Acupuncture > Back > Flashcards

Back Flashcards

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1
Q

List the 4 taught back points and describe their location

A
  1. GV3

On the midline of the back below the lower border of L4 spinous process.

  1. GV4

On the midline of the back below the inferior margin of the L2 spinous process.

  1. BL23
  2. 5 cun lateral to the midline at the level of the lower border of the spinous process of L2.
  3. BL25
  4. 5 cun lateral to the midline at the level of the lower border of L4 spinous process
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2
Q

GV3 location and needling technique

  • Location
  • Insertion
  • Depth
A

GV3 location and needling technique

Location

On the midline of the back below the lower border of L4 spinous process.

Insertion

posterior to anterior, perpendicular to the skin.

Depth

1 cun

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3
Q

List relevant GV3 anatomy

  • Muscles (2)
  • Ligaments (2)
  • Nerves (1)
  • Vessels (2)
A

GV3 anatomy

Muscles

  1. & 2. Transversospinales - multifidus and rotatores

Ligaments

  1. supraspinous ligament
  2. interspinous ligament

Nerves

  1. medial branch of the posterior primary ramus (anastomosis) of L4

Vessels

  1. & 2. dorsal ramus of the fourth lumbar artery and vein
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4
Q

List 4 neuroanatomical GV3 indications

A

GV3 indications

  1. Pain and inflammation of the spine
  2. Degenerative disc disease
  3. Disc bulge or prolapse
  4. Ligamentous or myofascial strain/sprain at the L4-L5 level
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5
Q

GV4 location and needling technique

  • Location
  • Insertion
  • Depth
A

GV4 location and needling technique

Location

On the midline of the back below the inferior margin of the L2 spinous process.

Insertion

posterior to anterior, perpendicular to the skin, slightly upwards

Depth

0.7-1 cun

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6
Q

List relevant GV4 anatomy

  • Muscles (2)
  • Ligaments (2)
  • Nerves (1)
  • Vessels (2)
A

GV4 anatomy

Muscles

  1. & 2. transversospinales - multifidus and rotatores

Ligaments

  1. supraspinous ligament
  2. interspinous ligament

Nerves

  1. medial branch of the posterior primary ramus of L1 and L2

Vessels

  1. & 2. dorsal ramus of the second lumbar artery and vein
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7
Q

List 7 neuroanatomical indications for GV4

A

GV4 indications

  1. autonomic influence - will have an effect on the whole back, circulation improvement in the lower extremities
  2. pain and inflammation of the spine
  3. degenerative disc disease
  4. disc bulge or prolapse
  5. ligamentous or myofascial strain/sprain at the L2-L3 level
  6. lumbago
  7. sprain of quadratus lumborum muscle.

Nb sympathetic switch

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8
Q

BL23 location and needling technique

  • Location
  • Insertion
  • Depth
A

BL23 location and needling technique

Location

1.5 cun lateral to the midline at the level of the lower border of the spinous process of L2.

Insertion

oblique, 30- 45 degree angle to the skin, lateral to medial towards the midline

Depth

1-1.2 cun

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9
Q

List relevant BL23 anatomy

  • Muscles (2)
  • Nerves (1)
  • Vessels (2)
A

BL23 anatomy

Muscles

  1. erector spinae
  2. quadratus lumborum

Nerves

  1. lateral branch of the posterior primary ramus of L1

Vessels

  1. &2. dorsal ramus of the second lumbar artery and vein
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10
Q

List 7 neuroanatomical indications for BL23

A

BL23 indications

  1. Sympathetic vascular conditions of the lower extremity
  2. Sympathetic hypersensitivity
  3. Inflammation of the spine
  4. Pain/inflammation/spasm of the paraspinal muscles
  5. Rheumatoid arthritis (immune point)
  6. Ankylosing spondylitis
  7. Low back pain

Nb Sympathetic switch

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11
Q

BL25 location and needling technique

  • Location
  • Insertion
  • Depth
A

BL25 location and needling technique

Location

1.5 cun lateral to the midline at the level of the lower border of L4 spinous process

Insertion

perpendicular to the skin, posterior to anterior

Depth

1 - 1.5 cun

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12
Q

List relevant BL25 anatomy

  • Muscles (2)
  • Nerves (1)
  • Vessels (2)
A

BL25 anatomy

Muscles

  1. erector spinae
  2. quadratus lumborum

Nerves

  1. lateral branch of the posterior primary ramus of L4

Vessels

  1. & 2. dorsal ramus of the 4th lumbar artery and vein
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13
Q

List 6 neuroanatomical indications for BL25

A

BL25 indications

  1. Degenerative disc disease
  2. Osteoarthritis
  3. Ligamentous sprain/strain
  4. Pain/inflammation/spasm of the paraspinal muscles
  5. Lumbago
  6. Sprain of quadratus lumborum muscle
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