Stimulated by Tang et al 2024.[1] This is the cover of Elmar's atlas from 2005 showing one of the cross sections that proved to be so useful for my own appreciation of the safe depth of needling in the back of the neck. AACP – Acupuncture Association of Chartered PhysiotherapistsBAcC – British Acupuncture Council3D – … Continue reading Needling necks 2024
Category: Imaging
EA for tinnitus 2024
Stimulated by Zha et al 2024.[1] Photo by Kathryn Archibald on Pexels.com EA – electroacupunctureENT – ears nose and throat (refers to a medical specialty)TrP – trigger pointNMDA – N-methyl-D-aspartate (glutamate receptor)TS – subjective tinnitusTHI – tinnitus handicap inventoryrs-fMRI – resting state functional magnetic resonance imagingFC – functional connectivityINS – insula Treatment of tinnitus with … Continue reading EA for tinnitus 2024
Post cholecystectomy pain
Stimulated by Lee et al 2023.[1] Photo by Jonny Goerend on Unsplash, with the cover of SJPAIN superimposed in the bottom right. PCP – post cholecystectomy painCABG – coronary artery bypass graftAMPS – abdominal myofascial pain syndromeTPI – trigger point injectionPRF – pulsed radiofrequencyUS – ultrasoundLA – local anaestheticNRS – numerical rating scaleEA – electroacupuncture … Continue reading Post cholecystectomy pain
Bell’s palsy and DTI 2023
Stimulated by Qin et al 2023.[1] Figure 2 from Liu et al 2011.[2] Bell’s palsy – idiopathic facial palsyDTI – diffusion tensor imagingIF – impact factorFA – fractional anisotropyMD – mean diffusivityAD – axial diffusivityRD – radial diffusivity key to acronyms I was just doing a review for a big general journal and the authors … Continue reading Bell’s palsy and DTI 2023
Where to needle 2023
…in infraspinatus and other muscles. Stimulated by Lee et al 2023.[1] Possible TrP locations in the infraspinatus muscle based on the frequency of finding EPZs. Yellow indicates the presence of EPZs in 90% to 100% of individuals. Green indicates the presence of EPZs in 50% to 80% of individuals. This is based on data from … Continue reading Where to needle 2023
Kidney laceration after acupuncture 2023
Stimulated by Cheng et al 2023.[1] Figure 1 from Cheng et al 2023.[1] ES – erector spinae key to acronym The risk of needling the kidney must have come up on every acupuncture course I have ever taught over the last 27 years. My comment is usually that acupuncture needles are unlikely to do much … Continue reading Kidney laceration after acupuncture 2023
AEs in Korea and Japan 2022
Inspired by a few rare case reports and a prospective survey.[1–4] Figure 6 from Abe et al (2022) illustrating the trajectory of the lost 40mm needle shaft.[4] AEs – adverse eventsWMA – Western medical acupunctureVP shunt – ventriculoperitoneal shunt (tube connecting one cerebral ventricle to the peritoneal cavity)CSF – cerebrospinal fluidVVAVF – vertebra-vertebral arteriovenous fistulaMRA … Continue reading AEs in Korea and Japan 2022
Acupuncture and DTI 2022
Inspired by Kim et al and Zhai et al 2022.[1,2] DTI – diffusion tensor imagingMRI – magnetic resonance imagingFA – fractional anisotropyEA – electroacupunctureTCSS – Toronto clinical scoring system key to acronyms I am sitting on a hotel room balcony in Bologna following an international medical acupuncture conference and contemplating the subject for this week’s … Continue reading Acupuncture and DTI 2022
Hearts lungs and eyes 2022
Inspired by four recent adverse event reports related to needling.[1–4] Photo by Cameron Venti on Unsplash. PMCT – post-mortem computed tomographyED – emergency departmentCT – computed tomographyCXR – chest x rayDSA – digital subtraction angiographyTAE – transcatheter arterial embolizationAEs – adverse eventsDED – dry eye diseasekey to acronyms This week I have a series of recent adverse events … Continue reading Hearts lungs and eyes 2022
Where to start in LBP
Stimulated by Harwood et al 2022.[1] Photo by Adam Jones on Unsplash. Photo by Olenka Kotyk on Unsplash. LBP – low back painUS – United States of AmericaHCCI – Heath Care Cost InstituteED – emergency departmentEM – emergency medicinekey to acronyms This is very large retrospective observational cohort from the US examining opioid use, other … Continue reading Where to start in LBP









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