost in the TCM pattern differentiation. ST 36 happens to be the motor point of the tibialis anterior. It is quite likely that you elicited a twitch response in the muscle (the patient could be mistaken about obtaining qi) which sometimes results in post-treatment soreness. Those who do a physical medicine type of acupuncture are all too familiar with this response. Also, if you needle GB 30 in a lateral recumbent position, you have to be very precise with the location, and careful not to irritate the sciatic nerve. Once irritated, it takes a couple of days to calm down. Alon, Tom.......your thoughts? Kay King, DC, FIAMA Quote Link to comment Share on other sites More sharing options...
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