Clinical References

BACK PAIN

Back pain may occur anywhere from the base of the skull to the base of the tailbone. There are different causes of back pain, and although the symptoms may be the same, an initial diagnosis must be done to determine if the pain is derived from soft tissue, musculoskeletal, slipped disc, inflammatory or pathological causes. An X-ray will show many of these causes, an MRI, where indicated, will show disc damage. But, a MRI often will not show problems a good Chiropractic doctor will find.

a) Soft tissue: musculoskeletal backaches: this pain may come from the muscles, joints, and ligaments that run along the spine. This may also be caused by vertebral dislocation resulting in Spondylolisthesis. Pain may result from improper lifting, straining, or prolonged bad posture. Many times, roper posture while driving a car or sitting at a desk will strain soft tissues and cause pain. Traumatic injury will often leave soft tissue damage that an X-ray or even an MRI will not show. Symptoms of this sort of backache often come on suddenly, triggered by exertion or lifting, and made worse on leaning backwards. Stiffness first thing in the morning is another indicator. As long as bone disease and pathology have been ruled out, osteopathic or chiropractic manipulation is indicated to realign the vertebrae.

Slipped disc backaches: the vertebrae of the spine are separated by cartilaginous discs that cushion each vertebrae from the one above and below it. When a disc slips backward, it may push against the nerves in the spinal cord, commonly producing a referred pain that runs down the back of the leg (known as sciatica). This can be caused by awkward twisting or lifting with a bent back, as well as by traumatic injury. Backaches of this type are usually worse on coughing or leaning forward, have pain radiating down the leg, and feel worse on sitting.

Inflammatory and pathological backaches: bone infections, tumors, and degenerative disorders (arthritis, DJD) may all cause these types of backaches. Although these are in the minority of

(arthritis, DJD) may all cause these types of backaches. Although these are in the minority of backaches, in older patients X-rays should always be done to rule out degenerative changes in backaches, in older patients X-rays should always be done to rule out degenerative changes in the spine. Back pain may also be the first manifestation of a disease somewhere else in the body. If the patient also feels generally unwell or tired, be sure to rule out pathology.

In an acute back injury, for the first two days, ice packs, directly on the skin for 7 minutes on, 3 hours off, will help reduce the inflammation. After this period of time, moist heat may be used. NEVER put heat on a new injury – this just increases inflammation and pain. Gentle massage will help reduce muscle spasms and relieve pain after 3 days.RCT is effective in reducing acute pain while the “Cristae A and B” micro injections have a few hours to take effect.

Stimulation along the UB channel, the DU channel and Ex 21’s according to affected area. Use Ub 40 and Ub 60 as distal points for the lower back and from local points to LU 7 or LI 4 for the upper back will give the patient some relief.

Ub 40 and Ub 60 as distal points for the lower back and from local points to LU 7 or LI 4 for the RCT is very effective in not only relieving the pain but reducing the inflammation. Inject with 0.25cc in the area of pain (Ah-Shi) along the Ex 21’s or UB Channel, or in disc problems, an experienced acupuncturist may use the Du Channel. Puncture 0.5 to 1 cun obliquely toward the spine, Ah-Shi into muscle spasms, and use of the distal points LI 4, 0.5 Cun, LU 7, 0.5 cun for he upper back and UB 60, 0.8 to 0.8 cun and UB 40 0.5 to 1.0 cun for the lower back are recommended. Always use the influential points of UB 11 0.3 to 0.5 cun obliquely (bone and cartilage) and GB 34 (muscles and tendons).

Acupuncture with electric stimulation is effective in reducing acute pain until the full RCT has time to take effect. Stimulation along the UB channel using UB 40 as a distal point for the lower back and from local points to LU 7 or LI 4 for the upper back will give the patient some relief. In all cases of inflammation, supplementation with high doses of Vitamin C (6 grams daily, 2 grams 3x a day) and Pycnogenol (start with 3 mg per pound of body weight for first week, then 2 mg per lb. of body weight, then 1mg. Per lb. of body weight from then on. In disc problems, the addition of MSM (up to 20-30 grams per day) and glucosamine sulfate (3 grams per day) will help in healing the soft tissue. A good anti-oxidant vitamin mineral formula is also needed, especially after an accident or injury, as the body is unusually stressed and needs extra nutrition.

RCT has treated hundreds of these conditions and usually with a very good result. As each condition is different, just the basics are here and you must examine the patient and treat condition is different, just the basics are here and you must examine the patient and treat according to your exam results.

In cases where pathology is found (i.e. bone cancer, infections) the patient should be referred to the appropriate medical provider. If this fails, you could consider the full RCT protocol followed up by maintenance on “Cristae 90 day home treatment program.” During this treatment, RCT should be done on a daily basis for 14-20 days on the pain areas, as well as on anti-inflammatory and immune enhancing points SP 10, 0.5 to 1.0 cun, SP 6 0.5 cun, DU l4 1.0 cun, LI 11 0.5 cun. Influential points for bone and cartilage UB 11 0.3 cun and muscles and tendons GB 34 1.5 cun as well as GB 39 1.0 cun (marrow – for bone cancers) should also be used.Before the micro injections most all conditions of this area of the body will respond very well to electro stimulation. Pick the appropriate local point and stim to a distal such as LI 4 0.5 to 1.0 cun or some other appropriate spot according to ying and yang. Most all of these stim on D/D highest and lowest rates for 25 minutes. Increase the power setting if possible every 5 minutes.

“Cristae A or B” 0.25ml should be injected into all the above points, except DU 20, using a 29 ga, 100 unit syringe. This is a non-Chronic Degenerative Disease 7-14 day program depending ga, 100 unit syringe. This is a non-Chronic Degenerative Disease 7-14 day program depending ga, 100 unit syringe. This is a non-Chronic Degenerative Disease 7-14 day program depending on the severity of the disorder and the speed at which the relief is taking place. The patient should be treated at least once a week for 3 months to insure long term relief. This is a very effective program with a high relief rate.

In cases of a chronic degenerative disease of this area, the patient should be administered Cristae by IV, 60 ml via IV drip over a minimum of 45 minutes just after the above treatment. These patients should continue the full RCT treatment 14 to 20 days with as many treatments as possible for the next month. These patients will benefit from the Cristae 90 Day Home Treatment and continue on this for up to 1 year or until progression discontinues or acceptable results are achieved.

UB 40 as a distal point for the lower back and from local points to LU 7 or LI 4 for the upper back will give the patient some relief. In all cases of inflammation, supplementation with high doses of Vitamin C (6 grams daily, 2 grams 3x a day) and pycnogenol (start with 1 mg per pound of body weight for the first two weeks, then let patient find a comfort point by reducing dosage until symptoms are noticed). In disc problems, the addition of MSM (up to 20-30 grams per day) and glucosamine sulfate (3 grams per day) will help in healing the soft tissue. A good anti-oxidant vitamin mineral formula is also needed, especially after an accident or injury, as the body is unusually stressed and needs extra nutrition.

As the patient heals, it is important he be instructed in proper ways of lifting and exercising so he does not reinjure his back. Exercise is essential in strengthening the musculature of the spine and preventing future problems. Walking, swimming, and gentle yoga stretching will help the patient recover faster.In cases where pathology is found (i.e. bone cancer, infections) the patient should be put on the full RCT protocol followed up by maintenance on “Cristae 90 home treatment program.” During this treatment, RCT should be done on a daily basis on the pain areas, as well as on anti-inflammatory and immune enhancing points (SP10, SP 6, DU l4, LI 11). Influential points for bone and cartilage UB 11 and muscles and tendons GB 34 as well as GB 39 (marrow – for bone cancers) should also be used.

Back Pain Points To Use