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ACUPUNCTURE TREATMENT IN HAND AND WRIST PAIN
Jihe Zhu1
, Blagica Arsovska
1Faculty of Medical
Sciences, University Goce Delche
2
Institute of Biology, Faculty of Natural Sciences and Mathematics, Skopje, Republic of Macedonia
3
Medicine Faculty, St. Cyril and Methodius University of Skopje, Republic of Macedonia
A R T I C L E I N F O
INTRODUCTION
Traditional Chinese Medicine (TCM) uses acupuncture,
reflexotherapy, moxibustion, cupping
therapy, gua sha,
massage and some Chinese herbal remedies in the treatment of
musculoskeletal pain. It is a unique, safe and effective way of
treatment. It acts to the deepest levels of the body, invisible to
humans and restores the disrupted energy to no
increases the body's regenerative power, and maintains it in
harmony with nature. All types of Chinese medicine
treatments are successful, and in addition to treating the main
problem, the body's general condition, both physical, mental
and emotional are improved too.
Pain in the palm and wrist as part of the musculoskeletal pain
group is common in the population.
A higher percentage of the
patients are women, ie 73% of the patients analyzed.The
disease is more professional, with people putting
wrist at work.
The causes are: physical injury, carpal tunnel
syndrome, sports (tennis, table tennis, gymnastics), computer
work, etc.
The most common symptoms for palm and wrist
injuries are: pain, stiffness, paresis, swelling, limited mobili
and so on. [1]
International Journal of Current Advanced Research
ISSN: O: 2319-6475, ISSN: P: 2319-
6505,
Available Online at
www.journalijcar.org
Volume 8; Issue 09 (B);
September 2019
DOI: http:
//dx.doi.org/10.24327/ijcar.2019
Copyright©2019 Jihe Zhu, Blagica Arsov
ska and Kristina Kozovska
Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work
Article History:
Received 13th June, 2019
Received in revised form 11th July, 2019
Accepted 8th August, 2019
Published online 28th September, 2019
Key words:
Traditional Chinese Medicine, Acupuncture,
Pain, Hand, Wrist
*Corresponding author: Jihe Zhu
Faculty of Medical Sciences, University Goce Delchev, Shtip,
Republic of Macedonia
ACUPUNCTURE TREATMENT IN HAND AND WRIST PAIN
, Blagica Arsovska
1, 2 and Kristina Kozovska
1,3
Sciences, University Goce Delchev, Shtip, Republic of Macedonia
Institute of Biology, Faculty of Natural Sciences and Mathematics, Skopje, Republic of Macedonia
Medicine Faculty, St. Cyril and Methodius University of Skopje, Republic of Macedonia
A B S T R A C T
The pain in the hand and wrist joint is common in people who
with work. The majority of patients are women. The causes are: physical injury, carpal
tunnel syndrome, sports (tennis, table tennis
, gymnastics), computer work, etc.
common symptoms for palm and wrist injuries are: pain, stiffness, paresis, swelling,
limited mobility, and so on.
Acupuncture as part of Traditional Chinese Medicine (TCM) is
an effective way to treat this type o
f problem in patients and for most of the cases only one
treatment is needed to improve the condition. In the study were included 15 patients, 4 men
and 11 women, aged from 27 to 67 years. All patients were treated with acupuncture for
hand and wrist pain.
Effect from the treatments was achieved in all patients with certain
number of treatments. According to this study and generally according to patients who seek
a physician to treat this problem, it is women who suffer more from wrist disease than men.
Acu
puncture as part of TCM as a treatment for this problem represents an effective and
completely safe treatment. Acupuncture facilitates the blood flow, Qi flow, and restores the
lost energy.
The treatment itself improves the general condition of the body.
are cured after only one treatment.
Traditional Chinese Medicine (TCM) uses acupuncture,
therapy, gua sha,
massage and some Chinese herbal remedies in the treatment of
musculoskeletal pain. It is a unique, safe and effective way of
treatment. It acts to the deepest levels of the body, invisible to
humans and restores the disrupted energy to no
rmal. It
increases the body's regenerative power, and maintains it in
harmony with nature. All types of Chinese medicine
treatments are successful, and in addition to treating the main
problem, the body's general condition, both physical, mental
Pain in the palm and wrist as part of the musculoskeletal pain
A higher percentage of the
patients are women, ie 73% of the patients analyzed.The
disease is more professional, with people putting
the palm and
The causes are: physical injury, carpal tunnel
syndrome, sports (tennis, table tennis, gymnastics), computer
The most common symptoms for palm and wrist
injuries are: pain, stiffness, paresis, swelling, limited mobili
ty,
According to TCM, the etiologicalfactors for muscle pain are:
Bi (indicates obstruction of blood and Qi in the
channels), Blood stasis, Qi and blood vacuity due to spleen
QI vacuity, Qi stagnation, Liver depression, combined
factors and other. [2]
MATERIAL AND METHODS
The research was done in a clinic for Traditional Chinese
Medicine
and acupuncture in Skopje, Republic of North
Macedonia, by a doctor specialist in acupuncture. In the study
were included 15 patients, 4 men and 11 women, aged from 27
to 67 years. All patients were treated with acupuncture for
hand and wrist pain.
A
detailed history was obtained of each patient's local and
general symptoms, occupation, general condition of the body,
presence or absence of hereditary diseases, and physical injury.
Acupuncture was performed indoors at room temperature for
approximately 30-
45 minutes. In the treatment were used fire
i.e. hot acupuncture needles which were needled in Ashi or
trigger acupuncture points, located at the areas where the pain
is the greatest on the palm and wrist.
Effect from the treatments was achieved in all
certain number of treatments. The main focus was on the age,
sex, occupation of the patients, the symptoms and the number
of treatments needed to eliminate the pain and the symptoms.
International Journal of Current Advanced Research
6505,
Impact Factor: 6.614
www.journalijcar.org
September 2019
; Page No.19878-19879
//dx.doi.org/10.24327/ijcar.2019
.3864.19879
ska and Kristina Kozovska
.
This is an open access article distributed under the Creative Commons
Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work
Faculty of Medical Sciences, University Goce Delchev, Shtip,
ACUPUNCTURE TREATMENT IN HAND AND WRIST PAIN
1,3
v, Shtip, Republic of Macedonia
Institute of Biology, Faculty of Natural Sciences and Mathematics, Skopje, Republic of Macedonia
Medicine Faculty, St. Cyril and Methodius University of Skopje, Republic of Macedonia
The pain in the hand and wrist joint is common in people who
overuse that part of the body
with work. The majority of patients are women. The causes are: physical injury, carpal
, gymnastics), computer work, etc.
The most
common symptoms for palm and wrist injuries are: pain, stiffness, paresis, swelling,
Acupuncture as part of Traditional Chinese Medicine (TCM) is
f problem in patients and for most of the cases only one
treatment is needed to improve the condition. In the study were included 15 patients, 4 men
and 11 women, aged from 27 to 67 years. All patients were treated with acupuncture for
Effect from the treatments was achieved in all patients with certain
number of treatments. According to this study and generally according to patients who seek
a physician to treat this problem, it is women who suffer more from wrist disease than men.
puncture as part of TCM as a treatment for this problem represents an effective and
completely safe treatment. Acupuncture facilitates the blood flow, Qi flow, and restores the
The treatment itself improves the general condition of the body.
Most patients
According to TCM, the etiologicalfactors for muscle pain are:
Bi (indicates obstruction of blood and Qi in the
collaterals and
channels), Blood stasis, Qi and blood vacuity due to spleen
QI vacuity, Qi stagnation, Liver depression, combined
MATERIAL AND METHODS
The research was done in a clinic for Traditional Chinese
and acupuncture in Skopje, Republic of North
Macedonia, by a doctor specialist in acupuncture. In the study
were included 15 patients, 4 men and 11 women, aged from 27
to 67 years. All patients were treated with acupuncture for
detailed history was obtained of each patient's local and
general symptoms, occupation, general condition of the body,
presence or absence of hereditary diseases, and physical injury.
Acupuncture was performed indoors at room temperature for
45 minutes. In the treatment were used fire
i.e. hot acupuncture needles which were needled in Ashi or
trigger acupuncture points, located at the areas where the pain
is the greatest on the palm and wrist.
Effect from the treatments was achieved in all
patients with
certain number of treatments. The main focus was on the age,
sex, occupation of the patients, the symptoms and the number
of treatments needed to eliminate the pain and the symptoms.
Research Article
This is an open access article distributed under the Creative Commons
Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work
is properly cited.
Acupuncture Treatment In Hand and Wrist Pain
RESULTS AND DISCUSSION
According to this study and gener
ally according to patients
who seek a physician to treat this problem, it is women who
suffer more from wrist disease than men.
Table 1
Gender, age, profession and number of treatments of
the analyzed patients
No. Gender Age Profession
1. Female 50 Hairdresser
2. Male 50 Programmer
3. Female 50 Administration
4. Female 40 Programmer
5. Female 33 Programmer
6. Female 42 Hairdresser
7. Female 51 Programmer
8. Male 56 Physical trauma
9. Male 57 Physical trauma
10. Female 32 Shoe factory
11. Female 51 Shoe factory
12. Female 67 Administration
13. Male 33 Dentist
14. Female 27 Architect
15. Female 33 Hairdresser
In table 1 is presented the data obtained from the patients
studied, their sex,
age, occupation and the number of
treatments needed to treat each patient. Accordingly, hand and
wrist pain are a professional deformity / disease in people who
use the wrist in the work. Of the patients, 3 are hairdressers, 4
programmers, 2 work in admini
stration, 2 in a shoe factory, 1
dentist and 1 architect, and the remaining 2 were treated for
physical injuries.
Of the patients, 11 were women, ie 73% and 4 were men or
27%. The difference is visible and therefore it can be
concluded that women are more
likely to suffer from wrist and
hand pain.
Chart 1
Symptoms presented in the patients
On chart 1 are shown the most common symptoms that
occurred in the patients. Pain was present in all 15 patients,
wrist numbness was present in 12, burning
present in 5, and paresis in 7 patients. Other symptoms were
wrist tiredness, decreased strength and cold-
warm feeling.
Pain is the most common symptom, typically occurring during
trauma to the body and excessive use of the palm and wrist. I
causes stress to the body and a local inflammation. The pain
can occur on any part of the wrist and can extend into the palm
or arm. Usually it increases with a certain movement.
58%
23%
10%
9%
0%
Symptoms
Pain = 15 Numbness = 12 Burning = 5 Paresis = 7
Acupuncture Treatment In Hand and Wrist Pain
19879
ally according to patients
who seek a physician to treat this problem, it is women who
Gender, age, profession and number of treatments of
Number of
treatments
4
2
2
3
2
1
1
6
1
3
1
3
2
5
1
In table 1 is presented the data obtained from the patients
age, occupation and the number of
treatments needed to treat each patient. Accordingly, hand and
wrist pain are a professional deformity / disease in people who
use the wrist in the work. Of the patients, 3 are hairdressers, 4
stration, 2 in a shoe factory, 1
dentist and 1 architect, and the remaining 2 were treated for
Of the patients, 11 were women, ie 73% and 4 were men or
27%. The difference is visible and therefore it can be
likely to suffer from wrist and
Symptoms presented in the patients
On chart 1 are shown the most common symptoms that
occurred in the patients. Pain was present in all 15 patients,
wrist numbness was present in 12, burning
sensation was
present in 5, and paresis in 7 patients. Other symptoms were
warm feeling.
Pain is the most common symptom, typically occurring during
trauma to the body and excessive use of the palm and wrist. I
t
causes stress to the body and a local inflammation. The pain
can occur on any part of the wrist and can extend into the palm
or arm. Usually it increases with a certain movement.
Table 2
Age groups
Age group
<30
30-40
40-50
50-60
>60
The treated patients were on age from 27 do 67. Most common
age group was from 50 to 60 years of age.
Table 3
Number of treatments
Number of treatments
1
2
3
>3
Patients needed a
different number of treatments to get
positive results. Normally, it depends on the general condition
of each patient's body, their age, the type of injury or type of
syndrome, the symptoms, their occurrence, strength, duration,
etc. Table 3 shows the numb
er of treatments needed to achieve
the positive effect in the patients.
needed one therapy, four patients needed two treatments, three
patients needed three treatments and four, five and six
treatments were needed for one patien
Acupuncture is the perfect and successful way of treating wrist
disorders and injuries. Acupuncture reduces inflammation,
pain and improves joint movements. According to TCM, if
there is a blockage of the Qi flow, acupuncture can improve
th
e Qi flow and blood flow to the body, restoring lost energy.
The doctor determines the cause of the pain with palpation
especially at the most painful points, which are then treated
with acupuncture. Acupuncture can be performed with normal
or heated (fi
re) needles. Heated needles are usually used and
are inserted very quickly to the place where they are needed.
Needles work by increasing the blood flow to the painful area,
increasing and facilitating the flow of the Qi, improving the
function of the Zang
Fu organs and other. Pathologically, the
needle reduces the accumulated exudate at the site, reduces
inflammation, edema and improves joint movements. [2] [3]
CONCLUSION
Acupuncture as part of TCM as a treatment for this problem
represents an effective
and completely safe treatment.
Acupuncture facilitates the blood flow, Qi flow, and restores
the lost energy.
The treatment itself improves the general
condition of the body.
Most patients are cured after only one
treatment.
References
1. Zhu J, Arsovska B,
Kozovska K; Tw
Acupuncture for Hand and Wrist Pain; Imperial
Journal of Interdisciplinary Research (UIR) Vol
Issue-
6,2017, ISSN:2454
2.
Wolfe LH; One Approach to Acumoxa Therapy for
Pain due to Tendonitis of the Hand, Wrist,
Forearm; 2017 [www.acupuncture.com]
3.
Nirdqvist C; How Does Acupuncture Work; Medical
News Today; 2017
[www.medicalnewstoday.com]
Limited mobility = 3
*******
Age groups
Number of
patients
1
4
2
7
1
The treated patients were on age from 27 do 67. Most common
age group was from 50 to 60 years of age.
Number of treatments
Number of treatments
Number of patients
5
4
3
3
different number of treatments to get
positive results. Normally, it depends on the general condition
of each patient's body, their age, the type of injury or type of
syndrome, the symptoms, their occurrence, strength, duration,
er of treatments needed to achieve
the positive effect in the patients.
Most of the patients - five
needed one therapy, four patients needed two treatments, three
patients needed three treatments and four, five and six
treatments were needed for one patien
t accordingly.
Acupuncture is the perfect and successful way of treating wrist
disorders and injuries. Acupuncture reduces inflammation,
pain and improves joint movements. According to TCM, if
there is a blockage of the Qi flow, acupuncture can improve
e Qi flow and blood flow to the body, restoring lost energy.
The doctor determines the cause of the pain with palpation
especially at the most painful points, which are then treated
with acupuncture. Acupuncture can be performed with normal
re) needles. Heated needles are usually used and
are inserted very quickly to the place where they are needed.
Needles work by increasing the blood flow to the painful area,
increasing and facilitating the flow of the Qi, improving the
Fu organs and other. Pathologically, the
needle reduces the accumulated exudate at the site, reduces
inflammation, edema and improves joint movements. [2] [3]
Acupuncture as part of TCM as a treatment for this problem
and completely safe treatment.
Acupuncture facilitates the blood flow, Qi flow, and restores
The treatment itself improves the general
Most patients are cured after only one
Kozovska K; Tw
o Case Reports –
Acupuncture for Hand and Wrist Pain; Imperial
Journal of Interdisciplinary Research (UIR) Vol
-3,
6,2017, ISSN:2454
-362;
Wolfe LH; One Approach to Acumoxa Therapy for
Pain due to Tendonitis of the Hand, Wrist,
and
Forearm; 2017 [www.acupuncture.com]
Nirdqvist C; How Does Acupuncture Work; Medical
[www.medicalnewstoday.com]