Intro to Orthopedic Testing &

Acupuncture Strategies

By

Dr. David Wells

DC, LAc

Leading Acupuncture CE Provider

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 Mid Cervical Syndromes
Intro to Orthopedic Testing &
S13.4 Cervical Sprain
Acupuncture Strategies M50.12 Cervical Disc Syndrome with
radiculopathy (applies to C4-7)
Dr. David Wells M47.014 Thoracic Outlet Syndrome
D.C., L.Ac.
M43.6 Torticollis (intermittent, spastic)
M44.2 Cervicalgia

Tel: (626) 780-7182 Fax: (626) 609-2929

Web: www.elotus.org Email: info@elotus.org

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Shall not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine

Cervical Sprain Normal cervical lordosis

S13.4 Cervical Sprain aka whiplash.

3 phases of healing
Acute (inflammatory)
Sub acute (repair)
Chronic (remodeling)
Acupuncture, ice, gentle manipulation, transition
to deep massage, gua sha, therapeutic
exercise.

Cervical sprain Cervical sprain

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Tel: 626-780-7182 Fax: 626-609-2929 Website: www.eLotus.org Email: info@eLotus.org
Shall not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine. 1
 Cervical sprain Cervical Disc Syndromes

Mid Cervical Disc Syndromes Cervical disc syndrome

M50.12 Cervical Disc Syndrome with Cervical disc bulge or rupture is common in
Radiculopathy cervical sprain injuries.
Use acupuncture to relieve pain, inflammation and
M50.02 Cervical Disc Syndrome with
some muscular tension.
Myelopathy
Use Chiropractic or Tui Na to restore normal
M50.22 Cervical Disc Syndrome without position and ROM
Radiculopathy Include traction with extension.
M50.12 Cervical Disc Degeneration Goals restore normal range of motion and
eliminate radicular pain.
All of the above apply to C4 though C7

Cervical disc syndrome Orthopedic Tests

Tests include: Active and Passive Cervical ROM. Vertigo or

Rust's Sign dizziness on rotation is Barre-Lieou Sign (vertebral
artery compression)
Cervical Compression and Distraction
Reflexes and Dermatomes
Bakody's Sign (Hand on head relieves pain)
Cervical compression Positive for disc lesion or
stenosis if pain radiates into arm.
Cervical distraction Positive for disc lesion or
stenosis if arm pain is relieved.

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Tel: 626-780-7182 Fax: 626-609-2929 Website: www.eLotus.org Email: info@eLotus.org
Shall not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine. 2
 Normal cervical MRI Cervical disc syndrome

Cervical disc syndrome Brachial Plexus Disorders

G54.0 Brachial Plexus Disorders

Code includes Scalenes Anticus Syndrome
and Thoracic Outlet Syndrome

Scalenes Anticus Syndrome Cervical brachial syndrome

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

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 Brachial Plexus Diagnosis Brachial Plexus Tests

Distinguish between Scalenes Anticus, Cervical Bakody's Sign Positive for Scalenes Ant.
Disc and Thoracic Outlet Syndromes. Wright's hyperabduction test Positive for tight
Use history and orthopedic testing. pectoralis minor muscle if symptoms and loss of pulse
occur as arm abducts.
Adson's test is positive if symptoms and loss of pulse
occur as arm extends back and neck tilts away as
head rotates towards extended arm.
Shoulder Depression is a continuation of Adson's
Test..

Totticollis Cervicalgia

M43.6 Torticollis (intermittent, spastic) M44.2 Cervicalgia

Assume it is a disc lesion and treat accordingly May be a subluxated facet joint, muscular
Do not treat the painful side with acupuncture tension, poor posture, etc.
or massage. Always correct ergonomics and give postural
Goal of treatment is to return to upright exercise.
posture. The overstretched, weak muscles do not need
acupuncture or massage.

To read articles by todays speaker, watch More information on the classic single herbs mentioned in
online videos, or to see his/her complete this seminar/webinar can be found in the
Chinese Medical Herbology and Pharmacology
seminar/webinar schedule for this year, please
visit www.elotus.org
More information on the classic formulas can be found in
the Chinese Herbal Formulas and Applications

Collection formulas can be found in the eLotus

Clinical Manual of Oriental Medicine

All the above texts are available through www.elotus.org

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

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 Herbs mentioned in this seminar/webinar, are
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