Female, 33 years old, yoga teacher

Reason for consultation

Pain in the groin area and in the hamstrings of the right leg.

Clinical history

She has noticed the pain for a year and a half in the yoga practice she does daily:

• uttanasana (standing forward bend)
• paschimottanasana (seated forward fold with hands toward the feet)

History

• Right polycystic ovary. Every two months, strong pains before the menstrual cycle.
• Recurring sciatica.

Palpation

• Acute pain on palpation of the right flexor area.
• Tension along the bladder meridian in the back of the legs and the lumbar region.
• Right inguinal pain, radiating toward the inner part of the leg to the knee
• Tension in right tensor fasciae latae and psoas.
• Tender point 6 cun above the right knee

Anamnesis

• With heat the pain improves. The pain is stronger with a cold body. She notices it more in the morning. Fixed pain.
• Night sweats, tends to lose weight, sweating of the five orifices
• Thirst without desire to drink
• Irritable
• Tends to be sensitive to cold
• Vaginal pruritus, recurring candidiasis
• Urination: at night she wakes up 2 times and urinates abundantly, clear color at night and dark in the morning
• Stools: 1 time a day, loose and light colored
• Slightly lacking in body fluids (tongue, skin)
• Tongue with little white coating and red spots, tongue edges red. Tongue slightly fissured.
• Fine pulse

If it is a disc problem, it is evaluated according to how it radiates in the leg:

• SI: topography L4 (L3-L4): radiates toward iliac crest and inner thigh
• SI: to the knee: topography L5 (L4-L5): lumbar pain with lateral leg, inner ankle and big toe
• SI: to the knee: topography S1 (L5-S1): radiation of posterior leg pain that reflects in heel and outer foot.

Diagnosis

• Kidney/Liver Yin deficiency: Muscle-tendon contractures, numbness or tingling of limbs, pain and asthenia of lower back and knees, hair loss, thinning, five-palm heat, night sweats, ...
• Liver-Qi stagnation: Pain before and/or during menstruation. Accompanied by much distension and dark blood with clots (Qi stasis produces blood stasis) that relieve pain when expelled. Pre-menstrual syndrome accentuated at psychological-emotional and physical level. Tongue with darker or cyanotic edges, tense pulse. Bladder is affected
• Spleen-Qi deficiency: stools, tongue

Therapeutic principle

• Treat the pain
• Tonify Kidney, Liver Yin
• Move Qi and blood

Needle treatment

• Pain: Ashi points, ST-32 painful and Releases the channel and Qi Xue, ST-31, LR-10, LR-11, GB-30, BL-35, BL-36, BL-37, BL-40, BL-31 + BL-32. HuaTuoJaiJi: L4,L5, S1
• Tonify Kidney Yin: KI-6 + KI-7
• Nourish Kidney Yin Jing: KI-3; BL-23; ST-36; SP-3; SP-6
• Stimulate Qi: BL-43, SP-4
• Lack of body fluids: TE-6
• Liver stagnation:BL-18, LR-3, PC-6, LI-4, CV-6, ST-25
• Tonify Spleen Qi and Blood: BL-20; ST-36; BL-17; SP-3; SP-6; CV-4
• Liver Luo in deficiency: genital pruritus (LR-5, great genital point, with pain and pruritus. Treat the main channel first)
• Treat Chong Mai: SP-4 blood and uterus issues

Self-Treatment with Breathing

In many cases of groin and leg pain, two fundamental muscles are involved: the iliacus and psoas, which are the muscles that raise the leg.

In the article on back pain the One Minute Practice teaches us how to use breathing and finger pressure to release tension in our muscles.

If you want to practice alone, I recommend reading well and mastering the basic breathing of the One Minute Practice and then go to the page on back pain.

If you don't have patience to read, there is a page that offers the guided practice for back pain and that can be applied to the groin.