Presenting disorder
A 25 year antiquated white Caucasian female attended my clinic complaining of left dorsal hallux tormented feeling. She had been to the local night club in Stevenage a few nights earlier and a rather large man accidentally stood upon her left foot whilst dancing. She was unable to continue as well as than the dancing and was taken residence by taxi.
She did attend the local hospital upon an outpatient basis and it was thought that an x-ray would not be required.
Medical History
The obliging is in enjoyable general health as soon as no noted medication except the use of NSAID’s for the hallux be distressed. The VAS throbbing was noted as a ‘7’, throughout the day.
Assessment
On palpation acute tenderness was noted along the margins of the dorsal phalanges, as soon as some soft tissue swelling and bruising along the joint. Mild hyper-granulation tissue vis–vis the medial nail margin was moreover noted. The nail was clearly in-grown upon inspection.
The tolerant had a sufficiently skillfully pleasing range of dorsiflexion and plantarflexion of the hallux.
Diagnosis
Mild medial left 1 onychocryptosis was diagnosed subsequent to acute soft tissue eruption along the dorsal phalanges.
Treatment
The method of treatment was to be conservative removal of the offending nail fragment by wedge resection. Dry acupuncture needling was suggested to the obliging for difficulty sustain and to entre the soft tissue boil.
Treatment method
Rx 1
Acupuncture for 30 minutes LI4 Li1 Li2 Ki1 SP1 SP2 and 4 needles inserted on the subject of the outside of the bruising. The needles were stimulated manually all 5 minutes.
The offending nail piece was removed by conservative wedge resection and the toe was dressed considering a sterile pad and tubigauze.
The patient reported feeling no aching during the podiatry treatment as soon as no adverse reactions.
She was instructed to soak the foot in salt water daily, after the removal of the dressing and to adoration the foot as much as attainable. Additionally she was advised to use an ice pack upon the soft tissue throbbing for 5 minutes daily.
For more info Acupressure massage
Review 1 Week
During the week I expected a phone call from the accommodating to put an withdraw to the taking like again. She avowed that the toe was much improved and the soft tissue sadness had greatly shortened. The VAS was noted as a ‘3’.
Discussion
The acupuncture needling enabled painless removal of the offending nail and helped to greatly condense the soft tissue boil.
Local and distal points chosen for their therapeutic effects
LI4 – Important analgesic mitigation
Li1 – Arrests bleeding
Li2 – Pain and boil
Ki1 – Pain and boil
SP1 – Arrests bleeding
SP2 – Pain and swelling
