Wrist drop

management by acupuncture

1. Made by:- Divya chandil BNYS 3 rd year WRIST DROP (RADIAL NERVE PALSY)

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. Introduction

3. Radial nerve pathway

4. Condition is often referred as:-

5. P athology

6. 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 Symptoms include:-

7. ROM of wrist ( to check any weakness or loss of muscle tone) Blood test CT scan and MRI Electromyography Nerve conduction test Diagnosis:-

8. Depend upon underlying cause:- A nalgesic or anti inflammatory medication Steroid injection Splints or braces Physiotherapy Massage Acupuncture Treatment

9. 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) Management by acupuncture:

10. 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)

11. E. E ar 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.

12. THANK YOU….