Kunitachi Ozawa Acupuncture Clinic.

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Case Reports

症例報告
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diagnosed with spinal canal stenosis and disc herniation on MRI pain in the lower back, hips, and legs

diagnosed with spinal canal stenosis and disc herniation on MRI pain in the lower back, hips, and legs

【male, 60s】

【male, 60s】

main symptoms

pain in the lower back.
it started hurting about a month ago.
the symptoms were mild at first, but recently he could not stand up. the pain was strong in the lower back.
gradually, the pain started to spread from the outer thigh to the outer lower leg.
he went to the hospital and had an MRI scan, which showed narrowing of the spinal canal and a hernia.
the doctor diagnosed his symptoms as "symptoms caused by spinal canal stenosis and disc herniation".
his blood pressure had also risen to 150. it seemed to be rising in proportion to the pain.
he had a history of serious illness in the past and had lost a lot of weight and muscle mass.
the doctor told him that he would not be able to recover without surgery. on the recommendation of his family, he came to our clinic.

medical interview

he was diagnosed as having symptoms caused by spinal canal stenosis and disc herniation. he replied that he had no numbness.
however, he felt heavy and had pain from his lower back to his lower leg.
there was no problem in extending or flexing the ankle joint.
he had a hernia once when he was young.
he said, "i don't have any numbness." therefore, i judged that there was a possibility of determining the symptoms based on the imaging diagnosis by MRI due to the age-appropriate stenosis and the past history of hernia and judged that "the symptoms might be related pain caused by trigger points in the gluteus medius, gluteus minimus, and tensor fascia lata muscles.

treatment

trigger point acupuncture was applied to the gluteus medius, gluteus minimus, and tensor fascia lata muscles.
he could not lie on his face, so we treated him on his side.

1st treatment: no change
2nd treatment: 10 to 9. not much change, but he felt a little better.
3rd treatment: 9 to 7. he felt much better.
4th treatment: 7 to 4. much better. pain is reduced to less than half.
6th treatment: 4 to 3. started to think about going for a walk outside. but it still hurts a little when i walk.

after a few more treatments, the symptoms seemed to disappear.

Summary

in this case, "misdiagnosis by imaging diagnosis" was clearly shown.
i apologize for being critical when i say "misdiagnosis," but people believe in what they can see.
(1) pain occurs, (2) MRI, x-ray, or CT is taken, (3) it is "seen," and (4) it is assumed to be the cause of the pain.
this is how modern diagnosis works.
without touching the painful area, they assume that the painful area is the cause...
when i talk to many patients, i find that there are more and more people who have doubts about the treatment of pain and numbness, such as medication, rehabilitation, diagnostic imaging, and so on.
awareness of pain and numbness.
the times they are a changing.
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