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Posted on Friday, August 19, 2005 - 07:18:   

Hi. Has anyone ever treated a patient with frmoral nerve pain? My patient is experiencing numbness in his inner thigh and knee. I;m thinking Huato's might be good. Any suggestions?
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Shmuel Halevi
Posted on Friday, August 19, 2005 - 07:50:   

If you wish to treat femoral nerve pain successfully by acupuncture, you'd better refer to it in Ch.medical terms rather than its western definition.
If you can specify the nature of the pain, i.e.: Qi deficiency, blood stasis, cold-bi pain, damp bi pain etc., that would make it much clearer. If you could specify the location, or route of the pain in terms of meridian route such as the Gallbladder route or the Spleen route, you may have the answer to your question even without consulting other practitioners. If you insist on western diagnosis and terminology why not give your patient diclofenac 100 Mg daily?
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Phil Macqueen
Posted on Sunday, August 21, 2005 - 08:59:   

Hi Anony mouse
Phil Macqueen in Brisbane here
Dr. Shmuel will probably give me a dressing down for this but....Lie the P on their back
Palpate both groins and Inguinal ligaments.
The side with the problem will probably be tender.
The femoral nerve exits from under the Inguinal Ligament and if you follow its anatomical course to there, you will see it traverses the abdo often through the Psoas and /or the Iliacus muscle which as you will know is located on the medial suface of the Ilium.
Palpate from the ASIS with your fingers gently and feeling for any tightness/tenderness in that area. Watch the P's face for indication of sensitivity and ask for a response too.
Usually its sorest up the top near the ASIS
Mark these and when satisfied youve got them all (usually about 15 to 20 mm apart)
Pin them about 5 mm deep and get Qi.(look out for arteries) Usually they are quite deep but again for safety until you get used to this go gently.
Get gentle dull spreading down the leg Qi if you can.
If not sharp Qi will do but its best to get the Qi to move down the leg.
My experience (25years) is that you can fix Knee problems, medial ankle and big toe probs with this technique. Try it for bunions with a pin in the centre of the bunion too. Works quite well.

BTW, Spurs respond to needling S1 and S2 Sacral Foramen. Again...get Qi to travel down to the heel (gentle and dull)
I dont pin the heel, just a special point in the achilles I have discovered.
If U R interested post back and I'll tell the world!!

Good luck

Phil Macqueen

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