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Dr. Lee’s Case Study #24: Shoulder and Arm Pain

shutterstock_129509480Patient: Female, age 56

Complaints: Chronic left shoulder pain with boxing as a hobby and dog walking as a profession.

Treatment Process:
The patient had noticed slight improvement with the first treatment until the second visit 5 days later. The same acupuncture points were repeated on the second visit, the patient reported that the left arm pain immediately inflamed after the but the next day it was better than before she started acupuncture. A different acupuncture point combination was given on the third visit. On the fourth visit, the patient reported a daily incremental improvement with an overall improvement of 75%. The patient was given instruction for self-administered acupressure to use at home and the pain continued to decrease.

        
Discussion: It is difficult to tell whether a treatment is correct when there is a slight improvement. Often, an alternative acupuncture combination is given to compare the relative difference. In this case, the second option had resulted in a much more significant improvement.

Disclaimer: Acupuncture results may vary since each individual case is different.

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Dr. Lee’s Case Study #23: Cervical Herniated Discs

Neck PainPatient: Female, age 51

Complaints: Cervical herniated discs at C5-T1 with nerve impingement causing radiculitis down the left shoulder, arm, and hand.  Much physical activity at home two months ago caused left side neck pain and nerve pain radiating down to left hand. The pain was so severe that it mimicked heart attack symptoms. MRI shows 3 minor herniated discs. There is a recurrence of pins and needles in the left arm and hand at half hour intervals followed by brief numbness. 

Treatment process: On the first day of treatment, the patient was given an acupuncture treatment and acupressure devices were placed on the same points. The patient was instructed to leave them on for at least 8 hours. On the second visit 3 days later, the patient reported less intensity and less frequency of sensation of pins and needles at 1-2 hour intervals. On the third visit, another 3 days later, the patient reported even more reduction of intensity and frequency of pain. On the fourth visit, the patient reported an overall improvement by 50-60% in frequency, intensity, and duration.

Discussion: The patient came in for acupuncture treatments after trying the obvious medical routes. Acupuncture is a viable option in addition to many medical choices.  

Disclaimer: Acupuncture results may vary since each individual case is different.

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Dr. Lee’s Case Study #22: Headaches & Cervical Arthritis

Patient: Female, age 54shutterstock_130253858

Complaints: Constant, uninterrupted headache since 12 years ago. Most of the pain is in the occiput (back of the skull) and forehead. Forehead pain is more debilitating. She always wakes up in the mornings with headaches of increased intensity. Recent physical therapy relieved the headache from 7-8/10 down to 4-5/10 but it had crept back up to 6-7/10.

Treatment process: The patient comes in for acupuncture twice a week. The first visit temporarily relieved the headache but was significant enough to be encouraging. After the second visit, the patient began to notice less intensity of headaches in morning. By the sixth visit, the patient is noticing several mornings out of the week without forehead pain and less stiffness in the occiput.

Discussion: In acupuncture, the patient’s prior history and current status are often not relevant. Whether a headache is intractable, not properly diagnosed as a certain type, or had failed to get relief with conventional medical approaches, acupuncture often works very well. Acupuncture is successful because it affects the physiology in different ways.

Disclaimer: Acupuncture results may vary since each individual case is different.

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Dr. Lee’s Case Studies #14 and #15

Hello,

Below are two successful patient cases with plantar fasciitis and hot flashes. The intention of sharing these cases is to increase awareness within the local community about the benefits of acupuncture.

Case #14: male, age 49, sales
Chief complaint: Plantar FasciitisPlantar fasciitis
Complaints: His bottom of right foot feels as if walking on a rock. The pain began one year ago, constant since 3 months ago. Orthotic pad and insert do not significantly reduce the pain.
Treatment process: The patient had 5 acupuncture treatments so far. First visit relieved most of the pain in the first two days, and there was slight pain on the third day. After the second visit, the patient reported an overall 25% improvement. The pains were less by 60-70% by the fifth visit. He can do his regular exercise at the gym and play golf without the pain significantly increasing. The pain resolves quickly after aggravation.
Discussion: Having ability to walk comfortably is an important factor integrating various life demands throughout the day. It not only helps to accomplish necessary personal tasks, but contributes to a better quality of health through movements and proper exercise.

Case #15: female, age 62, consultant
Chief complaint: hot flashesshutterstock_128676965
Complaints: Hot flashes were triggered after a total hysterectomy 11 years ago. The frequency is at ten times a day in addition to body being constantly overheated. She throws off bed cover 3-5 times every evening. Night sweats are limited to minor dampness in the arms. Headaches since childhood. Since one year ago, they occur 5-6 days a week lasting for 3-4 hours at a time.
Treatment process: The patient had magnet therapy four times in a period of 8 days. Magnets were strategically placed on the acupuncture points for 24 hours. After the first placement of magnets, the hot flashes were reduced down to twice that evening and a few times next day. By the third visit, both her headaches and hot flashes were gone by at least 80% in frequency, duration, and intensity.
Discussion: The patient was given instruction to place magnets on herself only at night before bed so that the therapeutic effect continues. She is expected to recover eventually from most of her hot flashes and headaches as she continues self-treatment for a month or two. The reason for a good prognosis is that her age is 62, which is past hormonal transition period. And headaches tend to go away with series of treatment.

Disclaimer: Acupuncture results may vary since each individual case is different.

 

Sincerely,

David Lee
Ph.D. in Oriental Medicine
Licensed Acupuncturist
166 N. Moorpark Road, #201
Thousand Oaks, CA
805-497-6200
www.davidleeacupuncture.com

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Dr. Lee’s Case Studies #12 and #13

Hello,

Below are two successful patient cases with neck stenosis, rheumatoid arthritis, and fibromyalgia. The intention of sharing these cases is to increase awareness within the local community about the benefits of acupuncture.

Case #12: female, age 58
Chief complaint: Cervical stenosisshutterstock_128576078
Complaints: Cervical stenosis, a narrowing of spinal tunnel in the neck, from C3 to C7 level. It caused headache, upper back and neck stiffness, limited neck flexibility and numbness in hands. She often wakes up at night with headaches. It was difficult to find a comfortable sleeping position for her. She also had minor impingement in left shoulder.
Treatment process: The patient had a total of 19 treatments, twice a week. With the first treatment, the patient found that the numbness in her hands overnight was less than usual. She noticed less intense headaches after the second treatment. The third treatment relieved neck tension and increased range of motion. Continued treatments relieved additional symptoms in intensity, duration, and frequency. Since the 15th visit, the pains had diminished by at least 90% and the neck range of motion is almost back to normal. The left should pain is gone. She is continuing treatments to ensure stability of the improved state.
Discussion: Often, it is easy to perceive acupuncture for only pain relief, especially when an anatomical issue is evident. Acupuncture is used to recover from the problem as much as possible. The response varies but acupuncture is worth a try when there seems to be no other alternative.

Case #13: female, age 48
Chief complaint: Rheumatoid arthritis and fibromyalgiaknee-arthritis-01.jpg
Complaints: Daily symptoms of rheumatoid arthritis, especially worse in mornings and rainy days. The strong side effect of abdominal discomfort from medications prompted her to try acupuncture for two months before resuming treatments with her primary physician. MRI showed inflammation of hands. Rheumatoid factor and CRP (C-reactive protein), which detects inflammation in the body, have been high for 7 years. She was diagnosed with fibromyalgia 16 years ago. Stress made irritable bowel syndrome of abdominal bloating and diarrhea worse. She had severe headache and neck pain every 4-6 weeks with vomiting.
Treatment process: The patient came in for acupuncture twice a week in the first two months and then once a week since two months ago. Along with body type diet regimen, she was given an instruction on self-treatment using acumagnet therapy, which she used most evenings. All symptoms improved slowly and incrementally. The most recent blood test showed rheumatoid factor down by more than half and C-Reactive protein was down from 12-19 mg/L to 3.4 mg/L. The subjective improvements are as follows. She can do physical exercises at gym without causing increased pains or inflammation. Her rheumatoid symptoms of stiffness in joints are much less in the mornings. Frequency and intensity of headaches are less. Her energy and stamina are better maintained throughout the day. High family stress is not aggravating pains and irritable bowel syndrome. Fibromyalgia mental fog and pains are less.
Discussion: Acupuncture is not a replacement for treatment of rheumatoid arthritis. However, it is necessary for some who need improvement in addition to medication regimen or whose body responds with severe side effect from medications. It is encouraging to confirm improvement using an objective blood data that reflects subjective relief.

Disclaimer: Acupuncture results may vary since each individual case is different.

Sincerely,

David Lee
Ph.D. in Oriental Medicine
Licensed Acupuncturist

166 N. Moorpark Road, #201
Thousand Oaks, CA
805-497-6200
www.davidleeacupuncture.com

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Dr. Lee’s Case Studies #10 and #11

Hello,

Below are two successful patient cases with menopause symptoms. The intention of sharing these cases is to increase awareness within the local community about the benefits of acupuncture.

Case #10: female, age 52
Chief complaint: Hot flashes and night sweats
Complaints: Hot flashes and night sweats began two months ago due to menopause. She was having hot flashes every hour during the day and profuse sweating at least once per night. Because she had leukemia and was treated until 5 months ago, hormone replacement therapy was not an option due to its reputation related to development of cancer.
Treatment process: The patient began acupuncture and magnet therapy one year ago. There was no significant relief until the third visit, when she saw significant relief of the hot flashes and night sweats. By the 7th visit, her menopausal symptoms were relieved by at least 95%. The clinic visits were at twice a week initially and were tapered down to once a month. She was given magnet instruction on self-treatment, which had continued to relieve most of the menopause symptoms.
Discussion: In the past, the menopause symptoms were considered a gift from mother-nature and should be embraced as such. In reality, it disturbs normal living due to irritability, insomnia, fatigue, and dryness that lasts for an average of 6 years. Average American women have beginning of menopause symptoms at age 48. They are not relieved until age 54. Many have the symptoms in early 40s until age 60. One eighth of female population is having hot flashes now. With acupuncture and magnets, menopausal symptoms can be significantly relieved or even eliminated without a concern for unwanted side-effects.

Case #11: female, age 51
Chief complaint: Medication induced hot flashes and night sweats
Complaints: Daily hot flashes and night sweats almost every evening since taking Tamoxifen, a breast cancer preventative, for over 4 ½ years. She had to take it for another 4 months. Both knees were painful when jogging.
Treatment process: The patient received acupuncture and magnet therapy for a total of 15 visits at a rate of twice a week, eventually tapering down to once every 3 weeks. The hot flashes and night sweats were immediately relieved with the first treatment and 90% were gone by the 6th visit. Both knee pains were gone after 4th visit and she was able to compete in a half marathon without any discomfort.
Discussion: Not only for natural menopause, acupuncture and magnet therapy are also helpful for the medication and surgically induced menopausal symptoms. Even with medications that prevent production of estrogen and surgery that remove both ovaries, relief is entirely possible without carrying risks. Acupuncture and magnet therapy provide this solution.

Disclaimer: Acupuncture results may vary since each individual case is different.

 

Sincerely,

 

David Lee
Ph.D. in Oriental Medicine
Licensed Acupuncturist
166 N. Moorpark Road, #201
Thousand Oaks, CA
805-497-6200
www.davidleeacupuncture.com

 

 

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Dr. Lee’s Case Studies #8 and #9

Hello,

Below are two successful patient cases with osteoarthritis and foot pain. The intention of sharing these cases is to increase awareness within the local community about the benefits of acupuncture.

Case#8: female, age 84, retired
Complaint: Osteoarthritis. Aches and pains all over the body due osteoarthritis, especially in the neck, low back, hips, elbows, hands, and knees.
Treatment process: The patient has been receiving acupuncture for 14 months. The initial visits were at twice a week for 12 weeks and then once a week after that. Her pains were significantly relieved. Her body felt lighter and walking was smoothly. Once a week acupuncture visits help to maintain her ability to do physical activities at home and outside. The pain still comes back easily when picking up objects from ground, putting up Christmas lights or sitting for more than an hour at a dinner meeting. But the pain is significantly reduced for several days after each acupuncture treatment.
Discussion: For the elderly, it is more imperative to maintain their livelihood and independence. Not only is there increased physical ability at home, she continues to volunteer at a local nonprofit organization, which gives her joy and continual sense of purpose. Management of pain with acupuncture is a tremendous assistance for her.

Case #9: female, age 54, sales
Complaint: Right foot pain radiating up to shin. Original injury was one year ago from twisting the foot while gardening. The pain lasted for 2 months. She reinjured the right foot two weeks ago. The pain was severe enough to get an x-ray, which did not reveal any fracture. She was also at the tail-end of cold with symptoms of mild cough and nasal discharge.
Treatment process: The patient only received 3 acupuncture treatments. The first treatment had immediately dried up the sinus, which was an indicator of a correct treatment. After the second treatment, the foot and shin pain was completely gone even with gardening.
Discussion: Sprain and strain of the foot and ankle is the easiest condition to treat using acupuncture. Because acupuncture is holistic, it treats disparate issues simultaneously.

Disclaimer: Acupuncture results may vary since each individual case is different.

 

Sincerely,

David Lee
Ph.D. in Oriental Medicine
Licensed Acupuncturist
166 N. Moorpark Road, #201
Thousand Oaks, CA
805-497-6200
www.davidleeacupuncture.com

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Dr. Lee’s Case Studies #6 and #7

Hello,

Below are two successful patient cases with plantar fasciitis and knee/ankle pains. The intention of sharing these cases is to increase awareness within the local community about the benefits of acupuncture.

Case #6: Female, age 59, consultant

Chief complaint: Plantar fasciitisPlantars

Complaints: Constant tightness and soreness on balls and lateral sides of both feet even with orthotic inserts in her shoes. She also had 2 rods attached to spine, which corrected the scoliosis but there was still significant stiffness and pain.

Treatment process: The patient noticed some relief in both spine and feet on the first visit. The relief lasted into the following visit, 3 days later. She came in for acupuncture twice a week for the first nine visits and then tapered down to once every two weeks for the next 7 visits. The improvement was close to being linear, with each week being better than the previous week. When she had hardly any pain in the feet for several weeks, she came in once a month for maintenance. She reports feet pain from time to time but it is temporary and does not disrupt her daily activities.

Discussion: The recurrence of plantar fasciitis was minimal after two months of treatment. The rods and deterioration in spine prevented significant relief of the spinal pain but she has some relief.

Case #7: Female, age 83, retiredKnees

Chief complaint: Swelling and imbalance of knees and ankles.

Complaints: The patient has swelling in both, especially in the left. MRI showed no presence of arthritis and ultrasounds showed no presence of blood clots. She has chronic right low back pain and sciatica. MRI showed stenosis and arthritis. She broke her right ankle two years ago and left ankle two months ago, which have not completely healed and are causing pain and further instability. She uses a walker for ambulance. She has left foot and left calf tightness and cramping. All these issues compound her instability, causing her to fall 3 times in the last 2 months.

Treatment process: The patient is receiving acupuncture twice a week. After only 5 visits, she has significant relief of low back, sciatica, knees, and ankles pain. Swelling in both knees is noticeably less.

Discussion: Although the patient is elderly and has joint/nerve/muscle problems due to old age, her significant improvement shows that her body’s potential for improvement is still present. Tapping into this body’s ability to self-heal with acupuncture is amazing and satisfying.

Disclaimer: Acupuncture results may vary since each individual case is different.

 

Sincerely,

David Lee
Ph.D. in Oriental Medicine
Licensed Acupuncturist
166 N. Moorpark Road, #201
Thousand Oaks, CA
805-497-6200
www.davidleeacupuncture.com


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Dr. Lee’s Case Studies #3, #4, and #5

Hello,

Below are three patient cases, detailing pre-menopausal anxiety, postural orthostatic tachycardia syndrome, and chemotherapy side effects. The intention of sharing these cases is to increase awareness within the local community about the benefits of acupuncture.

 

Patient #3: Female, age 46, homemakershutterstock_130152032

Chief complaint: Pre-menopausal anxiety and migraine.

Complaints: The patient recently had a uterine ablation for excessive and frequent periods occurring every other week. She was experiencing fatigue and emotional depression,  possibly from excessive bleeding and hormonal imbalance. Severe anxiety began two months ago. She also complained of her habit of biting nails under stress. Migraine headaches began 6 days ago. Mild hay fever symptoms throughout year, increased during spring season.

Treatment progress: The first visit immediately reduced anxiety and the patient was able to sleep better for the next 3 evenings. The patient came in twice a week in the first 5 weeks and then once a week. Each acupuncture treatment gradually decreased the anxiety, sinusitis, migraine, and biting of nails. She was able to do a strenuous work out with sustained energy and less muscle aches afterwards. After the 7th visit, her period came without the usual intense anxiety. Anxiety was minimal or absent in the following two periods. The patient came back 7 months later with a stress headache and anxiety related to a law suit. She reported an immediate elimination of both sharp forehead pain and anxiety at the following visit 4 days later.

Discussion: In addition to pre-menopause, the patient was going through stress of dealing with personal matters. With acupuncture, she was able to confidently deal with stressful situations without her mind and body over-reacting. Also, interim issues such as cold/flu and leg injury from a work out were successfully addressed.

 

Patient #4: Male, age 15, studentTripping Guy

Chief complaint: POTS (Postural Orthostatic Tachycardia Syndrome)

Complaints: Dizzy spells daily, especially on turning of head and getting up from sitting position. Hay fever, necessitating regular allergy shots. Frequent stomach cramps and diarrhea. Low appetite and tendency to skip meals.

Treatment progress: From the first visit, the patient noticed lessening of POTS symptoms in intensity, frequency, and duration. After 10 acupuncture sessions, the daily occurrence of dizzy spells had reduced to two to three episodes per week, lasting only 1-3 seconds at a time. By the 20th acupuncture session, POTS symptoms were mostly gone. He was able to participate in strenuous sports activities with his peers at a 4-day long camp. Other symptoms related to hay fever and indigestion were also much better. With Chinese herbs, his appetite and digestion improved. He often asked for extra servings, which was rare in the past.

Discussion: Acupuncture relieved most POTS symptoms, which encouraged the patient to follow through with dietary and acupuncture regimen. He performed better at school and was physically able to catch up with peers. The hay fever, tearing of eyes, and swelling of face since age 3 were successfully addressed. Intolerant foods, which caused cramps and discomfort in the digestive system, were identified. Now he feels he is close to putting all these issues behind and able to go forward.

 

Patient #5Bald Lady

Below is a personal statement from the patient, who was mentioned in the last newsletter, with side effects from chemotherapy. Although English is her second language, her words were not edited to preserve integrity of her statements.

“When I had the second chemotherapy I began to see Dr. Lee. I had many side effects: headache, bone pain, chest pain, heart beated very fast and difficulty sleeping etc. Dr. Lee only used a fewer acupuncture needles on several acupuncture points, this is totally different experience compared which I had before during my 20 years. I felt more comfortable than before during the treatment. The second day I felt that I was getting better than before, everything was improve. I had more energy and less pain. I had regular the treatment twice a week and drunk the herbs every day. I am very appreciative Dr. Lee of his professional skill and patience. When I had the sixth chemotherapy I found I only had the stomach ache side effect and didn’t need to take many medicine to kill pain and uncomfortable feeling.”

Disclaimer: Acupuncture results may vary since each individual case is different.

 

Sincerely,

 

David Lee

Ph.D. in Oriental Medicine

Licensed Acupuncturist

 

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Dr. Lee’s Case Studies #1 and #2

Hello,

Below are two patient cases detailing the treatment of side effects from chemotherapy and musculo-skeletal injuries. The intention of sharing these cases is to increase awareness within the local community about the benefits of acupuncture.

 

UntitledPatient #1: Female, Age 48, homemaker

Chief complaint: Chemotherapy side effects

Complaints: The patient was experiencing side effects from chemotherapy. Her treatments were scheduled every three weeks for a total of six sessions. In addition to this treatment, she also had a left breast mastectomy. The side effects of chemotherapy were numbness in the hands and feet, aching throughout the body, twitching of the lower eyelids, fatigue, tension headaches, discoloration of skin on the limbs, and difficulty sleeping. Unrelated to chemotherapy and possibly from anxiety, the patient also experienced symptoms of heart palpitation and a fast resting heart rate over 100 beats per minute occurring several times a day, necessitating an electronic monitor placed on her chest for data collection. In relation to this condition, the patient experienced a sensation of arterial throbbing in the head and a sound of arterial pulsing in the ears.

Treatment Process: The patient began acupuncture treatments twice a week after her second chemotherapy. From the first visit, the patient immediately noticed significant improvement of the symptoms and an increased sense of well-being. By the fourth visit, most of the symptoms were gone until the next chemotherapy. Although each succeeding chemotherapy brought on pain and discomfort for several days, acupuncture quickly eliminated significant portions of the side effects. Some symptoms such as palpitations and fast heart rate were practically gone after the initial 6 visits. She has had 23 visits so far with one more chemotherapy left.

Discussion: Acupuncture has consistently exhibited its reliability to provide significant improvement with each visit. Not only was it successful in reducing aches and pains, it also promoted healing of the body while the chemotherapy targeted the fighting of cancer. Her stabilization of both red and white blood cell count at or slightly below the normal range objectively reflected the protection of her body globally as a result of acupuncture. Finally, the patient’s anxiety reduced dramatically, allowing her to have better sleep and a higher quality of life.

 

Untitled1Patient #2: Female, Age 49 physical education school teacher

Chief complaint: Multiple musculo-skeletal injuries

Complaints: Neck pain 8/10 persistent for 6 months with radiating pain down right arm due to a herniated disc in the neck impinging on a nerve. Minimal relief with cortisone shot. Diagnosed with mild osteoarthritis in the right knee and had surgical meniscus repair 3 years ago with current knee pain at 7/10. Plantar fasciitis in both feet for at least 10 years, especially on the right medial foot. Right big toe swelling. Night sweats due to pre-menopause 3-5 evenings a week since 9 months ago.  Cold/flu symptoms. Fracture of left ankle. Broken ankle and pinky due to a fall. Falling from bicycle, injuring hip and sacro-iliac joint.

Treatment Process: The patient was treated for various problems over a 9 year period, totaling 144 acupuncture visits. She came to the clinic twice a week for acupuncture treatments for the first 18 visits, which had eliminated her initial complaints of neck pain with radiation and plantar fasciitis. The right knee pain was much better and she was able to compete in a 10 kilometer run without significant pain afterwards. Another right knee surgery and proper rest had allowed her to be continually active using minimal knee impact sports such as bicycling and swimming. Hot flashes and big toe swelling resolved incrementally over a two year period. With the continuation of bi-weekly acupuncture visits, her aches and pains were minimal except when she had new injuries. When she was injured, her visits were at once or twice a week for several weeks. Such injuries were falling off a bicycle landing on her buttocks resulting in a large contusion, breaking of an ankle due to a fall, tearing of ligaments and tendons in the other ankle due to another fall, pinky finger break, low back pain, hips pain, and cold/flu. Her improvement rate was at least twice as fast as expected.

Discussion: This is a long term patient who decided to utilize acupuncture as part of her medical regimen after seeing significant improvement of previous neck pain and menopausal symptoms. The body type acupuncture was effective in treating problems of a different nature at different periods. With acupuncture, her body only needed to be supported to enhance its job of healing itself. Over a 9 year period, her various musculo-skeletal injuries had recovered fast, allowing her to be athletically active.

 

Disclaimer: Acupuncture results may vary since each individual case is different.

 

Sincerely,

David Lee, Ph.D. in Oriental Medicine

Licensed Acupuncturist

166 N. Moorpark Road, #201

Thousand Oaks, CA

805-497-6200

www.davidleeacupuncture.com
Click here to sign up for regular updates about David Lee Acupuncture.

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