Posterior Tibial Tendinitis

The posterior tibialis muscle is the deepest muscle of the posterior compartment and has both medial and lateral origins. The medial origin is on the posterior surface of the interosseous membrane and the lateral area of the posterior surface of the tibia. The lateral origin is on the upper two thirds of the posterior fibular surface, deep transverse fascia, and intermuscular septa. The muscle's insertion tendon runs from the calf muscle behind the medial mal-leolus to the navicular bone in the...

De Quervain Tenosynovitis

This injury is characterized by pain on abduction and extension of the thumb as a result of inflammation of the extensor pollicis brevis and the abductor polli-cis longus tendons. It can be caused by direct trauma, overuse, repetitive stress, excessive vibration, or movement involving sharp bending of the tendons. Treatment should include the inflamed tendons and related muscles on the hand and forearm. Dry needling acupuncture accompanied with thermo-therapy promotes satisfactory healing.

Homeostatic Acu Reflex Point System

SYSTEMIC PATTERN OF ACU-REFLEX POINT SENSITIZATION From a physiologic perspective, there are two types of acu-reflex points ARPs homeostatic and symptomatic. Paravertebral ARPs, as clinically important ARPs, can be either homeostatic or symptomatic. According to both clinical experience and research, the sensitization of homeostatic ARPs follows an anatomically predictable pattern and sequence. This pattern of sensitization is found equally in all human beings for at least two reasons,...

The Hip Adductor Muscles

Dry Needling Sartorius And Gracilis

These adductor muscles swing the leg medially. All these muscles originate mainly from the pubis and are inserted into the posterior surface of the femur via the roughened ridge that extends along Iliofemoral I Descending part ligament Transverse part Iliofemoral I Descending part ligament Transverse part Reflected head Rectus i- femoris, Straight head J tendon Figure 12-2 The ligaments of the hip joint. Reflected head Rectus i- femoris, Straight head J tendon Figure 12-2 The ligaments of the...

Cervical Spondylosis Spur Formation

Cervical spondylosis is a chronic degeneration of the vertebrae and discs of the neck. Bone spurs, or osteophytes, are bony projections that form along joints and are often associated with arthritis. Such spurs can rub against nearby nerves or occasionally on the spinal cord, causing pain and limitation in joint motion. The degeneration results from wear on the bones of the cervical spine over time. Aging, repetitive stress on joints, reduced flexibility of ligaments, and tissue inflammation...

H11 Lateral Medial Popliteal

Dry Needling For Occipital Neuralgia

The H11 lateral popliteal ARP is located on the lateral side of the tendon of the semitendinosus muscle, or on the medial side of the tendon of the biceps femoris. The sensitivity of these points can be evident in most patients on the lateral side, some on the medial side, or on both sides. The innervation of these points is unclear, but it may be related to the innervation of the origin of the medial or lateral head of the gastrocnemius. These points are sensitive in 93 of the author's...

Physiology of Acu Reflex Points

A sensory axon reflex is the body's first response to needling, which elicits reflex responses at different levels from local spinal segment to cortex. To obtain specific results from nonspecific needling, selecting the best acu-reflex points for particular condition is the primary procedure. Sensory axon reflex points are distributed all over the body (except for the nails, the hair, and part of the cornea this is why pain is not felt when nails and hair are cut). Needling induces both...

Brachial Plexus Injuries

It has been reported that more than 50 of college football players have sustained brachial plexus injuries in the course of their playing careers.25 Players with this injury may feel burning pain or weakness, or both, in the upper limb or paresthesia and temporary disruption of nerve function after a block or tackle. Recovery is usual, but in some cases in which symptoms persist for months, neural degeneration is confirmed by electromyography. These injuries may involve the spinal accessory,...

Stress Fracture in the Foot

Stress fractures of the bones of the foot can be caused by repetitive stress from training that involves running and jumping on hard ground, by fatigued muscles that are no longer able to absorb shock and stress, by drastic changes to intensive training, or by improper footwear. Stress fracture can occur in any of the bones of the foot, but it is most common in the metatarsals and the calcaneus. The symptoms may include pain and swelling at the fracture site, pain with weight bearing, and...

Anterior Compartment Syndrome

The tibia and fibula, the interosseous membrane, and the intermuscular fascial septa divide the leg into three compartments anterior (extensor), lateral (fibular), and posterior (flexor). Each compartment performs a different function. However, the fascia that covers the muscles and encases the compartment and the bone is in the form of inflexible fibrous sleeves. When intramuscular swelling or inflammation occurs as a result of repetitive overuse of the muscles or acute trauma to the muscles...

Injuries To The Peripheral Nerves

From 1963 to 2002, 85 cases of peripheral nerve injury were reported in Chinese acupuncture journals (see Table 16-2). When the peripheral nerves are needled, the patient often feels an electric shock radiating to the distal part. When injury is present, the area innervated by the injured nerve may exhibit sensory deficiency, such as reduced sensitivity to touch or numbness, warmth, and pain. Motor deficiency may occur. In the face, the muscles of facial expression and of the eyelids may become...