Email : info@acubody.net
Call Us : +44 020 3823 6888
  • Home
  • About Us
  • Contact Us
  • Make an Appointment
Acupuncture London - Acubody
  • Treatments
  • Qi Gong
  • Pilates
  • Conditions
  • Endorsements
  • Location & Prices
  • Blog
blog-no-img

CASE STUDY: SACROILIAC PAIN

Posted on April 30, 2014November 4, 2020 by admin

CASE STUDY: SACROILIAC PAIN

A case study of one persons treatment with acupuncture for pain in the sacroiliac SIJ region, lower back pain at the base of the spine.

Sacroiliac pain treatment using acupuncture

A case study is a form of evidence, but it cannot always be applied in other cases so can be useful but not necessarily generalisable. This was written primarily for the benefit of other practitioners but will hopefully also be of interest to members of the public.

Case history

This patient had been coming for acupuncture to treat menstrual problems, but on this occasion presented with a recurrence of acute lower back pain. It had started suddenly after bending over to pick something up. Her lower back was tight and the pain was located primarily at the left sacroiliac joint (SIJ), radiating out into the lower back. The pulse was wiry (xian) overall, less forceful (wu li) on the left than on the right and confined (lao) in both proximal positions indicating qi or blood constraint in the lower jiao. Her tongue was pale and swollen with tooth marks and a purple area at the rear.

Chinese medicine and structural Diagnosis

Notwithstanding her underlying condition of Liver blood deficiency and Liver qi stagnation, my diagnosis was of qi and blood stagnation in the Bladder channel of the lower back. Musculoskeletal examination revealed that piriformis and gluteus medius were involved, as were the lumbar paraspinal muscles; the root of the problem, however, seemed to be a fixation of the left SIJ , which was confirmed by seated and standing nutation and counternutation (the small anterior- posterior gliding movements of the sacrum between the ilia) tests . The treatment administered was as follows:

Acupuncture points used in the treatment of sacroiliac pain

The following strategy combines chinese medicine channel theory with myofascial anatomy knowledge and some recent research around the effects of acupuncture on connective tissue.

  • Shangliao BL-31 to release the deep fascia on the ventral surface of the sacrum.
  • Pangguangshu BL-28 and Xiaochangshu BL-27 on the left hand side using a strong unidirectional rotation to increase the bond between the fascia and the needle, and then release the fascia at the sacroiliac joint.
  • Shenshu BL-23 to release the lumbar muscles and nourish the Kidneys.
  • Sanyinjiao SP-6 as a distal yin channel point to balance the point prescription, harmonise the Liver and support the Kidneys (to regulate the underlying menstrual problem).
  • Zusanli ST-36 to nourish qi and blood.

Results of acupuncture treatment of sacro-iliac pain

The day following treatment she felt stiff in the SIJ area and then the pain disappeared completely. It has not returned in the year since treatment.

Acupuncture treatment of sacro-iliac pain: discussion

It would of course be entirely possible to come to similar decisions regarding point selection by purely relying on traditional Chinese medicine channel theory rather than integrating fascial anatomy knowledge. This in itself may tell us something about the relationship of channel and fascial dynamics. To have similar success using different approaches might also be possible.

Having a deep awareness of anatomy and the interrelationship of fascial structure and acupuncture channels can clarify the clinical decision-making process, inform needle technique and help focus the intent to produce better results from treatment.

CategoriesSpecialists

Recent Posts

  • Should I Take a Qigong Online Course?
  • The Newest Research on Fertility Acupuncture and Chinese Medicine
  • Cardiovascular Health Aids You Should Use if You Have Heart Issues
  • Improve Your Winter Energy Levels with Chinese Medicine
  • Why Stress Is on the Rise and How Acupuncture Can Help

Archives

  • January 2023
  • December 2022
  • November 2022
  • October 2022
  • September 2022
  • August 2022
  • July 2022
  • June 2022
  • May 2022
  • April 2022
  • March 2022
  • February 2022
  • January 2022
  • December 2021
  • November 2021
  • October 2021
  • September 2021
  • August 2021
  • July 2021
  • June 2021
  • May 2021
  • April 2021
  • March 2021
  • February 2021
  • January 2021
  • December 2020
  • November 2020
  • October 2020
  • September 2020
  • March 2020
  • February 2020
  • January 2020
  • December 2019
  • November 2019
  • October 2019
  • September 2019
  • August 2019
  • July 2019
  • June 2019
  • May 2019
  • April 2019
  • March 2019
  • January 2019
  • December 2018
  • November 2018
  • October 2018
  • September 2018
  • August 2018
  • June 2018
  • May 2018
  • April 2018
  • March 2018
  • February 2017
  • September 2016
  • May 2016
  • January 2016
  • March 2015
  • September 2014
  • August 2014
  • June 2014
  • April 2014
  • October 2013
RCHM
Acupuncture
ISRM
Physiotherapy Mentorship
PSA
AFN
Navigation
  • Home
  • Treatments
  • History of Pilates
  • Team
  • Conditions
  • Location & Prices
  • Blog
  • Privacy notice
  • Sitemap
Treatment
    • Acupuncture & Chinese Medicine
    • Sports Massage London
    • Shiatsu
    • Trigger Point Therapy London
    • Myofascial Release Therapist London
    • Bodywork Therapy In London
    • History of Pilates
    • Yoga
    • Qigong
    • Tui Na Acupressure massage
    • Deep Tissue Massage
    • Information on Swedish Massage
    • Neuromuscular Technique
    • Positional Release
    • MUSCLE ENERGY TECHNIQUE – MET
    • Movement & Exercise
Contact Info
Acubody Therapies
46 Theobalds Road, Holborn, London, WC1X 8NW
+44 020 3823 6888
info@acubody.net

Copyright © 2022 www.acubody.net all right reserved
comodo