Shoulder tip pain after laparoscopic surgery analgesia by collateral meridian acupressure (shiatsu) therapy: a report of 2 cases

Journal of Manipulative and Physiological Therapeutics
Chun-Chang YehChih-Shung Wong

Abstract

This article describes 2 cases of collateral meridian acupressure (shiatsu) therapy (CMAT) for treatment of shoulder tip pain after laparoscopic cholecystectomy (LC). Both cases showed marked pain relief with reduction of skin temperature (1 degrees C) of the affected shoulder after CMAT. A 32- and a 53-year-old female presented with right shoulder tip pain after LC surgery. The repeated dose of intravenous ketorolac 30 mg and meperidine 50 mg did not improve the pain. Because of persistent pain and episodes of nausea and vomiting after intravenous nonsteroidal anti-inflammatory drugs and opioid medications, patients refused to take more analgesics, and we were consulted for pain management. After informed written consent obtained, CMAT was performed using acupoints located on the contralateral (left) kidney meridian to treat affected (right) shoulder pain. Postoperatively, patients' pain intensity was measured using a numeric pain scale. The infrared thermography of shoulder tip was obtained before and after the CMAT. Both patients reported immediate pain relief after the CMAT, with pain scores decreased from 5 to 1 of 10 and 5 to 0 of 10, respectively. Moreover, the local skin temperature of affected shoulders were significan...Continue Reading

References

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Citations

Oct 30, 2009·Southern Medical Journal·Chun-Chang YehChih-Shung Wong
Jan 15, 2014·BMC Complementary and Alternative Medicine·Cheng-Chu HsiehYing-Ling Wu
Mar 10, 2016·Anesthesia, Essays and Researches·Ranjana KhetarpalDivya Bansal
Feb 2, 2010·Journal of Manipulative and Physiological Therapeutics·Jui-An LinTa-Liang Chen
Dec 30, 2015·Anesthesia, Essays and Researches·Tarundeep BhatiaRanjana Khetarpal
May 11, 2018·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Zahra AsgariAli Montazeri

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