1. Dr. Pradeep. M.K .Nair B.N.Y.S, MSc.(Clin.Res) E.Mail:drpradeep18bnys@gmail.com PAIN MANAGEMENT THROUGH ACUPUNCTURE NIN,PUNE

2. NIN,PUNE PAIN 3. PAIN Pain is the leading cause for visiting the hospital or clinic. Pain is an unpleasant feeling which can be caused by intense or damaging stimuli. For eg:- Burning a finger, a cut in the hand, food poisoning etc. Pain control is critical for healing, satisfaction and a sense of well being. Pain management is a process of assessing and treating the pain using pharmacological and non-pharmacological interventions. NIN,PUNE 4. Description of pain Duration Location Etiology Intensity Quality Temporal pattern Associated characteristics NIN,PUNE 5. Pain Pathway NIN,PUNE 6. Types of Pain Acute-short/severe Ex-Injured Chronic- mild to severe present for long periods of time and the result of a disease that may require ongoing treatment. NIN,PUNE 7. What alternative therapies can close the gate? Music Distraction of any sort Ice and heat therapies Deep breathing Massage Physiotherapy NIN,PUNE 8. Pain management through medication. Oral analgesia Analgesic sprays IV analgesics Side effects Constipation Itching Nausea and vomiting Respiratory ailments ulcers NIN,PUNE 9. ACUPUNCTURE LATIN WORD :- ACUS- NEEDLES PUNGUE- PRICKING Pricking needles on specific points. NIN,PUNE 10. HISTORY OF ACUPUNCTURE Developed as a part of traditional Chinese medicine 5000 years back. 349 Points were discovered by 300A.D 600-900AD- Started spreading to Korea, Japan and India. NIN,PUNE 11. CONCEPT OF QI" It is a vital motivating force. In YOGA it is termed as PRANA OR Prana Vayu. It is a invisible force responsible for all the movements of life. YIN & YANG are the two aspects QI. NIN,PUNE 12. YIN & YANG Good health is a state of energy balance between the two.. Any imbalance between the two causes disease. NIN,PUNE 13. CHINESE MONAD NIN,PUNE 14. MERIDIANS Path through which QI travels around the body. It is named after the organs. Stimulation of the points on the meridian has an effect on the flow of QI. 6 paired meridian & 2 unpaired meridian. There are 361 points and Extra points(36). NIN,PUNE 15. NIN,PUNE 16. Lung Meridian Associated with element metal and its interior exterior relationship with the Large Intestine. Originate from Middle Warmer NIN,PUNE 17. Large Intestine Associated with element metal and lung It originates from the corner of nail of Index finger. NIN,PUNE 18. Spleen Associated with element earth and stomach Originates from the medial side of the great toeNIN,PUNE 19. Small Intestine Associated with the element fire and heart It originates from the corner of the nail of little finger NIN,PUNE 20. Urinary Bladder Associate d with the element water and kidney It originates from the medial canthus of eyeNIN,PUNE 21. Gall Bladder Associated with the element wood and Liver It originates from the lateral canthus of eyeNIN,PUNE 22. TYPES OF NEEDLES FILLIFORM TRIANGULAR SEVEN STAR PRESS NEEDLE NIN,PUNE 23. METHODS OF NEEDLING STRAIGHT SLANTING HORIZONTAL NIN,PUNE 24. ACUPUNCTURE POINTS MERIDIAN POINTS: Points on the meridian. EXTRA MERIDIAN POINTS: Exists on EAR, HAND, NOSE & HEAD. FLOATING POINTS: No specific location. NIN,PUNE 25. Dangerous Points These are in close vicinity of vital organs. Eg: UB-1 Location: On the margin of the orbit 0.1 t-sun above the medial canthus. Needling: 0.2 to 0.3 t-sun into anterior border of the orbit. NIN,PUNE 26. Sedation Points It brings sedation of the meridian when stimulated. Eg: Liv 5 Location: On the medial aspect of the leg, along the posterior border of the tibia, 5 t-sun above the medial malleous. Needling: 0.5 to 1 t-sun, straight. When stimulated it brings the sedation of the liver meridian. NIN,PUNE 27. Effects of Acupuncture SUBJECTIVE EFFECTS: Pain Numbness Soreness Heaviness Distension NIN,PUNE 28. Cont. OBJECTIVE EFFECTS:- Analgesia Sedation Immunity Improvement Homeostasis Motor Recovery NIN,PUNE 29. HOW ACUPUCTURE IS GIVEN.? NIN,PUNE DURATION NO OF SITTINGS PRICKING STYLE NO OF POINTS PRICKED 30. Stimulation In Acupuncture Manual Stimulation Using hands. Heat Stimulation (Moxibustion) Using moxa wools. Electroacupuncture Using electricity. NIN,PUNE 31. MOXIBUSTION The dry powder of the leaf Artemisia Vulgaris also know as moxa is used. Types: Direct Indirect Indirect method is commonly used. It can be given with Ginger, Garlic, Salt, Cup. The purpose is the normalise the flow ofQi and relieve pain. NIN,PUNE 32. Major diseases in which acupuncture helps. MIGRAINE NIN,PUNE 33. Multiple joint pain OSTEOARTHRITI S RHEUMATOID ARTHRITIS ANKYLOSING SPONDYLITIS FROZEN SHOULDER TENNIS ELBOW CALCANEAL PAIN NIN,PUNE 34. Acupuncture for frozen shoulder NIN,PUNE 35. NEUROLOGICAL PAIN SCIATICA CARPEL TUNNEL SYNDROME CERVICAL SPONDYLITIS LUMBAR SPONDYLITIS TRIGEMINAL NEURALGIA NIN,PUNE 36. MOTOR NEURON DISEASES NIN,PUNE 37. OBESITY NIN,PUNE 38. INFERTILITY AND REPRODUCTIVE HEALTH NIN,PUNE 39. COMPLICATIONS Needle Dystocia Bent Needle Broken Needle Fainting Bleeding Forgotten Needles NIN,PUNE 40. CONTRAINDICATIONS RELATIVE CONTRAINDICATIONS Patients who are unwilling or afraid. Bleeding disorders, anticoagulants drugs. Skin infections at site of needling . Skin disorders such as psoriasis or eczema . Metal allergy Valvular heart disease (for indwelling needles) ABSOLUTE CONTRAINDICATION Pacemaker (electro-acupuncture) NIN,PUNE 41. NIN,PUNE DR. PRADEEP. M.K.NAIR, NATIONAL INSTITUTE OF NATUROPATHY, PUNE. 09823262179. drpradeep18bnys@gmail.com