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Beth Conroy Compendium
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Upper Extremity Pain - Kiiko
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1. Kiiko Matsumoto’s Clinincal Strategies Vol.1 pp. 227230 & Vol. 2 p. 153
2. Neurovascular compression of the neck handout
3. upper and lower extremity class handout and notes, 3/14/09
4. Master Kawai’s Pachi~Pachi ~21 handout and notes, 3/20/09
CATEGORIES OF DISHARMONY
Neurovascular compression of the neck
Structural/myofascial dysfunction
Upper extremity pain and dysfunction
CLINICAL MANIFESTATION
Poor posture, Trauma, Scar tissue, Chronic Stress, Repetitive overhead activities, Sugar
Imbalance, Congenital
Shoulder – normal range of motion 180 degrees
Usually dominant hand has less range of motion because it is used more
Commonly found in women over 50 years old “Menopause Shoulder”
PALPATORY FINDINGS
Note: Check and clear Hara findings first
Neurovascular Compression of the neck
ST 12 area
Hukays’s ST12 (.5 to 1cun above ST 12)
Brachial Plexus Reflex above Hukays ST 12, behind SCM
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1/4/13 Beth Conroy Compendium - Upper Extremity Pain - Kiiko Matsumoto Japanese Style
Brachial Plexus Reflex above Hukays ST 12, behind SCM
SCM
Atlas Reflex (superior portion of the SCM muscle, just under mastoid process)
Local and symptomatic
If elbow or shoulder pain, check neck
If tennis elbow, check scalenes and neck
Follow clavicle to LI 15 – palpate entire area
Check LI, TH, SI channels for tenderness
Check LU 1 and LU 2 areas for tenderness
Check SI 9 and SI 10 on back for tenderness
Palpate GB 21, Scalenes, and C3
Recheck range of motion while patient is on table (range of motion may increase with gravity)
Check CV 4 against tender shoulder points
Check Dai Mai – usually responsible for first 90 degrees abduction
TREATMENT PRINCIPLES
Move Qi and Blood
Balance structural dysfunction
Clear upper extremity pain
TREATMENT STRATEGIES
First treat the constitutional problems detected through palpation of the abdomen, neck and
back, specific diseases presented in the patient’s medical history and, lastly, by addressing the
symptoms with distal points (if still needed).
Document activities of daily living (ADL) skills that are limited
TREATMENT PLAN
*First treat the constitutional problem detected through palpation of the abdomen
Neurovascular Compression of the Neck
Front:
SP 3.2 (primary point) (scalenes)
LU 8 needled toward LU 9 (point for numbness and tingling) (scalenes)
CV 14 needled toward CV 15 (scalenes)
HT 3
KD 16
ST 12 (direct moxa)
Yaotongxue, luozhen and TH 3 (reduces pressure pain at C1Atlas)
Shao Yang treatment combinations
Nagano's SP 3 and sphincter of Oddi point
Back:
Huato Jiaji C67
Local and Symptomatic Treatment
Trapezius
Inner Yin – Huato T7 ~ T12
SCM
Contralateral TH5 & GB41 (rapid pulse)
Contralateral TH9 & GB40 (normal pulse)
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1/4/13 Beth Conroy Compendium - Upper Extremity Pain - Kiiko Matsumoto Japanese Style
Contralateral TH9 & GB40 (normal pulse)
Contralateral TH3 & GB34 or GB40 (slow pulse)
TH16, GB20, GB16
Levator Scapulae
C3 principle choice, shallow needling
C4 or Huato C3 or C4 secondary choice
Rhomboid Major
Huato T2 ~ T5
Rhomboid Minor
Huato T1 ~ C7
Rhomboids are a reflection of the LU
LU5 or LU5 & LU8 if LU 10 is tender
KD7 & KD10 if KD2 is tender
Deltoid – general
Under scapular spine
LI 15~ Center of Deltoid
KD 7
Dai Mai
Triceps Brachii
Below SI 10
At inferior border of scapula
Biceps Brachii
1 ~ 2 inch below LU5
Scalenus Anterior, Medius, Posterior
SP3, LU8, HT3
(check with any shoulder problem) CV15, .5 ~ 1 cun above ST12
Platysma
LU 1 ~ LU2
Needled 10~15 degrees towards shoulder
Local and symptomatic Treatment:
LI 15 – Connected to Dai Mai and KD 7
KD 7 is part of bone treatment, good internal and structural treatment and strong distal point to
help LI 15
Check KD 7 against Dai Mai
If KD 2 tender, check KD 10 (water point) or KD 27 then check range of motion(ROM)
Local and symptomatic Treatment:
Normal ion pumping cords and pachi sparker
YinYang meridian pairs for musculoskeletal problems
Use as a touch up at the end of the treatment or open at the beginning, by opening up the zone
and start to change things.
Ask the patient to reproduce the motion that causes the pain.
Note: No other needles are used with YinYang points
Have patient remove jewelry
Stay with the patient for five minutes to be sure no adverse reactions
Yin/Yang pairs HT 7 (red clip) and SI 5 (black clip) SI type shoulder pain
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1/4/13 Beth Conroy Compendium - Upper Extremity Pain - Kiiko Matsumoto Japanese Style
Yin/Yang pairs LU9 (red clip) and LI 5 (black clip) – LU/LI type shoulder pain
Yin/Yang pairs PC 7 (red clip) and TH 4 (black clip) – Shoulder pain, hard to raise the arm &
extend toward the back
Find the exact point location and angle that release the reflex or the indicated complaint.
Needle the points and attach the clips as listed above. Attach the black clip to the back of the
Pachi sparker and spark the needle. Attach the black clip to the needle, repeat this every five
minutes.
Local and symptomatic Treatment:
wrap area with chain and foil – using pachipachi spark KD 7
Muscle SP 3.2
Tendon/Ligament LV 8
Joint Sp 9
Bone KD 7, LU 5, BL 11
PATIENT EDUCATION / RECOMMENDATIONS
Gentle stretching of neck and shoulders
Be more conscious of their posture
Stress reduction activities: meditation, yoga, tai chi, qi gong, breathing exercises
PROGNOSIS
Often treating the medical conditions(constitution, hara findings) that have lead to the neck and
shoulder pain will reduce the symptomatic presentation as well as pressure pain at the neck
and shoulder.
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