Acupuncture for glutes and leg pain (case
from 2016)
Male, 46y 8months. First visit date was March
12, 2016.
Main complaint: he limped into my clinic,
could not sit normally on a chair (only half of his body touching the chair).
He reported that on May 24 the year before that after golfing, he felt pain on
the right side of his bottom, and his right leg. A CT scan indicated he had a
bulging disc in L4 and L5. He started physio treatment from July 20, 2015 to
March 2016. He felt better in December of 2015, but unfortunately the pain
returned in January. On March 5th of that year, it got worse even
though he was doing physio during that time. On that day when he first came in
to my clinic, he reported that after he gets up in the morning, for a few
minutes he feels pain on the right side of his bottom, and in his right
leg.
Examination: Straight leg raising test,
negative. It means his pain did not come
from a bulging disc. Instead, when pressure was applied to the affected areas,
the pain seemed to be caused by muscle spasms in the upper region of the right
M Gluteus maximus, at the L2 level of the right M. latissimus dorsi, and some
points along the tractus iliotibialis and the right calf .
Points were used:
Pishu, Weishu, Huantiao , Yanglingquan, Huanzhong(R) , Chengfu (R) , fengshi(R),Chengjin(R),
chengshan(R)
Result:
Right after acupuncture, he walked normal already. In his second visit
date which was March 14, 2016, he told me that he felt 50% of his pain was
gone. After only 4 sessions of acupuncture, he felt 95% recovered. On his 6th visit which was April
12, 2016 he said he did not feel pain on his right buttock and right leg
anymore which means he recovered after five sessions of acupuncture.
男性，46岁8个月。 初诊日期2016年3月12日。
主诉：他一瘸一瘸地走进我诊所，坐姿成保护状态，就是说半边身子落座，因为屁股和腿痛的原因。他说自从2015年5月24号打高球后他的右侧臀部和右腿外侧和右腿后面 开始疼痛，CT检查发现腰4和腰5椎间盘突出。同年7月20日开始物理治疗直到2016年3月来我诊所就医前。2015年底短暂好转，不幸2016年新年开始又有疼痛，虽然一直做物理治疗但3月5号起疼痛加重。现每天起床后几分钟右臀部和右大腿即开始痛，严重影响工作和生活，经人介绍来我诊所寻求针灸帮助。
查：直腿抬高试验阴性。排除椎间盘突出引起的疼痛。检查腰部，臀部和腿部，在右侧肾俞，环跳，环中，风市，承山穴处有压痛。
治疗：针灸
穴位： 脾俞，胃俞，肾俞，环跳，阳陵泉。以下穴位均取右侧：环中，承扶，风市，承筋，成山。
结果：1次针灸下地后则不再瘸行。隔天来针灸时告知疼痛已好转50%。4次针灸后说好了95%，2016年4月12号第6次来就诊时说5次后就全好了。现来就诊时为了巩固效果。
