Kunitachi Ozawa Acupuncture Clinic.

Case Reports

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diagnosed as lumbar disc herniation, but in fact a case of TP caused by myofascial pain syndrome

diagnosed as lumbar disc herniation, but in fact a case of TP caused by myofascial pain syndrome

【male, 40s】

【male, 40s】

main symptoms

he was diagnosed with a lumbar disc herniation 3 years ago.
the symptoms were the same this time, and when he went to the orthopedic surgeon, he was diagnosed with a herniated disc again.
he enjoys playing tennis but is currently unable to do so because of the pain. when he stands in front of a mirror and looks at his body, he can see painful scoliosis.
currently, his left toe and the outside of his calf are numb.
his back also hurts and he cannot walk. he manages to go to work but can't concentrate.
currently, he is taking prescribed painkillers.
he came to our clinic through an introduction from a colleague.

visual observation and palpation

on visual observation, the body was bent, and painful scoliosis was observed.
his legs seemed to be limping, as if the condition worsened with added weight.
palpation revealed excessive muscle tension in the lower back and hips, so acupuncture was used instead of manual treatment to find the cause of the problem.


acupuncture needle: 60mm gauge 0.20mm
treatment area: longissimus lumbar muscle, lumbar multifidus muscle, and gluteus medius muscle (all on the left)
to reduce the burden on the body as much as possible, i focused on these 3 muscles for intensive treatment.

(longissimus lumbar muscle<lumbar multifidus muscle in this deep layer>)
(gluteus medius muscle<attachment of iliac crest>)

1st treatment: no change.
3rd treatment: 10→6. symptoms decreased to about half.
4th treatment: 6→5. he was scheduled to have a detailed examination of his lower back at the hospital later but cancelled the appointment and continued acupuncture treatment.
6th treatment: 5→3. symptoms of both pain and numbness were almost gone. walking returned to normal, and he was able to work as usual.
8th treatment: some numbness in the fingers, but symptoms almost completely improved. 3→1

the symptoms seemed to disappear after several treatments.


in recent years, the symptoms of pain and numbness caused by myofascial pain syndrome (MPS) have been gradually gaining recognition.
in this case, based on the history of disc herniation, the symptoms were diagnosed as pain and numbness symptoms caused by disc herniation.
however, the subjective symptoms were caused by trigger points (TP) in the lower back and hips.
in recent medical science, imaging diagnosis is the main method of diagnosis and treatment.
however, in myofascial pain syndrome (MPS), pain and numbness symptoms occur due to trigger points in the muscles.
if this were taken for granted by modern medicine, the symptoms would not go away, and symptomatic treatment would be mainly used to continue ineffective treatment or to suppress existing symptoms.

in our clinic, there are many cases where people have been diagnosed with herniated discs but have improved with muscle therapy, spinal canal stenosis but have improved with muscle therapy, and sciatica but have improved with muscle therapy.
this is because myofascial pain syndrome (MPS) is caused by trigger points (TP), and it is possible to fight the symptoms.