management by acupuncture

1. Made by:-
Divya chandil
BNYS 3rd year

2.  It is a pathological condition in which there is injury to
radial nerve resulting in impairment nerve function
causing radial nerve palsy.
 Wrist drop is the characteristic clinical sign of Radial
Nerve palsy.
 It is a condition where a person cannot extend their
wrist and it hangs flaccidly.

4. Saturday night palsy
• Alcohol is sometime a facto as a person falls asleep with back
of their arm compressed by a chair back , bar edge etc.
Crutch palsy
• Compression of nerve from walking with crutch
Honeymoon palsy
• From another individual sleeping on one’s arm overnight ,
compressing the nerve.

5. Radial nerve
supplies
Posterior arm and forearm:
-tricep brachii
-Ex. Carpi radialis
-Ex.digitorum communis
If damage occur result in:
WRIST DROP.

6. Radial
nerve injury
1.Trauma 2.Infection
3.Exposure
to toxin
causes

10.  sharp or burning pain
 Numbness or tingling
 Trouble straightening the arm
 Trouble moving the wrist and fingers
 Drooping of wrist and fingers
 Weakness in hand grip

11. 1. ROM of wrist ( to check any weakness or loss of muscle
tone)
2. Blood test
3. CT scan and MRI
4. Electromyography
5. Nerve conduction test

12. Depend upon underlying cause:-
 Analgesic or anti inflammatory medication
 Steroid injection
 Splints or braces
 Physiotherapy
 Massage
 Acupuncture

13. Aim of treatment:
To reduce pain or unusual sensation an to increase the
range of motion.
A. Main point: group (1):
1. Yenmen(TW-2)
2. Zhongzhu (TW-3)
3.Waiguan (TW-5)

14.  B. Main point: group (2): (analgesic points)
1. Hegu (LI-4)
2. Yangxi (LI-5)
3. Quchi (LI-11)
C. Main point: group (3): (As-shi points)
1. Shenmen (H-7)
2. Daling (P-7)
3. Taiyuan (L-9)
D.Supplementry point: Yanglingquan (GB-34)

15.  E. Ear point:- wrist area (scapha and helix)
 F. Scalp point:- Baihui (GB-20)
 G. Stimulation:
mild electrical stimulation 20-30 min/ day for 10-15 days.
Second course: after rest of 7 days.

16. THANK
YOU….