Kunitachi Ozawa Acupuncture Clinic.

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Case Reports

症例報告
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neck pain, dizziness in the head, autonomic nervous system disorder, slight fever, excessive sweating

main symptoms

the neck hurts and head feel dizzy.
painful when he gets up from sleep or while working on the pc. head dizziness is always present.
in his 20s, he injured his cervical spine in contact sports. symptoms decrease after taking medication, but soon reappear.
the symptoms have been worsening for about a year now, and it has been quite painful for the past 6 months.
the neck pain, stiffness, and dizziness are so strong that sometimes it makes him sweat strangely.
low fever has been continuing for about 3 months. body feels sluggish.
at the psychosomatic medicine clinic, they said it was autonomic dysreflexia. at another mental clinic, it was diagnosed as depression.
currently, he is on leave from his job.

visual observation and palpation

his entire neck was swollen, probably due to years of contact sports, and was difficult to palpate at first.
i judged that long hours of computer work also had a great impact on his condition, so i decided to start with the shallow muscles for the first couple of treatments and gradually work my way down to the deeper areas.

treatment

he was treated extensively.

treatment area: semispinalis capitis, platysma capitis, rhomboid major, rhomboid minor, suboccipital muscle group

treatment area: semispinalis capitis, platysma capitis, rhomboid major, rhomboid minor, suboccipital muscle group

1st to 3rd treatment: thin acupuncture needles were used to relax the surface muscles.
symptoms went from 10 to 8 "a little better".

4th to 7th treatment: regular acupuncture needles were used to treat trigger points in the above treatment areas.
symptoms went from 8 to 5: "I can see that the muscles have become soft.

8th to 10th treatment: after persistent treatment, symptoms decreased from 5 to 2.

(figure of suboccipital muscle group)

at this stage, he can return to work next year.

Summary

stimulation amount of acupuncture

based on my experience, the amount of acupuncture stimulation is largely dependent on the sensation of the therapist's hands.
for patients with heavy swelling, it is not uncommon for the symptoms to worsen if the muscles in the back are treated from the beginning.
in some cases, loosening the muscles from shallow areas is the shortest way to improve symptoms.
it is important to focus on the shallow part of the muscle on the surface of the body, even if the patient plays contact sports and has thick muscles, as in this case.
the more longstanding the condition, the more important it is to perform detailed treatment by feeling various parts of the skin, edema, and muscle stiffness with the hands.
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