Select the most effective points in case of pain and limited range of motion

When the area which is more or less topographically related to the pain syndrome has been identified with auricular diagnosis, use the NCT. The patient in Figure 10.4 suffered with a painful shoulder and reduced range of motion during flexion and elevation. Using PPT I identified nine tender points covering at least the Chinese areas of representation of the shoulder (SF5 jian), neck (AH12 jing) and cervical vertebrae (AH13 jingzhui) (Fig. 10.4A). When PPT was repeated, the number of tender points had dropped to four, but the shoulder was still painful during flexion and elevation. NCT was performed on point 1 without results; only the contact on point 2 improved the range of motion (Fig. 10.4B).

Fig. 10.2 Selection of the most tender points in hierarchical order after two consecutive detections (A and B) in a 36-year-old male patient suffering with recurrent back and neck pain. Dots = lateral surface; closed circles = medial surface.
Fig. 10.3 Selection of the points with a higher skin resistance discontinuity, passing from MO (A) to MO (B) in a 48-year-old female patient suffering with fibromyalgia and sleep disorders.

Fig. 10.4 Tender points in a 57-year-old male patient suffering with painful shoulder with a limited range of motion in flexion and elevation of the shoulder (A); selection of points combining PPT and NCT (points 1 and 2) (B).

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