Atraumatic glenohumeral dislocation, IBS and other stories

Stimulated by Qin et al 2020,[1] and Pei et al 2020.[2] Image modified from Figure 1 of Qin et al 2020.[1] The first paper I am highlighting this week is an adverse event report attributed to acupuncture. It is quite unusual for two reasons. First, as the title states, the case presented with a shoulder … Continue reading Atraumatic glenohumeral dislocation, IBS and other stories

V-V hyperalgesia again

Stimulated by Constantini et al 2020.[1] Image by Emiliano Vittoriosi on Unsplash. This is another paper from the Italian stable of Maria Adele Giamberardino. So perhaps you have guessed that the V-V stands for viscerovisceral. This is another novel relatively long-term experimental study embedded within actual clinical practice. The rather older but similar clinical experimental … Continue reading V-V hyperalgesia again

Co-occurrence of pain syndromes

Stimulated by Affaitati et al 2019.[1] Photo by Aiony Haust on Unsplash. This paper popped up on a very recent search, but not because it mentions acupuncture, in fact it doesn’t. I also search every day for the latest research in myofascial pain. I had a look at this one because of the last author … Continue reading Co-occurrence of pain syndromes

NREs and TTIs in the Netherlands

Stimulated by Prinsze et al 2019.[1] Photo by Cassi Josh on Unsplash. New acronyms are guaranteed to get me guessing, but these two were a challenge. They roll off the tongue pretty well as acronyms, but I had to check both! NREs are needle-related events, so that is relevant to the blog, and TTIs are transfusion-transmissible infections ie … Continue reading NREs and TTIs in the Netherlands

Piriformis revisited

In regret triggered by the title of Probst et al 2019.[1] This diagram illustrates the anatomical location of piriformis relative to the pelvis, and the characteristic pain referral patterns that form part of the myofascial syndrome. The blue dots on the leg represent tingling that might occur if there is nerve entrapment in piriformis syndrome. … Continue reading Piriformis revisited

A Tale of two Fridays

The following story was reported to me by a colleague from general practice. The details are altered somewhat to preserve anonymity, including the name of the teller, but regular readers will recognise some characteristic use of language and style. Safe angulation for needling quadratus lumborum near lower lateral attachment to the iliac crest. Dear Mike … Continue reading A Tale of two Fridays

Needling and spasticity

Inspired by Sánchez-Mila Acupunct Med 2018 [1] I have been curious about the potential effect of acupuncture needling in muscles with high tone since witnessing the rapid relief of lumbar muscle spasm following insertion of acupuncture needles whilst serving as a medical officer in the British military. Subsequently I have tried the technique (combined with … Continue reading Needling and spasticity