Ortho Neck Acupuncture

Question 1

What are four questions to ask of MC?

Answer 1

1. Onset of pain
2. What is mechanism of injury
3. Structures involved
4. Level of disability

Question 2

Three questions to ask about pain?

Answer 2

1. Pain location
2. Pain quality
3. Pain Type

Question 3

Other questions to ask patient about neck pain?

Answer 3

1. Headaches
2. Dizziness/Fainting/Seizures
3. Sleep Position

Question 4

Where does nerve impingement below C5 create numbness and tingling?

Answer 4

Shoulder, arm and hand

Question 5

What meridians are associated with C6?

Answer 5

LU/LI

Question 6

What meridians are associated with C7?

Answer 6

PC/TW

Question 7

What meridians are associated with C8?

Answer 7

HT/SI

Question 8

Where can nerve impingement above C5 produce numbness and tingling?

Answer 8

Along the GB meridian and affect the ear and throat.

Question 9

What is Upper Extremity Movement Impairment Syndrome?

Answer 9

Rounded shoulders and forward head posture.

Question 10

How is palpation of neck structures best performed?

Answer 10

Supine where muscles are relaxed.

Question 11

What does Myotome assessment achieve?

Answer 11

Determines muscle weakness that originates from motor fibers of cervical nerve roots. Hold for 5 seconds.

Question 12

Neck Flexion tests which muscle group and which nerve root?

Answer 12

SCM and C1/C2

Question 13

Neck side flexion/bending tests which muscle group and which nerve root?

Answer 13

Levator Scapula, Upper Trap, Scalenes medius) and C3

Question 14

Thumb Extensions tests which which nerve root?

Answer 14

C8

Question 15

How do you test C6 and which muscle group is affected?

Answer 15

• Elbow flexion, wrist extension.

- Brachialis, Bicep Brachii, wrist extensors

Question 16

What Cervical Vertebrae is tested by shoulder abduction?

Answer 16

C5 - Supraspinatus (rot cuff), deltoid

Arms out to the side, press down on upper arms.

Question 17

How do you test C4?

Answer 17

• Shoulder elevation, press down.

- levator snap, upper trap, scalenes (ant/med)

Question 18

How do you test C7?

Answer 18

• Elbow extension, wrist flexion
• patients arm straight out palm faced down. Place your hand on patients elbow crease press down there while pressing up on patient’s hand. Have patient resist. Count for 5-6 seconds.

Question 19

The patient is standing during Myotome testing - true or false?

Answer 19

False - sitting is best.

Question 20

True or False: Perform the most painful movements first, when assessing AROM?

Answer 20

False

Question 21

What is the normal ROM for neck flexion?

Answer 21

80-90°

Question 22

What is the normal ROM for neck extension?

Answer 22

70°

Question 23

What is the normal ROM for neck side bending?

Answer 23

AROM 20-45°

Question 24

What is the normal ROM for neck rotation?

Answer 24

70-90°

Question 25

Source and Luo Points for the Neck?

Answer 25

Si4 + HT5, BL64 + KD4, TW4 + PC6, GB40 + LV5

Question 26

What is Wry Neck?

Answer 26

- Invasion of wind cold (acute) | - Cervical facet joint disorder (chronic)

Question 27

Where does myofascial pain typically present?

Answer 27

* Levator scapula * Upper Trapezius * Rhomboids

Question 28

Name five typical TCM diagnosis for neck pain?

Answer 28

- LV Qi Stagnation - Lu Qi Deficiency - SP/LV Blood Deficiency - KD deficiency - OPI

Question 29

What are the group Luo points?

Answer 29

- TW8 (3 arm yang) - PC5 (3 arm yin) - GB39 (3 leg yang) - SP6 (3 leg yin)

Question 30

What do the Group Luo point treat?

Answer 30

* Qi and Blood btw 3 channels * 3 channel disharmony * Imbalance of yin/yang

Question 31

Name 4-6 physical things that neck pain and injury can involve?

Answer 31

- bony misalignment - ligament injuries - muscle injury - disk compression - osteoarthritis - compression of the spinal chord

Question 32

Causes of cervical nerve root lesion?

Answer 32

- stenosis - cervical spondylosis - osteophytes - facet joint problems - herniated disc

Question 33

What is the most common muscle in the neck associated with stiff neck?

Answer 33

Levator Scapula (pain referring into the Si14 area and extends into the scapula.

Question 34

What muscle is worse with side bend-flexion away from effected side?

Answer 34

Levator scapula

Question 35

What is the likely TCM diagnosis of myofascial pain of the levator scapula AKA "stiff neck"?

Answer 35

Constrained Liver Qi / Local stagnation of Qi and blood in Si,BL, TW channels

Question 36

Name some points to treat levator scapula "stiff neck"

Answer 36

GB20, GB21, Si3, Si11, Si14, Si1, Bailao, LV3, Li4, LV14, BL18...Tuina, traction

Question 37

What is TCM pattern for Wry Neck?

Answer 37

Acute Invasion of wind cold, usually due to cold room while sleeping.

Question 38

What is treatment for Wry Neck?

Answer 38

Do neck ROM. Disperse Wind and Cold in BL & GB Meridians. Louzhen on effected side. stimulate while moving. Moxa over Ahi needle. Warming Tuina. 1-3 tx. resolve in a week.