Shoulder Pain

March 30, 2007

The shoulder is the worst joint for me. Anyone have ideas for

shoulder pain besides the usuals st-38 with movement, usual locals li-

15, th-14, and or ja-jie pts on lower cervicles if neck involved. I

have a patient right now with pain going down TH channel, also has neck

stiffness and tight near bl-36 to bl-38 on affected side, He has full

ROM. I helped his neck with needling these pts and cupping, but still

has pain going down arm. Any suggestions? Steve

March 30, 2007

Hi Steve...when I'm having trouble with a dx. I will step back and start

afresh. So in your case, I might palpate each point on the TH channel, both

arms, then both sides SI channel. Whenever I find a tender point I see if it

refers anywhere and/or correlate it to changes in tongue and pulse etc, I also

try to get an extremely clear idea of deficiency/excess, hot/cold on each

channel. Once I finish this, I palpate between the points, along the channels

themselves, otherwise doing the same procedure. I use tatoo needles to

permanently mark the reactive points, just joking, I use pen. I almost always

have a much better idea how to proceed once I've done this.

Of course also check that the patient is not freezing themselves to death with

icepacks or sitting under an air conditioning unit, that they are not going to

do baseball speed-pitching competitions after every treatment and so on and so

on.

Some other ideas:

Define whether the problem is a channel problem or a zang-fu problem. Does this

person have cold pains in the TH because they eat salads and drink watermelon

juice 3x a day and also have water swelling with urgent urination?

Treat locally /as well as/ distally - in your case, if the px has a TH channel

pathology then you should also be treating B 22 both sides, as well as the HTJJ

points at that level, for example.

Don't get too stuck on ST-38 w movement, it is a rather inelegant solution that

I rarely find a need for, and when I do it is as an adjunct to the channel or

zang-fu protocol.

Be very clear on the initial events - everything that preceded the shoulder

problem. This is usually very enlightening, if only for the long term treatment.

Hope that helps,

Hugo

snydez99 <snydez99

The shoulder is the worst joint for me. Anyone have ideas for

shoulder pain besides the usuals st-38 with movement, usual locals li-

15, th-14, and or ja-jie pts on lower cervicles if neck involved. I

have a patient right now with pain going down TH channel, also has neck

stiffness and tight near bl-36 to bl-38 on affected side, He has full

ROM. I helped his neck with needling these pts and cupping, but still

has pain going down arm. Any suggestions? Steve

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March 30, 2007

How about finding out what is wrong with the shoulder or if the pain arises from

the shoulder

-

Hugo Ramiro

Chinese Medicine

Friday, March 30, 2007 1:58 PM

Re: Shoulder Pain