Needling sites:
Anterior medial elbow area
Indications:
– weakness of hands
– carpal tunnel syndrome
– elbow pain
– writer’s crampAnterior lateral elbow area
Indication:
– pain in base of thumbPosterior lateral elbow area
Indication:
– pain in dorsum of wristH 7 (beside pisiform)
Indications:
– cardiac disorders
– anxiety (Mann)
For some reason, pain in the elbow seems to be more difficult to treat than pain in other joints, especially “tennis elbow”. (Intrinsic disease of the elbow, however, such as burnt-out rheumatoid arthritis, does well.) Pain in the elbow is commonly located at the lateral epicondyle of the humerus (tennis elbow). There may be exquisite tenderness over the bony prominence, but direct needling of this site is extremely painful and seldom helps much. This may be because it is really a site of referred pain, the TP being elsewhere. Some patients have TPs in the neck or in the muscles above or below the elbow; needling these may help.
Writer’s cramp
Most patients do not respond. However, in some cases the problem seems to be due to TPs in the shoulder or arm rather than to a central disorder and these can be helped.