Tampilkan postingan dengan label Pain Management. Tampilkan semua postingan
Tampilkan postingan dengan label Pain Management. Tampilkan semua postingan

Senin, 07 September 2015

Thoracic Outlet Syndrome Acupuncture treats thoracic outlet syndrome



Thoracic outlet syndrome is a condition that causes wasting of thumb muscle (Gilliatt-Sumner hand), numbness, tingling and loss of grip in the hand, and pain in the neck, shoulder and arm. Thoracic outlet syndrome, also known as TOS, is caused by compression of nerves and blood vessels as they travel through the shoulder into the arm.
Acupuncture treats TOS by relaxing the muscles and ligaments that often entrap the affected nerves and blood vessels. Acupuncture also treats TOS by improving circulation and bringing fresh blood and oxygen to affected tissues to speed healing.
What are the symptoms and causes of thoracic outlet syndrome?
Symptoms of thoracic outlet syndrome are varied depending on what is compressed, the nerves or blood vessels. As I mentioned about, the most common symptoms of TOS when nerve compression predominates are wasting of thumb muscle (Gilliatt-Sumner hand), numbness and tingling of the fingers, pain in the neck, arm and shoulder, and loss of grip strength. When compression of the blood vessels is predominant, the hand may become discolored (either bluish or very pale), pain may be more throbbing in nature and be accompanied by swelling, the pulses of the arteries in the arm may be diminished or absent, and black infarcts may develop in the fingers.
Thoracic outlet syndrome causes include physical trauma (like a car accident, anatomical abnormalities (like a cervical rib), repetitive activities (swimmers, pitchers, assembly line workers, people doing lifting), poor posture, and pregnancy (joints become loose in pregnancy, causing bones to shift).
How would a doctor diagnose and treat thoracic outlet syndrome?
A doctor would use a physical exam, medical history, orthopedic and neurological tests, imaging studies (CT scan, MRI, X-rays), electromyography (EMG) and nerve conduction studies to diagnose TOS.
How does an acupuncturist evaluate and treat thoracic outlet syndrome?
Like your doctor, I would complete a physical exam and perform a few orthopedic and neurological tests on a patient coming to my clinic for treatment of thoracic outlet syndrome. I would also take a full medical history to determine any underlying conditions that may exist from a Chinese medicine standpoint. It is also important to determine which acupuncture meridians (more on that topic on the About Chinese Medicine page) are affected. All of these piece of information are combined to inform the treatment plan.
When I treat TOS, I find it particularly beneficial to use cupping and Tuina medical massage as part of the treatment. This encourages the muscles of the neck, shoulder and arm to relax, restoring circulation. Typically, I will perform an acupuncture treatment first, and follow up with the massage and cupping to help consolidate the treatment.
TOS is an instance of when Chinese herbal medicine taken internally may be beneficial.

To make an appointment with me for treatment, please go to the Rdmenik Acupuncture. If you have further questions, feel free to ask me through the Contact person : +62 81916190029 / +62 361 768249

Elbow Pain Acupuncture treats elbow pain



Elbow pain is one of the four most common categories of pain conditions I see in the clinic. Needless to say, elbows get a lot of use, which translates into wear and tear. In addition to activities we do at work, a lot of the recreational activities we love so much can lead to elbow pain too.
When treating pain, I often recommend twice weekly treatments for the first few weeks to encourage speedy resolution of pain symptoms. I then follow up with a few more weeks of weekly treatment to consolidate relief and make sure you stay pain-free. After that, we can discuss maintenance strategies.
What are the different types of elbow you treat with acupuncture?
Golfer’s elbow (medial epicondylitis) and tennis elbow (lateral epicondylitis)
Golfer’s elbow and tennis elbow are caused by irritation of the tendons that connect the forearm muscles to the elbow joint from overusing the wrist and forearm muscles. The causes of golfer’s elbow and tennis elbow include overuse, improper form/technique in athletic activities (golf, tennis, weightlifting, throwing) or other repetitive motions (manual labor). These conditions are common in athletes, workers performing manual labor, and musicians. The symptoms of golfer’s elbow and tennis elbow are pain and inflammation on the inside (golfer’s) or outside (tennis) of the elbow that may spread to the forearm and wrist, stiffness and weakness, and possibly numbness and tingling.
Bursitis
Bursitis is the inflammation of the small fluid-filled bursae that act as cushions between the bone, tendons, and muscles of joints. The most common causes of elbow bursitis are repetitive motion (athletics or manual labor) and leaning on elbows. Symptoms of elbow bursitis include achy and stiff elbow pain, elbow pain upon movement or pressure, and swelling and redness in the elbow.
Arthritis
The ends of bones are covered in protective cartilage, which prevents the bones from rubbing together in the joint. Osteoarthritis results when this cartilage wears down over time, which means the bones rub together. Rheumatoid arthritis is a chronic, inflammatory autoimmune disease that causes joints to swell and bones to become deformed when immune cells attack the joint tissues. The causes of arthritis include advanced age, injury, obesity, inactivity, overuse and immune system disorder in the case of rheumatoid arthritis. The symptoms of elbow arthritis include pain, tenderness, stiffness, loss of flexibility, sound of grating in the joint, and bone spurs.
How is elbow pain diagnosed by my doctor?
Diagnosing the cause of elbow pain involves:
  • Discussing medical history
  • Physical exam, including assessing pain in the elbow joint
  • Imaging tests, such as X-ray, MRI, or electromyography
  • Fluid or blood tests can detect an infection
What will my doctor suggest as a treatment for elbow pain?
Treatments for elbow pain include:
  • Icing the affected area
  • Rest
  • Over-the-counter and/or prescribed pain medications
  • Physical therapy to increase strength in forearm and wrist muscles and tendons
  • Steroid injections
  • Surgery and/or joint replacement
More and more orthopedists and other Western medical providers are recommending acupuncture to treat pain. It is not out of the ordinary for your doctor to suggest you get acupuncture treatments before you have a chance to tell him/her you’re going for acupuncture treatment.
How does an acupuncturist diagnose elbow pain
To determine the cause of your elbow pain, I use physical exam techniques, like orthopedic and neurological tests, and range of motion tests. I will also examine the area for inflammation, redness, or other visible manifestations.
How does acupuncture treat pain?
Acupuncture treats pain by improving circulation, reducing inflammation and relaxing spasmed muscles. I use acupuncture above and below the injured joint, and use what acupuncture calls “mirror points.” Mirror points would include the unaffected elbow and the knees (the elbows of the legs, so to speak).
Herbal medicine can be used too. Herbal medicine works similarly to acupuncture, but does so from the inside out. For smaller joints like those in the hands, feet, and the elbow, I often prescribe an external herbal soak. I also use tui na massage, cupping and gua sha (in certain instances) to help support acupuncture treatments.
According to Chinese medicine theory, applying ice is counter-productive to healing because it hinders circulation in that area. In the case of the inflamed, red joints, we use “herbal ice” plasters to reduce inflammation while also promoting the circulation of blood.

To make an appointment with me for treatment, please go to the Rdmenik Acupuncture. If you have further questions, feel free to ask me through the Contact person : +62 81916190029 / +62 361 768249

Headache and Migraine Acupuncture treats headache and migraine



Headaches are common and the causes myriad. Nothing spoils a good mood or moment faster than a headache. We all get them, and we all rush to get rid of them. Unfortunately, many of the medications people generally use to treat headache pain, like acetaminophen and prescription headache medications, have a number of side effects, including toxicity following long-term use.
Acupuncture resets the body’s energetics, improves circulation and blood flow, stops pain and relaxes muscle tension. All of these actions help stop headaches and don’t have any of the side effects of Western medication. Herbal medicine can also help treat headaches. Ultimately, acupuncture and herbal medicine are used to rectify the underlying imbalances that cause headaches and migraines, and improve overall wellness.

What kind of headaches does acupuncture treat?

Cluster Headache
Cluster headaches get their name from the pattern in which they appear, which is typically a cyclical cluster of a few headaches in succession with a period without headaches. Clusters may last from weeks to months. Cluster headaches have been known to awaken sufferers from sleep in the middle of the night. Cluster headache pain is typically intense, and the pain focuses in and around the eye on one side only. Fortunately for most, cluster headaches are not very common. The cause of cluster headaches is unknown, but doctors believe they are caused by an irregularity in the hypothalamus, a part of the brain. Unlike migraines, cluster headaches are not associated with triggers, like certain foods, hormonal changes or stress.
Tension Headache
Tension headaches are the most common kind of headache. Tension headache pain is usually generalized (you can’t point to one area of pain), dull and achy. The pain is often mild to moderate. The most common feeling is that there’s a tight band around your head. The cause of tension headaches are not understood. Tension headache pain often involves neck tension, and relieving tension in the neck will often improve headache pain. Tension headaches can also be related to eye strain. Tension headaches, unlike migraines, do not have any associated sensitivity to light, nausea, vomiting, one-sided weakness or numbness, or slurred speech.
Migraine
A migraine is a one-sided headache with intense throbbing pain. Migraines are accompanied by nausea, vomiting, photophobia (sensitivity to light) and sensitivity to sound. Migraine pain is often severe and significantly impacts a person’s quality of life for hours, even days, at a time. Migraines often have tell-tale warning signs that signal their onset, like visual disturbances (flashes of light), blind spots or tingling in the extremities. Migraines typically have triggers, like certain foods, hormonal changes and stress. A diet avoiding tyramine-containing foods is often prescribed.
Sinus headache
Sinus headache are headaches felt mostly around the eyes, in the cheeks and forehead. They are generally caused by sinusitis, which is the inflammation of the membranes lining your sinuses. These headaches sometimes feel like having a heavy towel on the head and may be throbbing or squeezing in nature. They may also be related to changes in weather. Sinus headaches are often chronic, especially in allergy sufferers or people with structural abnormalities in the nose and sinuses.
Fibromyalgia and headache
People with fibromyalgia experience aches and pains all over their bodies, including head pain. Some people with fibromyalgia also have migraines. For more on fibromyalgia, please visit the Fibromyalgia pain page.

When do I need to see a doctor about my headaches?

You should always mention your headaches to your doctor if they occur more than occasionally because headaches can be a sign of a more serious condition. If you’ve already discussed your headaches with your doctor, but the pattern or nature of the headaches have changed, you should discuss this with your doctor again. If you have a severe headache with abrupt onset, headache accompanied by a high fever, stiff neck, and nausea and/or vomiting, or headache following a head injury, you should contact your doctor immediately.

How does a doctor diagnose and treat headache?

A doctor will conduct a physical exam, medical history (including family history), and neurological exam. Your doctor may also order an MRI or CT scan. How does acupuncture treat headache pain?
I’ve mentioned on other pages that acupuncturists do a lot of talking with their patients. When treating headaches, this conversation is of the utmost importance. It’s very important to determine when the headaches started, where you feel the pain, when you feel the pain, what the pain itself feels like. It’s also important to get a general picture of a person’s overall health and wellness. This information allows me to determine what acupuncturists call the pattern of disharmony. A patient may have multiple patterns, so I always start with the predominant one. It’s kind of like peeling an onion.
Acupuncture helps restore the natural balance of energy in the body and improve circulation. This is how acupuncture stops pain. I use herbal medicine to do the same thing from the inside out. Research has shown that headaches often have a digestive system pain connection, so herbal medicine also helps to treat the digestion as it treats head pain.
A lot of the headache sufferers I talk to are concerned about having acupuncture done on their head because the pain is often severe. Acupuncture is never applied to the head when you’re in pain.
When neck tension is a contributing factor to your pain, I use Tuina massage and cupping to support acupuncture treatments.
To make an appointment with me for treatment, please go to the Rdmenik Acupuncture. If you have further questions, feel free to ask me through the Contact person : +62 81916190029 / +62 361 768249

Ankle and Foot Pain Acupuncture treats ankle and foot pain



With 26 bones, 33 joints, and over 100 tendons, your foot is a complex piece of machinery. At any place in that mix, it’s possible for a problem in the foot to cause pain. It’s also hard for the foot to heal if we’re walking around on it all day.
Enter acupuncture. Recent research shows that acupuncture treats pain better than non-acupuncture treatments. In fact, acupuncture has been shown to bring fresh blood and oxygen – the necessary components for healing – to tissues where acupuncture is applied. All of that together spells foot and ankle pain relief for you.
What are the different kinds of ankle and foot pain treated by acupuncture?
Plantar fasciitis
Plantar fasciitis is pain in the sole of the foot, where a thick band of tissue, the plantar fascia, runs from your heel bone to your toes. The most common cause of heel pain is plantar fasciitis. Plantar fasciitis causes a stabbing pain in the sole of the foot. The pain from plantar fasciitis is generally worst when you first get out of the bed in the morning. The pain you feel first thing in the morning likely improves after walking around a bit. This is because the plantar fascia softens up. Unfortunately, the pain usually returns after long periods of inactivity. Plantar fasciitis is common in runners, and is an unfortunate side effect of barefoot shoes. People who are overweight and pregnant women are also at risk of developing plantar fasciitis.
Arthritis
There are three kinds of arthritis that affects the foot and ankle: Osteoarthritis (known as “wear and tear” arthritis), rheumatoid arthritis (an autoimmune disease), and post-traumatic arthritis. The most common sites of foot and ankle arthritis are the ankle, the hindfoot, the midfoot and the joint of the first toe. Symptoms include pain, tenderness, swelling, stiffness and restricted movement, and difficulty walking.
Morton’s neuroma
Morton’s neuroma causes a pain in the foot, specifically the ball of the foot. Morton’s neuroma often appears between the third and fourth toes. Morton’s neuroma is a thickening of the covering around one of the nerves in the toes. Morton’s neuroma is likely caused by irritation, injury or pressure to the nerve. People describe the discomfort of Morton’s neuroma as the feeling of standing on a fold in their sock. Morton’s neuroma can also cause sharp, burning pain in the ball of the foot. In some cases, your toes may also burn or feel numb.
Gout
Gout is a kind of arthritis in which urate crystals form in your joints. This causes excruciating pain. Urate crystals form when there are high levels of uric acid in the blood. Uric acid is made from the breakdown of purines. Purines occur naturally in certain foods, such as organ meats, anchovies, herring, asparagus and mushrooms. Gout attacks are sudden and the pain is severe. The affected joints will be red and tender. The most commonly affected joint is the one at the base of the big toe. Men develop gout more often than women, but risk of developing gout in women increases after menopause. Most patients report an acute gout attack waking them in middle of the night with a burning sensation in the big toe. During a gout attack, it is difficult to put weight on the affected foot.
Ankle sprain
An ankle sprain is a common injury. An ankle can be sprained sprained when you twist or turn your ankle in an odd way, thereby stretching the ligaments that hold your ankle together. In extreme cases, the ligaments can even be torn. Most sprained ankles are injuries to the ligaments on the outside of the ankle. Here’s a video of how a typical ankle sprain happens.
Heel spur and bone spur
A bone spur is a tiny growth of bone that grows along the edges of bones. A bone spur is also called an osteophyte. Bone spurs can occur in spine or in joints. Bone spurs are associated with wear in tear, so areas that are under a lot of stress are likely affected. For this reason, the heel is also a common site of bone spur development, called a heel spur. Most bone spurs are asymptomatic, so go unnoticed before they grow to a size that will cause pain.
Shin splints
Shin splints a common name for pain that occurs along the shinbone (tibia). People feel the pain of shin splints during physical activities, like running. They are caused by too much force being exerted on your shinbone and the connective tissues between the muscles and the tibia. Shin splints are common in runners and athletes playing sports that involve running, like basketball, soccer or tennis.
Achilles tendinitis
Achilles tendinitis is inflammation of the Achilles tendon, the tendon that attaches the calf muscles to the heel bone. Achilles tendinitis occurs in runners and other running-intensive sports. Achilles tendinitis is caused by overuse, vigorous exercise, jumping, and other movements that strain the tendon and calf muscles. Serious cases of Achilles tendinitis can end in tendon rupture, which requires surgery to be repaired.
How is ankle and foot pain diagnosed and treated by a doctor?
Your doctor will likely perform a physical exam and order imaging of the affected site (X-ray, MRI, CT scan). A doctor will suggest rest, physical therapy, anti-inflammatory medications or injections, and in some cases surgery.
How is ankle and foot pain evaluated and treated by an acupuncturist?
Regardless of the type of foot or ankle pain you are experiencing, the first thing I determine is the location of the discomfort and affected acupuncture meridians. This will allow me to select which meridians I need to use to regulate any blockages that might be causing pain. You can read more about how acupuncture works on the About Chinese Medicine page.
In addition to treating the pain you are feeling in your foot or ankle, I also review a patient’s overall health. By treating a person holistically, the body becomes stronger and pain problems are less likely to return after you experience pain relief.
Because the foot and ankle are easily submerged, I often use herbal soaks to support the acupuncture treatment. Herbal soaks deliver medicine directly the site of pain. This improves circulation and encourages fresh blood and oxygen to come to the foot, speeding healing.
I use Tuina medical massage to support treatments, too.

To make an appointment with me for treatment, please go to the Rdmenik Acupuncture. If you have further questions, feel free to ask me through the Contact person : +62 81916190029 / +62 361 768249