From JDOWDEN at prodigy.net Wed Jan 18 19:37:52 2006 From: JDOWDEN at prodigy.net (JDOWDEN@prodigy.net) Date: Wed Jan 18 19:38:13 2006 Subject: [Aama-cases] AAMA/MARF Case Sharing Info Message-ID: <200601190337.k0J3bq53001052@satsop.olympus.net> On 01/18/2006, the following Case Sharing Info was submitted to AAMA/MARF: Name of Physician: David S. Rosen Diagnosis/Symptom: Achilles tendonitis Age and Sex of Patient: Current Medications: Soma for back pain, Flomax for BPH, Motrin prn Tounge & Pulse: Thin,pale, white coating. Pulse - weak at lower heater Response to previous therapies: No response to NSAIDS, aggressive stretching, decreased training schedule. Brief Medical History: 53 yo, unassuming, administrator for hospital Internal Medicine office, c/o bilateral Achilles pain x 6 mo, R>L. Hx low back pain, BPH, tonsillitis, early morning stiffness, and knee problems. Achilles pain started while increasing fitness regimen in preparation for 4th marathon. Dull ache after running. No real discomfort with cycling. Relieved with complete rest and orthotic use. Physical: Appears fit but weary, tall with thick salt and pepper hair. Pallid skin with a slight quiver of uncertainty/timidity in his voice. Systemic exam normal. Tender Shu at Kidney only. Mu nontender. Musculoskeletal exam normal strength and sensation. Neck supple. Generally tense paravertebral musculature. No significant triggers in calf muscles. Tender along medial Achilles R>L. Questions or Comments on the Case: Formulation: Shao yin water Initial input: Ming men, Tonify kidney Ki3--> Ki 10 @ 4 hz and Si 3, Bl 40, Bl 60 without electricity. Ear points shen men, symp, knee and heel. Patient reported increased ability to complete running and cycling regimen for the first time in 6 months without significant pain. 2nd treatment: Same shao yin/tai yang circuit as above plus barrier points for ankle + ear points. Patient, now discouraged, reports insomnia for 2 nights, plus return of discomfort after running. Questions: Any experiences with chronic achilles tendonitis in athletes? The patient's history and demeanor scream shao yin/tai yang. Any utility in pursuing a PENS with such a presentation? Shall I continue to tonify and add ear points for insomnia. Submitter/Poster: ----------------------- Name: David S. Rosen Address: 503 Pine Street Philadelphia, PA 19106 Phone Number: 215-880-7131 Email Address: davidscottrosen@mac.com AAMA number: 15106 This information comes directly from a form on the AAMA Website. The submitter may not be a member of the aama-cases list. Please respond to this submission with a copy to davidscottrosen@mac.com as well as the aama-cases list. From msantoro at chsmail.org Thu Jan 19 14:13:01 2006 From: msantoro at chsmail.org (Santoro, Michael A. M.D.) Date: Thu Jan 19 11:35:36 2006 Subject: [Aama-cases] Achilles Tendonitis Case Message-ID: Dr. Rosen, On a non-acupuncture treatment modality, I've found the rehab method of scraping to be useful for chronic tendonitis, such as plantar fasciitis, lateral epicondylitis, etc., and think it could be helpful here. There are 2 competing methods, each of which use similar techniques (and a lot like the gua-sha scraping we learned). For information on the techniques and pt/ot providers near you who do it, go to http://www.astym.com/ or http://grastontechnique.com/grastontechnique/default.htm Also, a localized PENS type treatment, using points which surround the painful area (i.e. KI-3 to BL-59; BL-60 to KI-7), crossing leads, running 15-30 Hz for 10 minutes, then 1 Hz for 10 minutes, can be helpful. You can also modify this technique by using the 2-needle PENS technique right at the Achilles insertion into the os calcis. Please feel free to call if you wish. Michael A Santoro, MD, MPH, FACPM, DABMA Occupational & Environmental Medicine, Medical Acupuncture Medical Director, Midwest HealthStrategies, Muncie, IN (765) 751-3302 direct/voicemail (765) 281-8674 pager CONFIDENTIALITY NOTICE:This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -------------- next part -------------- An HTML attachment was scrubbed... URL: http://mailman.olympus.net/pipermail/aama-cases/attachments/20060119/9a474d87/attachment.html From energysync at medscape.com Thu Jan 26 22:42:00 2006 From: energysync at medscape.com (Ann Robb) Date: Thu Jan 26 22:09:41 2006 Subject: [Aama-cases] Achilles Tendonitis Case Message-ID: You might also try the Richard Tan points of LI 5, LI 11 and LU "2A" all contralateral to the symptomatic foot, and I highly recommend "The Trigger Point Therapy Workbook" by Clair Davies. This workbook [worth it's weight in gold] is only about $19.00, and is the best synopsis of Janet Travell's books that I have ever seen. I use it daily in my practice. Ann Robb Sent by Medscape Mail: Free Portable E-mail for Professionals on the Move http://www.medscape.com From energysync at medscape.com Thu Jan 26 22:42:00 2006 From: energysync at medscape.com (Ann Robb) Date: Thu Jan 26 22:09:41 2006 Subject: [Aama-cases] Achilles Tendonitis Case Message-ID: You might also try the Richard Tan points of LI 5, LI 11 and LU "2A" all contralateral to the symptomatic foot, and I highly recommend "The Trigger Point Therapy Workbook" by Clair Davies. This workbook [worth it's weight in gold] is only about $19.00, and is the best synopsis of Janet Travell's books that I have ever seen. I use it daily in my practice. Ann Robb Sent by Medscape Mail: Free Portable E-mail for Professionals on the Move http://www.medscape.com From JDOWDEN at prodigy.net Fri Jan 27 09:37:57 2006 From: JDOWDEN at prodigy.net (JDOWDEN@prodigy.net) Date: Fri Jan 27 09:38:13 2006 Subject: [Aama-cases] AAMA/MARF Case Sharing Info Message-ID: <200601271737.k0RHbvwm001812@satsop.olympus.net> On 01/27/2006, the following Case Sharing Info was submitted to AAMA/MARF: Name of Physician: Alan Watanabe Diagnosis/Symptom: pituitary adenoma Age and Sex of Patient: Current Medications: dostinex Tounge & Pulse: thin tongue, slightly dark red, thin clear coating, tip is red. no quivering or scalloping. pulses felt even at all positions. Response to previous therapies: Brief Medical History: 5 yrs of Dostinex for pituitary adenoma. also congential toxo with left eye muscle weakness, gestational DM. Questions or Comments on the Case: She asks if acupuncture could help slow down growth of tumor. Submitter/Poster: ----------------------- Name: Alan Watanabe Address: Phone Number: 812-376-9427 Email Address: awatanabe@cimadoc.com AAMA number: 11084 This information comes directly from a form on the AAMA Website. The submitter may not be a member of the aama-cases list. Please respond to this submission with a copy to awatanabe@cimadoc.com as well as the aama-cases list. From ylaimd at yahoo.com Tue Jan 31 23:24:57 2006 From: ylaimd at yahoo.com (Y Lai) Date: Tue Jan 31 23:51:51 2006 Subject: [Aama-cases] case- trigeminal neuralgia Message-ID: <20060201072457.41478.qmail@web30504.mail.mud.yahoo.com> Hi, has anyone treated trigeminal neuralgia with acupuncture? I have a 50 y/o female with this diagnosis and some jaw dysfunction. Yen Lai, M.D. __________________________________________________ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com