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 Osteoarthritis Acromioclavicular

Patient, man, 35 years old, right shoulder pain for 12 years, persistent, nocturnal worsening, rebound-aggravated activity, ineffective multi-treatment.

Clinical examination:
The amplitude of the right shoulder joint is normal, but the pain is aggravated, especially external rotation pain and the sensitivity of the acromion.
X-rays showed a distended clavicular external extremity and a subacromial conflict (Figure 82).
CT scans showed a torn fracture of the acromion, no consolidation (Figure 83), acromioclavicular osteoarthritis, hyperosteogenesis and geodes at the outer end of the clavicle and broken bone fragments in the joint cavity.

Diagnosis: Right acromioclavicular osteoarthritis, old right acromion fracture

​Treatment:
Acupuncture with 2 needles;
The pain completely disappeared after the needle.
Two weeks later, the right shoulder did not recur, but the left shoulder began to hurt.

Clinical examination:
There were no other abnormalities in the superior sensitivity of the shoulder joint.

Treatment:
Acupuncture;
The pain disappeared after the needle.
The patient asked puzzled, "Is this a psychological problem?"
I asked the patient, "Don't you think acupuncture can cure the disease?"
He smiled.
Six months later, there was no pain in his left shoulder.
The right shoulder always has a crack with a little pain, but does not affect the work, does not want to treat.

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Case 30, Rhizarthritis

Patient, man, 70 years old, pain in his right hand for a year, persistent pain, aggravated during activity.

Clinical review:
There were no skin color abnormalities and malformation in the hand.
The sensitivity of the first carmetacarpal joint is evident,
X-rays showed arthritis of the first carmetacarpal joint, narrowing of the joint space and bone sclerosis (Fig.91).

Diagnosis: Arthrosis of the first carmetacarpal joint of the right hand

Treatment:
Acupuncture, just a needle came in, ask the patient to move the thumb, immediately the pain disappeared. He said, "It doesn't hurt at all."
Keep the needle for 20 minutes.
Two weeks later, the patient told me that the effect of acupuncture lasted a week, then the pain came back, but less than the previous pain.
Twice the same method, six months after follow-up, the right hand does not essentially hurt, but the patient has other health problems under treatment.

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