Wednesday, November 8, 2017

Help for acute and chronic groin strains

    
Photo credit: Pink Shorts Photography
I see groin strains in many athletes, but they seem to be more common when athletes are playing on turf.  

 I will assess the injury to see if other muscles might be inhibited which might cause the adductors to overwork.  

My treatment from Chinese medicine will include a Jing Well point on the affected channel, if pressing that point that reduced pain in the the affected muscle. I might also add the motor point on the strained muscle and local "surround the dragon" technique on the damaged tissue.  I will follow up with an herbal liniment and recommend that the athlete ends the day with a hot epson salt bath. This is a generalized treatment protocol which will be tweaked for the individual presentation.

If appropriate, I will follow up with this exercise from Dr. Kathy Dooley.   I love Kathy Dooley's work.  In this segment of Video Dooley Noted, Dr. Kathy Dooley describes a drill for abdominal stability and relief from adductor tightness. With your therapist's/physio's/ATC's permission, give this drill a try for groin and medial thigh tightness.


Wednesday, November 1, 2017

Simple treatment for Shin Splints

Shin splints are a common running injury in my clinic.  Often they can show up when there is a change in shoes, increased miles in training or a change in terrain.   A simple manual muscle test of  resisted dorsiflexion and palpation of the upper 2/3 of the tibia between the stomach channel and the crest of the tibia, helps to confirm diagnosis.  A tibial stress fracture or avulsion fracture should be ruled out.

This can be seen as a Yang Ming channel injury and therefore the Jing Well point of the Stomach channel can be a great place to start with pain relief to treat the tendino-muscle meridian.  However, this should be followed up with a simple and effective course of electroacupuncture at the origin of the tibialis anterior.   The needle technique is deceptively simple to arrive at the correct location of the damaged tissue at the osteotendinous junction.

The photo below is from the final weekend of the Sports Medicine Apprenticeship program in Alameda, CA, where Whitfield Reaves, author of the Acupuncture Handbook of Sports Injuries and Pain, demonstrated the technique to 16 acupuncturists from around the globe.   In these courses we carefully draw the anatomy on several different bodies and demonstrate the needle angle and depth.  Students are then supervised and practice the techniques themselves. 
 

Whitfield Reaves and Jenny Nieters demonstrate shin splints treatment

Rugby World Cup Sevens 2018 in SF will offer Acupuncture!

So excited to be a part of the Rugby World Cup Sevens 2018 at AT&T Park in San Francisco.  I will provide sports acupuncture therapy...