Musculoskeletal

Main signs and symptoms For the past 10 years she has been having low back pain whenever she feels fatigued. It is relieved by resting.  X-ray showed disc degeneration and localised degenerative arthritis. She has been having physiotherapy treatment without satisfactory results. She has not been taking any medication. The condition fluctuates from mild to quite severe pain, together with neck and shoulder stiffness and weakness of the knees. In the last two weeks she has been looking after her grandson, …

Main signs and symptoms Recurring spasms in the gastrocnemius of both legs over the past 10 years, which have recently become more frequent and more painful. Initially this occurred on a business trip, when he had become fatigued. The spasms usually occur in both legs at once and are brought on by fatigue, after exposure to cold or during deep sleep. They come on suddenly are very painful. They generally last for a few minutes only before easing. Initially they only …

Main signs and symptoms Painful lump on dorsum of left foot that has persisted for over one month after a traumatic injury. The lump is approx. 4cm by 7cm and is painful, with pain increasing over the past month. He has severe discomfort wearing shoes which interferes with his work. He visited the GP who diagnosed a ganglion cyst and told him that he would require surgery to remove it. He was unwilling to undergo an operation, as it would require …

Main Signs and Symptoms: Cramps in the legs over the past six months, occurring weekly and lasting about half an hour. However, in the last week they have been occurring every day. The cramping comes on when she is feeling fatigued or cold.  She has tried various treatments, and none have worked. She currently is using a heat pack and taking calcium supplements but does not feel that they are helping very much. Other Signs and Symptoms: On inspection, her complexion is dull, …

It had persisted for the past eight months since an injury during a training session at her local gym. Initially the pain was located on the medial aspect of the right ankle and progressively spread to include the inner aspect of the leg, thigh and inguinal area. Main Signs and Symptoms: Patient presented on 6/6/2015 with pain in the medial right ankle, the inside of the right leg and thigh and included the right inguinal region. Accompanied by restricted mobility so that …

Patient had injured his right shoulder about six weeks ago. He was examined by ultrasound, which found a labral tear in the right shoulder joint. He was referred for physiotherapy treatment, but the pain and immobility continued. Therefore, he wanted to try TCM treatment. On examination the musculature of the right shoulder was very stiff, with many tender spots, especially on the anterior. Severe pain was elicited on raising the affected arm. Tongue: Pale tongue with a thin white coat. Pulse: Deep-rapid pulse. TCM Diagnosis: Tendon injury …

History of chronic left sided hip pain treated with acupuncture for temporary relief. Main signs and symptoms: Low back pain with right sided sciatica for the past 10 months, worsening over the last two weeks. Other signs and symptoms: Poor sleep, low energy, emotionally upset and irritable. Tongue: Pale red tongue with a thin white coat. Pulse: Wiry-thready pulse. TCM Diagnosis: Low back pain due to Kidney deficiency together with Liver constraint, Qi stagnation. Treatment: Treatment a) Acupuncture: shi mian (extra); gan shu (BL-18); shen shu (BL-23); …

M.A, female 46, with right heel spur. Main signs and symptoms: Pain in right heel for the past 4 months, more severe over the past 2 months. Other signs and symptoms: Stressed because of divorce process, energy is low, right shoulder has been sore for 1 year since she did lots of painting last year, some weight gain. Tongue: Light red with thin white coat Pulse: Wiry and a little deep TCM Diagnosis: Deficiency of Kidney Yin, Liver Qi stagnation Treatment: Acupuncture: Zhong Wan (Ren-12), Tai Xi (KI-3), Tai Chong (LR-3), Zu San Li …

Severe pain with difficulty walking; bruising, swelling and lacerations in local area. No fracture shown on X ray. Signs and symptoms: Pale complexion, appears exhausted Pulse: deep-rapid Tongue: Pale with little coat TCM Diagnosis: Localised Qi stagnation and Blood stasis in right knee due to soft tissue injury. Treatment: Treatment Principle: Localised Qi stagnation and Blood stasis in right knee due to soft tissue injury. Treatment: Black Pearl® Xue Fu Zhu Yu Tang Persica & Cnidium Combination BP034  Dosage: 50 pills, 4 times daily for 2 weeks. Outcome: Over the two weeks treatment period the …

Female, 70 years with pain in the shoulders, back and knees, weakness in the lower back and knees, joint stiffness and tightness of the calves, worse in the mornings, over the past few years. Diagnosed with osteoporosis by her GP, taking Calcium, Magnesium, and vitamin D (long term). First came in the Autumn and symptoms had been worsening, in the morning it takes her over half an hour to get out of bed and put her clothes on, urinary frequency with …

Patient attends a group aerobics class 4 times a week and often has trouble completing the class due to fatigue and/ or muscular pain and stiffness. One year ago suffered severe pain in the heel which was treated by cortisone injections. Feels tired and nervous, sweats easily when active, on rising in the morning he has back pain and generalized muscle stiffness, poor appetite, poor sleep, loose stools. He had previously had a course of weekly acupuncture treatments with another TCM …

Pain is at the level of L3-4 and radiates down the right leg in typical sciatic fashioon.  It is occurs when the weather is overcast or raining and also with fatigue. Patient presented with low back pain and right side sciatica which came on with the recent sudden change in weather (cold and rainy). The pain is so severe that she needs to take panadeine forte in order to sleep. Slightly overweight, aversion to cold, cold hands, pale yellow complexion, constipation …