USING OSTEOPATHIC MANUAL SKILLS TO EMPLOY ACUPRESSURE FOR TREATMENT OF PAIN. Anthony DeLorenzo, DO, FACOI, ABIHM IOMS Winter Conference 2018

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1 USING OSTEOPATHIC MANUAL SKILLS TO EMPLOY ACUPRESSURE FOR TREATMENT OF PAIN Anthony DeLorenzo, DO, FACOI, ABIHM IOMS Winter Conference 2018

2 OBJECTIVES Present information to help osteopathic physicians utilize very basic clinically relevant traditional Chinese Medicine concepts to integrate with manual therapy skills DOs already possess in order to enhance treatment of common pain complaints. Identify potent Acupressure points that can be manipulated to relieve pain and applied within a manual therapy treatment Review evidence of other acupuncture modalities used for pain management and how to find providers who can provide treatment and provide resources for medical education in medical acupuncture

3 HISTORY AND THEORY Traditional Chinese medicine (TCM) is a medical science and art that dates back 3500 years BCE It is elaborate and eloquent It describes the human body as an energy conduit that conducts between heaven and earth The Life sustaining energy is called Chi (Xi) Like water flowing through waterways (Oceans, Lakes, Rivers, Streams) the energy flows through our dodies The description of the energy channels was translated as meridians

4 8 IMPORTANT ACUPOINTS Gallbladder 20 (GB20): Feng Chi - This point is recommended for headache, migraine, eye blurriness or fatigue, low energy, and cold/flu symptoms. It is located by feeling the mastoid (ear) bone and following the groove back to where the neck muscles attach to the skull. Gallbladder 21 (GB21): Jian Jing - This point is located by pinching the shoulder muscle with your thumb and middle finger and is commonly used for stress, facial pain, headaches, toothaches and neck pain. Use with caution in pregnant women. Large Intestine 4 (LI4): He Gu - This point is good for stress, headaches, toothaches, facial pain and neck pain. However, as a word of precaution, it can induce labor and must never be used during pregnancy. Liver 3 (LV3): Tai Chong - You need to take off your shoe to find this point. This is an excellent area to stimulate for stress, low back pain, high blood pressure, limb pain, insomnia and emotional upset. Pericardium 6 (P6): Nei Guan - This point can help provide relief for nausea, anxiety, carpal tunnel syndrome, upset stomach, motion sickness and headaches and is even used for regulation of heart palpitations. Triple Energizer 3: Zhong Zhu - This point is located in the groove formed by the tendons of the 4th and 5th finger, behind the knuckles and is commonly used in the clinic for temporal headaches, shoulder and neck tension, and upper back pain. Spleen 6 (SP6): San Yin Jiao - This point can be very helpful for many urological and pelvic disorders as well as fatigue and insomnia. Avoid during pregnancy. Stomach36 (ST36): Zu San Li - You can find this point useful for fatigue and depression as well as knee pain and gastrointestinal discomfort. Asians frequently stimulate this point for health promotion and longevity.

5 GB20

6 GB 21

7 LI4

8 LR3

9 P6

10 TE3

11 SP6

12 ST36

13

14

15

16

17 AT STILL ON CLEARING HINDERANCE

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21

22

23 Gallbladder 20 (GB20): Feng Chi - This point is recommended for headache, migraine, eye blurriness or fatigue, low energy, and cold/flu symptoms. It is located by feeling the mastoid (ear) bone and following the groove back to where the neck muscles attach to the skull. GB20

24 Gallbladder 21 (GB21): Jian Jing - This point is located by pinching the shoulder muscle with your thumb and middle finger and is commonly used for stress, facial pain, headaches, toothaches and neck pain. Use with caution in pregnant women. GB21

25 Large Intestine 4 (LI4): He Gu - This point is good for stress, headaches, toothaches, facial pain and neck pain. However, as a word of precaution, it can induce labor and must never be used during pregnancy. LI4

26 Liver 3 (LV3): Tai Chong - You need to take off your shoe to find this point. This is an excellent area to stimulate for stress, low back pain, high blood pressure, limb pain, insomnia and emotional upset. LR3

27 Pericardium 6 (P6): Nei Guan - This point can help provide relief for nausea, anxiety, carpal tunnel syndrome, upset stomach, motion sickness and headaches and is even used for regulation of heart palpitations. PC6

28 Triple Energizer 3: Zhong Zhu - This point is located in the groove formed by the tendons of the 4th and 5th finger, behind the knuckles and is commonly used in the clinic for temporal headaches, shoulder and neck tension, and upper back pain. TE3

29 Spleen 6 (SP6): San Yin Jiao - This point can be very helpful for many urological and pelvic disorders as well as fatigue and insomnia. Avoid during pregnancy. SP6

30 Stomach36 (ST36): Zu San Li - You can find this point useful for fatigue and depression as well as knee pain and gastrointestinal discomfort. Asians frequently stimulate this point for health promotion and longevity. ST36

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