What follows is a variation on a mechanisms based approach to the use of Medical Acupuncture with particular emphasis on the role of the spinal segments.
1. According to this approach, we may start by using local points such as myofascial trigger points (MTrP) and taut bands related to the patients presenting complaint. This would take into account referred pain patterns, altered muscle length and function. Manual needling as well as point stimulation using the Pointer Excel II or EA at 2 Hz may be used to augment the sensory neuro-modulatory and mechanical needling effects.
2. If too sensitive to treat locally or for enhanced modulatory effects use somatic segmental points to suppress nociceptive transmission and influence muscle tone through the related segments.