Practitioner

 Zak.Han

Chinese Acupuncture practitioner,Chinese

exarmy doctor,worked

in army hospital 20 years.He specialises in

  back pain relief

   This website does not provide specific medical advice and the information provided should not be used as a substitute for seeking medical advice from a registered health practitioner.

 (1) Differential Diagnosis of external spinal soft tissue damage ( headache,neck pain,shoulder pain,hand pain,waist pain,lower back pain,sacrum pain,buttocks pain and leg pain)

     This is unnecessary to different diagnosis of following diseases  from external spinal soft tissue damage:

(1)Syndrome

 Shoulder Syndrome,Cervical spinal Syndeom,Lumber joint syndrome,The third lumbar vertebra syndrom,

(2) ligament injury

Supraspinal ligament injury,Spine ligament injury,Rib ligament injury,Oblique abdominal muscle injury,Sacral spinal muscle injury,Iliolumbar ligament injury,Sacroiliac ligament injury ,Gluteal muscle injury ,Medial knee ligament injury,Patella ligament injury,Kunitsuna muscle injury,Plantar fasciitis injury,etc

(3)Inflammation:

Condensans ilii,Fascia lata fasciitis,Lateral femoral cutaneous neuritis,Fasciitis knee,Chronic knee synovitis,Traumatic knee synovitis,Infrapatellar fat pad inflammation,Achilles tendinitis,Omarthritis,Humerus Epicondylus,...

(4)Pain

Superior Clunial neuralgia,Sciatica,Femoral neuralgia,Coccygodynia,headache,Trigeminal Neuralgia,Intercostal neuralgia,

(5)Others:

Lumbar facet joint disorder,Congenital bone deformity,Hyperosteogeny,Disc degeneration,Nerve entrapment syndrome,

    This is necessary to different diagnosis of following diseases  from external spinal soft tissue damage:

  (3) Why do Zak's acupuncture work for different condition as follow?

Other pain conditions:

Ankylosing Spondylitis

Ankylosing spondylitis is a chronic, progressive, axial joints involvement of joint disease, the main impact of the pelvic sacroiliac joint, spinal joints and paraspinal organizations. The major morbidity in the 20-30 age young men aged over 40 rare incidence. Sick women only men tenth, but less severe diseases. Ankylosing spondylitis causes of morbidity unclear, but genetic factors are closely related. Ankylosing spondylitis patients, the gene HLA-B27 - positive rate as high as 90%. while the general population, only about 5%. Certain parts of the infection, such as prostatitis, ulcerative colitis with the disease. The disease onset than conceal, progress has been slow. Early symptoms are often flu waist rigid or stiff pain in the night stand up, get up, or sedentary, long after the station is particularly obvious symptoms. After activities, zombies pain can be improved. In addition to lumbosacral joint by category, the disease can be extended to cervical and thoracic spine, the performance of different levels of stiffness and pain. Some neighboring joints, such as : shoulder, knee, hip, minority involvement feet, hands small joints, but data from the surrounding arthritis fewer joints, the incidence of non-symmetry. In addition to joint symptoms, associated with low heat, fatigue, anorexia, weight loss, anemia and other symptoms. In part because of lower extremities in patients with peripheral neuropathy and lower extremity there following knee muscles sore and numb. About one quarter of patients have eyes iridocyclitis, there eye pain, confusion and tears. More serious cardiac patients with aortic valve disease and pulmonary fibrosis. As the disease progresses, patients with lumbar, thoracic, and cervical lesions can be gradually increased, some patients with cervical flexion, thoracic straight, queer hip flexion, which seriously affects the ability of the activities. Laboratory tests can be found immunoglobulin and ESR increased significantly. HLA-B27 - positive point suggested for the high-risk population. X-ray examination is valuable for the diagnosis, the patient is characterized by changes in the sacroiliac joints and spine "bamboo-like" change. Active therapy can relieve joint symptoms, the protection of joint function and to minimize the occurrence of defects.

Arthritis

Atypical Facial Pain

Headaches are neurology and medicine is very common in patients with symptoms of headache classification and diagnosis and differential diagnosis of closely related, According to the International Headache Society classification craniofacial pain can be divided into facial pain of migraine, tension-type headache, cluster headache, chronic paroxysmal unilateral headache, non-organic miscellaneous headache, cranial trauma with the headache, vascular disease and headaches, and non-intracranial vascular diseases related to the headache, with certain material or material relating to the withdrawal headache, infection with the non-head-related headache, with metabolic diseases related to the headache, and head, neck, eyes, nose, paranasal sinuses, teeth, oral or other facial structure of the head and face pain, cranial neuralgia. neural stem the pain or imported into obstacles pain (deafferentation pain) and can not be classified a headache .

Acute Sprains

In acute sprain of the time not to heat, but should towel with cold water (or ice towels) deposited. Every 10 minutes for the cold compress of towels. Such repeated several times, both painkillers, but will also prevent local swelling increased. After 1-2 days, local organizations with the injury of the hematoma, edema repair leakage stopped, this time, they should take the heat, through the strengthening of the injured parts of blood circulation, promote hematoma, edema and inflammatory metabolite absorption, so that the location of the lesions can be cured quickly. Therefore, in the event of acute sprain, the correct approach is to first cold compress bleeding, in the promotion of heat absorption. This is the correct remedial measures.

Angina

Angina is coronary insufficiency, cardiac sharp, temporary ischemia and hypoxia caused by the clinical syndrome. The characteristics of the paroxysmal chest pain feeling squeezed, mainly located in the rear sternum, before radiotherapy tip and the left upper limb, often occurs in the labor or emotion, continued for a few minutes, rest or nitrate formulations disappeared. The disease was particularly prevalent in males, the majority of patients over 40 years of age.

Bursitis

Mucus bursitis that mucus sac inflammation. Mucus capsule located between bone and bone or tendon between, full of lubricating fluid, in order to reduce the bone caused by the friction. The long-term wear and tear, injury, infection, mucus bursitis is a common cause, in some cases there is no obvious cause. Mucus bursitis symptoms of pain for a local swelling, the disease was common in the knee (maid knee), elbow (students elbow), the shoulder, hip, heel and toe-festival site. Patients afflicted part to let the rest; If needed, available with the Department of plywood or to be supported. Take aspirin or paracetamol, and topical icing, be cured. March 4 days if not relieve pain, or pass the more difficult activities, should be invited to the doctors. The mucus bursitis and needs prescription drugs to treat. If afflicted extreme swelling, doctors under local anesthesia out intracapsular liquid drug emptying into the capsule.

Bladder Pain

Bladder pain syndrome is based on frequent urination, urgent urination, pelvic pain in the bladder or the clinical diagnosis. International Institute of urinary bladder control pain syndrome is defined as "a bladder filling the suprapubic pain, accompanied by other symptoms, such as daytime and nighttime urinary frequency increased significantly, Meanwhile except urinary tract infection and other pathological lesions. " International Institute of urine still retain control of interstitial cystitis. "Primarily a typical performance of the bladder endoscopic and histological features." Otherwise, to be diagnosed as bladder pain syndrome / interstitial cystitis.

Chronic Pancreatitis

Means chronic pancreatitis and pancreatic islet bubble tissue shrinkage, pancreas real extensive fibrosis of the pathological process. Accompanied calcification and pseudocyst formation. The main clinical manifestations of abdominal pain, diarrhea or fat diarrhea, weight loss and malnutrition pancreatic dysfunction syndrome

Cancer Pain Syndromes

The pain of cancer (cancer pain) and the mechanism that currently there are three ways, namely : cancer pain caused by the development, diagnosis and treatment of cancer and the pain caused by cancer patients with infection, chronic pain diseases and cancer pain syndrome occurred in pain. The three channels, 75% to 80% of patients due to the soft tissue tumor invasion, bone marrow and nervous system caused by 15% to 20% in cancer diagnosis and treatment have arisen from the process, 5% ~ 10% were due to a painful joint disease.

Dysmenorrhoea (Period Pain)

Dysmenorrhea refers to women before and during menstruation, there lower abdomen or waist pain, or pain and lumbar sacral. With every menstrual cycle and hair, can be associated with severe nausea and vomiting, cold sweat dripping, hand, foot Jueling, or even collapse, to live and work will be affected. Current clinical often be divided into primary and two secondary, primary dysmenorrhea refers to genital no more obvious lesions, it is also called functional dysmenorrhea, was particularly prevalent in adolescent girls, married and unmarried infertile.

Discogenic Pain

Discogenic low back pain is is due to a disc or more internal structure and metabolic function abnormalities, if degeneration, endplate injury or release of certain factors, stimulate pain receptors within the disc caused by the low back pain, current clinical studies have clearly degenerative disc annulus fibrosus also can lead to cracks, fissures through this long-vascular and nerve; Degenerative disc cells and inflammatory cell infiltration in the secretion of various inflammatory cytokines and media; the role of abnormal biomechanics, these chemicals stimulate lumbar disc factor within the nerve fibers caused discogenic low back pain. The main clinical manifestations of a lumbar mainly spontaneous pain, or prolonged standing, brought up after heavier, often not lying down immediately after mitigation. Pain is the main location of the center line under the waist region, can sometimes extend to the posterior buttocks and thighs. Some patients with lower extremity joint pain, the mechanism is due to disc degeneration of the adjacent nerve root produced machinery, chemical stimulation triggered a partial nerve root inflammation, some patients to stretch lower extremity pain. This is not the nerve root inflammation of nerve root compression results, so clinical palpation nerve traction test often negative, There is also no clear movement, sensory dysfunction of the corresponding signs.

Frozen Shoulder

Omarthritis called frozen shoulder, frozen, because of shoulder and soft tissue lesions caused shoulder pain and dysfunction. Good fat in patients over 40 years of age were commonly lesbians. It is characterized by shoulder pain and shoulder disorders gradually increased, a few months later eased gradually restore function, but they can not fully restored to the contralateral function.

Foot Pain

From the clinical perspective, the most common diseases of the foot main heel pain, toe valgus, inlay A (A paronychia), the diabetic foot, customary such as a sprained ankle. Although this seems to be a small problem, but in fact, they are not isolated, diabetes, diseases of the circulatory system, anemia and kidney diseases could be felt first in the foot. In addition, foot infections, the treatment will result in lower extremity timely loading capacity of the line change, resulting in the ankle joint, the knee average, increasing knee, a chronic ankle injury. Long-term weight-bearing lower extremity alignment change, it will also lead to hip and waist, the compensatory damage, the waist and hip caused chronic degenerative disease, people with long-term chronic pain and joint disorders. Over time, there is the possibility of hyperostosis.

Facet Joint Pain / Syndrome

Joint pain caused by many reasons, according to age, sex, attack site, symptoms can generally be summed up soft tissue, cartilage, osteoarthritis and inflammatory reasons. Any causes of arthritis, such as timely medical treatment, symptomatic treatment. general can cure or ease ------------ following is a common cause of joint pain reasons : 1. joint ligaments around the knee ligament injury in the knee stability of PEG - LEG relatively poor, If this sudden external forces led by Varus or valgus, it is possible to cause lateral or medial collateral ligament injury. Patients have a clear history of trauma, knee pain, swelling, ecchymosis, activity limitations. 2. Articular cartilage injury is the knee meniscus injury, when Wei QU knee, If the sudden excessive supination or pronation knee extensors (such as soccer campaign, curved legs turned to the play action), there may cause meniscus tear. Meniscus there will be a clear sense of the knee tear, then joint pain, activity limitations, walk claudication, joint activities have Snapping. 3. As joint synovitis trauma or excessive fatigue and other factors injury synovial after massive effusion, joints pressure increased, leading to joint pain, swelling, tenderness, and the acrid friction sound. For example, extremely active knee extension, especially when a certain resistance to do knee campaign, the pain in the lower part of the patella will intensify. In extremely passive flexion, the pain will increase significantly. 4. Autoimmune disease, immune system diseases such as lupus erythematosus and psoriasis, will there become swollen and painful joints violations, This requires blood tests to help diagnosis. 5. For children such pain patients is growing at the children, boys were commonly. Pain is common in parts of the knee, hip, etc.. This is children's growth and development occurred in the course of a normal physiological phenomena. Owing to the growth stage of the children bone growth relatively high, periosteum and local growth and development muscle incoordination, thus caused discomfort, joint pain there. It was also suggested that the pain is from a low toxicity caused by infection. 6. Traumatic joint pain due to some accidents or incidents, shoulder, wrist, elbow, knee, other parts of the ankle joint fractures occurred in the absence of such serious circumstances arise trauma (such as soft tissue injury, fractures and dislocations, etc.) caused joint pain. 7. Suppurative arthritis in other parts of a systemic infection in local history or the history of trauma, joint pain can be swelling, in the deep parts are may not be apparent, but a higher body temperature, joint pain, no activities, elevated blood as such phenomena. 8. Osteoarthritis Osteoarthritis most of the age of onset after the age of 40. Joint pain heavier morning, day and night becoming light. Joint parts of the Osteoporosis and spur friction surrounding tissue, can cause joint pain. 9. Osteoporosis many older women body joint pain, are particularly weak, not gait, if the exclusion of other diseases, may be suffering from osteoporosis. 10. Rheumatoid arthritis and rheumatic occur in the 20 to 45-year-old woman. Rheumatoid arthritis is often migratory pain (pain of uncertain location), pain, swelling, more rigid in the wrist position, and the sensitive and joint swelling, pain simultaneously, symmetric morbidity (such as double wrists, Double knee) 11. Gouty arthritis gout pain common in the thumb and the first metatarsophalangeal joint (thumb lateral feet). Mainly because of the consumption of seafood and drinking then induced in vivo purine metabolism disorders. In the acute stage, patients with localized swelling, severe pain and unbearable; In the chronic phase, the patient will have pain, joint deformation performance. 12. Disorders due to the pain caused by joint position relatively large volume of activities, leading the muscles around the joints and other soft tissue disorders, thereby causing pain, a common omarthritis, such as tennis elbow. 13. Tumor joint pain caused by partial tumor is joint pain caused one of the important factors, Growth was particularly prevalent in the view of children and the elderly. If there is joint pain, pain at night than during the day seriously, taking pain drugs ineffective, there is no reasonable reason can be explained, should the hospital for further examination, excluding joint tumor.

Fibromyalgia

A new study shows that acupuncture may ease fibromyalgia syndrome (Fibromyalgia), in particular, fatigue and anxiety associated with the symptoms of fibromyalgia, receiving acupuncture treatment in patients compared with patients receiving placebo mentioned symptoms significantly improved, particularly fatigue and anxiety. . Fibromyalgia Syndrome will have a long-term sore all over his body, fatigue and sleep problems complications; Its cause is not known. So far there is no definitive treatment or drugs. Instead, treatment usually combine a variety of ways, such as : pain relievers, antidepressant (antidepressants) and the Movement

Gout

Gout is a group of purine metabolism disorder caused by chronic metabolic disorders. The main clinical features have too much uric acid in vivo or reduced renal excretion of uric acid, caused elevated blood uric acid, formation of hyperuricemia and the repeated attacks of acute gouty arthritis, gout sedimentary rock, Gouty arthritis and chronic joint malformations. Gout often involving the kidney and chronic interstitial nephritis and uric acid kidney stones. Gout Gout is divided into primary and secondary gout two categories. Apart from a few primary gout due to genetic causes of certain enzyme deficiencies in vivo, largely unknown etiology, and is often accompanied by obesity, hyperlipidemia, hypertension, coronary heart disease, arteriosclerosis, diabetes and other hyperthyroidism. Secondary gout is secondary to the white blood, lymphoma, multiple myeloma, hemolytic anemia, polycythemia vera, malignant tumors, chronic renal insufficiency, certain congenital metabolic disorders such as glycogen accumulation, such as type I disease. Certain drugs such as furosemide, ethambutol, salicylic acid (A-Division area of amino acid) and nicotinic acid. secondary may cause pain. In addition, alcohol abuse, lead poisoning, beryllium poisoning and acid poisoning can be complicated by secondary gout.

Glossopharyngeal Neuralgia

The glossopharyngeal neuralgia (glossopharyngeal neuralgia) is a tongue in the pharynx and there deep ear to the repeated attacks of paroxysmal throes. Prior to the early 20th century, the disease often confused and trigeminal neuralgia. 1910 Weisenburg first reported by the clinical manifestations of disease, 1921 Harris made glossopharyngeal neuralgia is an independent cranial neuralgia, henceforth attracted people's attention. The nature and the pain of trigeminal neuralgia similar, but the rate is only about 1% of trigeminal neuralgia ~ 2.8%. The disease usually occurs after age 40, men and women morbidity no significant difference. Most of the pain occurred on the left side, bilateral pain and only 2%

Giant Cell Arteritis

Giant cell arteritis giant cell arteritis (giant cell arteritis) have been called temporal arteritis (temporal arteritis), and cranial arteritis (cranial arte ritis). The disease almost only found in China, the elderly, age over 50 years, more females than males, clinical, often Polymyalgia Rheumatica Disease (polymyalgia rheumatica), involving the neck and shoulders, upper extremities, buttocks and thigh muscles. As the temporal artery involvement, there may be limitations or diffuse headache, scalp tenderness, facial pain and other symptoms. Palpation be palpable temporal artery was nodular thickening. Ophthalmic artery was tired timely optic papilla can cause anemia in patients with infarction so blind. Systemic symptoms of fever, lack of appetite and weight loss.

Hip Pain

 Hip pain many reasons, including lumbar disc herniation, hip arthritis, hip tuberculosis, the femoral head necrosis of the hip joint pain kind. Against the incidence and causes of hip pain and the exact location, nature and function of limited clinical manifestations, signs, X-ray, CT, ECT, MRI and other tests can be diagnosed.

Intermittent Claudication

Intermittent claudication syndrome known as Charcot syndrome, also known as arteriosclerosis obliterans syndrome. Means lower extremity atherosclerosis stenosis or occlusion of lower limbs caused bad blood perfusion, hypoxic muscle metabolism disorders. - Induced lower extremity muscle cramps, pain and intermittent difficulties in running a group of symptoms. The levy was particularly prevalent in older men, running lower extremity pain, muscle twitch, will be forced to discontinue walking, taking a short rest, the symptoms disappear. the attack began when walking. Add lesions, pain at rest, for a night. Examination showed the foot and leg purple or pale skin, skin temperature lower than the contralateral, arterial pulse weakened or disappeared. Serious thigh artery occlusion cause muscle atrophy, acromegaly dry gangrene. The levy with the following diseases differential ① thromboangiitis obliterans, a disease with intermittent claudication performance of lower extremity ischemia, but the involvement of the medium and small vascular arteriovenous. ② lumbar disc prolapse : intermittent pain, but mainly low back pain and sciatica, spinal X-ray examination can identify.

Knee Pain

The most common cause of knee pain of the disease, and hyperostosis patellar chondromalacia, infrapatellar fat pad injuries, meniscus injury, Synovitis and so on, a separate incidence, morbidity can Meanwhile, the initial knee, general soft tissue injury to the knee mainly advanced performance can hyperostosis. 1. Knee Osteoporosis, also known as osteoarthritis, bone degeneration, was particularly prevalent in the elderly. 2. Yes patellar chondromalacia patella cartilage, and its relative of the femoral cartilage degeneration, mainly in front of the knee pain, joint unable mainly gone, up and down stairs do not feel pain, rather than changes in the weather, often feels that that joint chills, Chinese believe the disease external factors are joint disorders, skeletal damage, and to feel the wind, cold and dampness caused by evil, the liver is the main internal bone, blood tendons caused no dependents. 3. Patellar fat pad injury : special highlight of the disease is bone pain or under deep pain, increase activities, rest after mitigation, in particular knee joint pain is the most important, bending at the knees to alleviate eyes swelling with tenderness. 4. Synovitis : synovitis it mainly distributed around joints in the joint cavity, so that the secretion of lubricating fluid, lubricating joints, in all sorts of trauma, fractures, excessive fatigue, joint and free operation of the stimulated or injury resulting from the synovial inflammation reflect, once the disease, congestive knee swelling, effusion increased, joint effusion. Patients main feeling swollen knee pain, difficulty squatting activities.

Myofacial Pain Syndrome

Myofascial pain syndrome known as Myofascitis, mainly because of muscle and fascia aseptic inflammation caused adhesion, in the middle of the sensory nerve inflammation environment by the pain caused by substances stimulate the inflammatory edema and the oppression caused pain. Their pain is a fixed point, push, the looming pain have to physically distance conduction, so called "Shock pain points" "triggers", which is the disease-specific clinical phenomenon. The disease in medicine from more muscle fatigue, cold wind resistance Meridian closed evil, Qi unreasonable result. 2, the diagnosis can be divided into primary and secondary standards, the need to meet at least five major and a minor, can diagnosed as myofascial pain syndrome. 1. The main criteria : ① v. regional pain. ② chief myofascial pain or trigger point pain involved in the distribution in the region is expected to feel abnormal. ③ predilection muscle palpation Tighten band flu. Tighten the area along the strip-shaped area taking a point from the dramatic point tenderness. ⑤ in measurement, there is some degree of movement restricted area. 2. Secondary criteria : ① tenderness tenderness point recurring chief clinical pain or abnormal feeling. ② horizontal grasping acupuncture into conflict or inconsistent with the district zoster pain evoked partial response convulsion. ③ extended muscle pain or touch point injection to ease the pain.

Occipital Neuralgia

Occipital Neuralgia is greater occipital nerve, small occipital nerve and nerve pain ears its tributaries, often greater occipital neuralgia mainly, while small occipital nerve involvement and greater auricular nerve. A common cause of cervical disease, congenital malformation atlanto-occipital, occipital injury, spinal lesions, toxic infection or inflammation (flu, rheumatism, diabetes, alcohol poisoning secondary symptoms), and often by a cold, damp, tired, poor posture of sleep induced by such factors, the Chinese medicine is "a headache" areas.

Osteoporosis

What is osteoporosis? osteoporosis is bone loss, bone microstructure damage brittle bones increase, leading to bone fracture risk increased as a disease characteristics of the phenomenon. When has the above-mentioned phenomenon, the patient is also associated with osteoporosis caused by certain clinical symptoms, if low back pain known as osteoporosis.

Post Herpetic Neuralgia

Post-herpetic neuralgia were found to have lower immunity and the elderly, the infirm, in the clinic, herpes zoster dissipated after six months or more persons continues neuralgia is not unusual. When the trigeminal nerve (the 5th cranial nerve) branches involvement eyes, can affect the cornea and affect vision; violations of the facial nerve (the seventh cranial nerve) and the auditory nerve (the eighth cranial nerve) can lead to facial paralysis and hearing symptoms; the sacrum (S3 neurons) induced neurogenic bladder and dysuria or urine woman left, but recovered. The case of an elderly parent, illness due to improper treatment can often be left behind serious herpetic neuralgia. Light stimulate the immediate onset of pain caused some patients to reduce clothes stimulus not been wear clothes, Some patients avoid pain stimulation clothes attack, but also a time to put up their clothes. Such pain hypersensitivity, and some of the manifestations of spontaneous pain, not something often encountered pass occurred chemotherapy. Some patients because the pain spirit and great psychological harm, not even rice to eat the original, can not sleep at night. There are long-term patients because of excessive pain and emotional tension, and some mental depression despair.

Phantom Limb Pain

Some lost limbs from the human the illusion that these people feel lost limbs still attached to the trunk. and and the other parts of the body moved along.

Plantar Fasciitis

Plantar fasciitis is caused by chronic sports injury, the most common reason is often long walk including mountaineering fitness, hiking, activities such as a department store, on consecutive days, it is very easy to cause chronic foot injury, leading plantar fasciitis. In addition, the heel caused too hard on the heel of oppression, but also can cause plantar fasciitis. Always wear shoes will add to the foot injury, is more than one foot disease, in addition to the heel pain, another 10% of the patients felt Cavus or forefoot pain. Plantar fasciitis patients is the most painful to get up every morning at the time : When feet begin ground, to stand up to the moment, the pain is very keen.

Prostate Pain

The etiology of prostate pain and symptoms is not particularly typical of the general term for, and acute prostatitis. chronic prostatitis collectively called prostatitis syndrome. In clinical frequently encountered such a situation, the patients suffer v. testicular pain, thigh pain, abdominal pain, lower abdomen pain, or is it invalid perineum, anus pain around, these symptoms, we should carry out a detailed inspection, in the end of the bacteria prostatitis, or aseptic; yes acute or chronic; If not, but all tests are normal, it is considered prostate pain.

Rotator Cuff Tear

Have a rotator cuff tear into the causes of traumatic and degenerative two species. The traumatic rotator cuff tear caused by greater violence, mostly in young people, usually in fall when to hold hands, or resist lateral arm weights or gravity, with a sudden resumption cause. Non-traumatic rotator cuff tear because of the age factor or factors wear blood supply factors rotator cuff tissue degeneration. subacromial impingement syndrome is caused degeneration rotator cuff tear common causes. Non-traumatic rotator cuff tear omarthritis is a common pathologic changes omarthritis previous diagnosis of a lot of non-traumatic rotator cuff tear.

Sternal Pain

Xiphoid lower sternum and pain in the region, most of lesions caused by chest wall itself. Common causes are : 1 Xiphoid SARS : also known as allergic Xiphoid, for unknown reasons, more a slow onset, pain distal parts of the sternum Xiphoid site, most of it dull, and bent over, straight up such activities. Touch Xiphoid pressure can cause pain. 2, ribs disease : the most common inflammation of the rib, ribs both front-end through the sternum and rib link. Chilblain occurred in the first 2 to 4 rib, Local thickening, uplift, swelling, pain and tenderness, but local skin irritation. The disease is absorbed slowly and often three to four weeks gradually disappear, but the rib swelling lasted for a long time, and due to respiratory infection recurrence. 3, acute leukemia may violations sternum caused sternum tenderness, should be given attention. Rheumatoid usually less sternum caused pain, rheumatoid spondylitis can cause intercostal neuralgia or sternum stalk joint pain and tenderness.

Thoracic Outlet Syndrome

Thoracic outlet syndrome refers to the chest singalong regional brachial plexus, subclavian artery and vein compression syndrome. Oppression multiple reasons, such as cervical rib, the seventh cervical transverse process too long, scoliosis, or before the middle scalene only point abnormal mast or cramps, Rib lock syndrome, super-outreach syndrome

Tenosynovitis

Enveloping the tendon sheath is a sheath-like structure. The outer fibrous tissue, bone and attached to the neighboring organization, fixed and play the role of protection tendon. For inner tendon synovium can be nurtured and secretion of synovial fluid is conducive to the tendon sliding due to excessive friction repeatedly, caused tendon and tendon sheath inflammation, edema, fibrous sheath wall formed a narrow ring, the tendon thickening and fibrosis caused the tendon sheath tube sliding difficulty is that stenosing tenosynovitis.

Whiplash

Whiplash injuries of the cervical pathogenesis very complex and multi-sexual, there are many unknown factors, it is not yet clear. The nervous system involvement mechanism that excessive flexion of the neck cord shear stress generated neural vascular injury, microvascular permeability increased, leading to nerve edema and secondary nerve interval syndrome, while the neck nerve root involvement generated by the tension, which could make nerve root leading to a series of organizational response neuritis, and with subdural and intervertebral foramen adhesions occurred, neck nerve root edema and inflammatory response, resulting in pain. In addition, excessive neck flexion caused anxious for cervical injury, such as the periosteum, ligament, muscle fascia, tendon and the disc injury, Instability and joint subluxation, which in injury from healing scar tissue, scar tissue lacks flexibility, restricted activities caused cervical and tonic,

Index

• Herniated disc
• Sciatica
• Stenosis
• Failed Back Surgery Syndrome(FBSS)
• Spondylolistheses
• Arthritis
• Severe low back pain
• Frozen shoulder
• Cervical spondylosis
• Knee Pain
• Foot pain
• Orbital pain
• Trigeminal neuralgia
• Piriformis Syndrome
• Tennis  Elbow,
• Genital pain
• Infertility,
• Dysmenorrhea
• Painful urination
• Chronic Prostatitis
• Carpal Tunnel Syndrome
• Rheumatoid arthritis
• Ankylosing Spondylitis

Asthma, shortness of breath, bronchitis

Eczema, psoriasis, acne

Headaches, migraine, sinusitis, hayfever, allergies

Anxiety, depression, insomnia, panic attacks, neuralgia

Chronic fatigue syndrome (ME), fibromyalgia

Digestive problems, heartburn, IBS, indigestion, constipation, diarrhoea High blood pressure, angina, palpitations, poor circulation
Cystitis, water retention, weight problems

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