Paul Blacker

Sports injuries

1

Who am I ?• MaEd

• MBAcC

• CNHC

• IFL

• First aid instructor

• 10 years in NHS

• 19 years in practice

2

Today's Webinar• Sports injuries

• Acute injuries

• Chronic injuries

• An integrated approach

• Treatment

• End3

Which sports, which injuries?

4

Contact sportsRunning sports

Sprains and strainsBruisingKnees

ShouldersShin splints

Tight muscles

5

Contact sports

6

Common rugby injuries• Mud

• Sprains and strains

• Bruising

• Shoulder and knee

• Fractures

7

Sprains, strains and automobiles

8

Strain a muscle / Sprain a ligament

9

DiagnosisYou need to be able to assess the injured joint fully

You need to identify the ligaments and muscles involved

You need to identify the channels involved10

Treat either end and the middle of ligamentsAnkle injuries

Palpate Tibialis Anterior for tender pointsBL-60, BL-61, BL-62, Sp-5, Liv-4, GB-41

Treatment

11

Bruising

Biceps injury

Surround needling

Every 1/2 cun using 13mm or 25 mm needlesInserted at the edge of

the bruise12

Diagnosis - OW !

Qi and Xue stagnationBig injuries - big dose!

13

Lots of needlesTreatment

14

After 1 treatment and 1 week

Treat what you see

Posterior thigh1 Cun needles,

transverse insertion

Treatment

15

Before and after 1 treatment 1 week later

He shot me in the Buttocks

16

Shoulders

Kinesio for rehabTaping for support

17

DiagnosisYou must be able to assess the

injured joint fully

You must be able to identify the muscles, tendons or

ligaments involved18

Treatment

Jian NeilingLI-14SJ-14Lu-3LI-14LI-16

GB-21St-38

Ashi Points LineamentsManipulation

HeatExercisesQi Gong

Rotator cuff injuries

19

YTWL

Tuina20

More treatment = bigger doseKnees

21

Diagnosischeck the 3 major ligaments, ACL, Medial and Lateral

22

5 point protocolXiyan, St-34, Sp-10,

GB-34, Heding

Treatment

23

24

More treatment = bigger doseAdd electro, bigger dose

25

This is a first aid scenario, they should go for an X-ray

Fractures

26

Running sports

Long distance runners4 1/2 hours of madness

27

Road runningThe Marathon - Knee and ankle impact injuries

Massively depletes Qi and Yang

28

Treatment

Nourish Qi and XueMove stagnation

Less is more here

29

Shin splints

The RSI of Mr Bolt.30

Usually Stomach, Spleen & Liver channels If it hurts put a needle in it

Diagnosis

31

Deep TuinaGuasha

TreatmentPalate for A-Shi

points and needle them

32

Ankle injuries

• Strap to support

• Strapping provides Qi

• Stabilises the ankle

33

Tight muscles

Qi StagnationThink DOSE!

34

Slide cupping

Moves QI and Xue

35

Good for large Shi sports peopleAlso think about your lineaments

36

TreatmentMove Qi and Xue especially at

the channel level.

37

Tuina  -­‐  Ya  Fa

Removes  obstructions  from  the  channels,  relaxes  spasm,  relieves  pain,  moves  stagnant  Qi  and  Blood,  expels  Wind,  

disperses  Cold

38

Acute and chronic

39

Acute injuries

40

Treatment • RICE

• Ear acupuncture using ASP's - a bigger dose

41

Xi Cleft PointsLung Kongzui LU-6

Large Intestine Wenliu L.I.-7

Kidney Shuiquan KID-5

Bladder Jinmen BL-63

Spleen Diji SP-8

Stomach Liangqiu ST-34

Pericardium Ximen P-4

San Jiao Huizong SJ-7

Heart Yinxi HE-6

Small Intestine Yanglao SI-6

Liver Zhongdu LIV-6

Gall Bladder Waiqiu GB-36

42

Liniments for acute injuries• Jin Si Gao spray – acute injuries / bruises esp. sports

• Zheng Gu Shui spray – Bruise / Bone

• Red Flower / Tiger oil – chronic Qi & Xue stagnation & muscle relaxant

• Dit Da Jow – Bruises liniment

43

Chronic injuriesUsually the old worn out sports person

• Identify the channel involved • whether it is deficient (soft),

excess (spasm)• Used diagnostically on the

Xi Cleft, Front Mu points. • Feel for temperature of area.• Note body reaction to

pressure, Xu pain, Shi pain.

44

Combined injuriesAcute on chronic - I'm alright, just

let me back at 'em

45

Treatment • As much as you can

do in a short as time as possible!

46

An integrated treatment approachMore than 1 therapy at a time

47

Today's Webinar• Sports injuries

• Acute injuries

• Chronic injuries

• An integrated approach

• Treatment

• End48

End

49

Stay in touch• www.pbacupuncture.co.uk

• Skype - paulblacker63

• Flickr - pbacupuncturecpd

• Twitter - pbacpd

• Facebook - pb acupuncturecpd

• LinkedIn - Paul Blacker

• Youtube - pbacupuncturecpd

50