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Posted on Tuesday, January 18, 2005 - 00:30:   

I'm seeing a patient with slipped disc condition at L5 and S1. He's getting numbness along down the right leg, but NO PAIN. I've seen him 4 times already. But no relief in numbness. I was using HTJJ L4, L5. Du 3 and Du 4. UB 40, UB 58, UB 36 UB 23, UB 25, and GB 30. Is there anyway that i can try to help this patient relef the numbness? Thanks
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Shmuel Halevi
Posted on Tuesday, January 18, 2005 - 07:57:   

Hello Acuratam. First of all you may run a search on this forum for slipped disc/k or sciatica, there has been quite a number of discussions concerning this.
It seems that basically you are doing right, still, sciatic numbness may take much longer than 4 sessions to relieve. If the major complaint is numbness rather than pain, it is best to put an emphasis on the points along the involved meridian(s) rather than the back or Shu points. Use plenty of moxa, cupping and tonification methods. You may find few ideas for that on my homepage as well, especially on my work of Combination of Points.
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Phil Macqueen
Posted on Wednesday, February 16, 2005 - 06:03:   

Re "Sliped Disc"
I suggest you palpate the pateints abdomen with them lying Face UP (FU). Visualise the Psoas muscle coming from the spine from T 12 to the groin, under the Inguinal Ligament and inserting on the Lesser Trochanter of the Femur.
Its my guess that you will find a lot of tenderness and guarding with reasonably deep palpation (watch the patients eyes) and mark these spots. They follow a diagonal line similar to the Stomach channel. The psoas leaves the spine at L4
and that is about St 25 26 area but a bit wider. Check bilaterally
Mark any sore points and then pin them. About 10mm insertion and get a Qi sensation. Sharp or Dull. Leave for poss 5 mins then get qi again.
Remove pins.
Get patient to sit up sideways to avoid tightening the Psoas again.
Sit them legs over the edge of the couch, lean them forward and palpate the Quadratus lumborum origins on both sides. Probably the affected side will be the tighter one. Keep the patient bent a bit forward to keep the muscle tight then pin the tight bits. Usually 4 pins is OK Get qi twice in 1 minute and remove.
Also check to see if the Hammy is tight by doing a SLR when the patient is FU...YOU lift their leg.
If it doestnt go past 50 degrees the hammy is partly to blame. Check the Glut with the Patient FU but do a bent leg raise, ie like the Hammy one but with their leg bent.
Reason The Sciatic nerve could be caught in the Glut or Hammy. Check to see. If both these are relaxed it Poss a Piriformis tight. Check that. If OK then its the Psoas.
TIGHT AROUND THE NERVE OUTLET.Remember the spinal nerves exit through the Psoas in most cases
Remember the Sciatics origins. L345 S1,2.
If the Psoas and the ES and QLs are tight they pull the vertebrae together and cause bulging discs.
Rx Loosen all tight muscles

Good Luck

Phil Macqueen in Australia

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