OJTR  Vol.3 No.4 , November 2015
Case Study: EIMS Acupuncture Treatment for Posterior Tibialis Tendonitis
Author(s) N. Yelizarov1, J. Taunton2,3*
ABSTRACT
BACKGROUND AND OBJECTIVE: Posterior tibialis tendon dysfunction (PTTD) is a progressive ailment of a lower limb that, if left untreated, can lead to irreversible changes in the structure and function. The authors of the present study hypothesized the damages to the tibias tendon can be countered and reversed using electrical acupuncture and concurrent treatment of the associated muscle. INTERVENTION: The following study details a successful treatment of the early stage PTTD in a group of competitive athletes using a specific Electrical Intra Muscular Stimulation (EIMS) protocol developed and rooted in years of practice and the knowledge of the pathophysiology of the muscle and tendon tissues. Specifically, a combination the posterior and the original EIMS approach was used to stimulate the tendon and muscle concurrently at a frequency of 2 Hz. Analysis of the VAS scores showed a significant improvement following the treatment sessions. CONCLUSION: The success of this combined muscle/tendon stimulation protocol is given a strong correlation between the mechanism of tendon and muscle injury and recovery. The fast rate of healing and the simplicity of the materials required for the treatment offer a great potential for a wide-spread application. The authors extrapolate that the treatment method, with applicable modifications in needling locations, can be used for an array of common ailments involving tendons and muscles of the lower limb and foot, including the over-pronation, which is now common place due to the overweight problem in the general population.

Cite this paper
Yelizarov, N. , Taunton, J. (2015) Case Study: EIMS Acupuncture Treatment for Posterior Tibialis Tendonitis. Open Journal of Therapy and Rehabilitation, 3, 126-131. doi: 10.4236/ojtr.2015.34017.
References
[1]   Kohls-Gatzoulis, J., Angel, J.C., Singh, D., Haddad, F., Livingstone, J. and Berry, G. (2004) Tibialis Posterior Dysfunction: A Common and Treatable Cause of Adult Acquired Flatfoot. BMJ, 329, 1328-1333.
http://dx.doi.org/10.1136/bmj.329.7478.1328

[2]   Durrant, B., Chockalingam, N. and Hashmi, F. (2011) Posterior Tibial Tendon Dysfunction: A Review. Journal of the American Podiatric Medical Association, 101, 176-186.
http://dx.doi.org/10.7547/1010176

[3]   Mendicino, S.S. (2000) Posterior Tibial Tendon Dysfunction. Diagnosis, Evaluation, and Treatment. Clinics in Podiatric Medicine and Surgery, 17, 33-54, vi.

[4]   Howitt, S., Jung, S. and Hammonds, N. (2009) Conservative Treatment of a Tibialis Posterior Strain in a Novice Triathlete: A Case Report. The Journal of the Canadian Chiropractic Association, 53, 23-31.

[5]   Lou, X.F., Yang, X.D., Jiang, S.H., Sun, C.Y. and Zhang, R.F. (2006) Study on Angle and Depth of Needle Insertion in Acupuncture at Zusanli (ST 36). Zhongguo zhen jiu = Chinese Acupuncture & Moxibustion, 26, 483-486

[6]   Rha, D.W., Im, S.H., Lee, S.C. and Kim, S.K. (2010) Needle Insertion into the Tibialis Posterior: Ultrasonographic Evaluation of an Anterior Approach. Archives of Physical Medicine and Rehabilitation, 91, 283-287.
http://dx.doi.org/10.1016/j.apmr.2009.09.024

[7]   Astrom, M. (2000) Laser Doppler Flowmetry in the Assessment of Tendon Blood Flow. Scandinavian Journal of Medicine and Science in Sports, 10, 365-367.
http://dx.doi.org/10.1034/j.1600-0838.2000.010006365.x

[8]   Sharma, P. and Maffulli, N. (2005) Tendon Injury and Tendinopathy: Healing and Repair. The Journal of Bone & Joint Surgery Am, 87, 187-202.
http://dx.doi.org/10.2106/JBJS.D.01850

[9]   Hasselman, C.T., Best, T.M., Seaber, A.V. and Garrett Jr., W.E. (1995) A Threshold and Continuum of Injury during Active Stretch of Rabbit Skeletal Muscle. The American Journal of Sports Medicine, 23, 65-73.
http://dx.doi.org/10.1177/036354659502300111

[10]   Sandberg, M.L., Sandberg, M.K. and Dahl, J. (2007) Blood Flow Changes in the Trapezius Muscle and Overlying Skin Following Transcutaneous Electrical Nerve Stimulation. Physical Therapy, 87, 1047-1055.
http://dx.doi.org/10.2522/ptj.20060178

[11]   Yokoyama, M., Sun, X., Oku, S., et al. (2004) Comparison of Percutaneous Electrical Nerve Stimulation with Transcutaneous Electrical Nerve Stimulation for Long-Term Pain Relief in Patients with Chronic Low Back Pain. Anesthesia and Analgesia, 98, 1552-1556.
http://dx.doi.org/10.1213/01.ANE.0000112312.94043.DF

[12]   Weiner, D.K., Rudy, T.E., Glick, R.M., et al. (2003) Efficacy of Percutaneous Electrical Nerve Stimulation for the Treatment of Chronic Low Back Pain in Older Adults. Journal of the American Geriatrics Society, 51, 599-608.
http://dx.doi.org/10.1034/j.1600-0579.2003.00202.x

[13]   Lhoste-Trouilloud, A. (2012) The Tibialis Posterior Tendon. Journal of Ultrasound, 15, 2-6.
http://dx.doi.org/10.1016/j.jus.2012.02.001

 
 
Top