Differential Diagnosis

The differential diagnosis of shoulder pain includes the following:
  • Sprain
  • Strain
  • Fracture

Treatment

  • Acupuncture:
    • Lu-1 (pain in chest, shoulder & back).
    • Lu-2 (pain of chest, shoulder, arm; pain of the shoulder with inability to raise arm [PIHMA]).
    • Lu-5 (pain of shoulder, upper arm, tennis elbow, hand - relaxes sinews and activates channel [PIHMA]).
    • St-38 (anterior St-40; have patient move shoulder while needle inserted, with stimulation)
    • TB-14 (divot arm abducted). Local point [Backer2010, pg 128]
    • LI-4 (Distal point) [Backer2010, pg 128]
    • LI-11 (Distal point) [Backer2010, pg 128]
    • LI-15 (divot arm abducted). Local point [Backer2010, pg 128]
    • SI-10 (divot arm adducted inferolateral scapular spine). Local point [Backer2010, pg 128]
    • SI-13 (divot arm adducted superomedial scapular spine)
    • UB-17 (T7; move Xue)

References