IPRA 123 Course Videos
In treating major joints, it's important to tailor the approach to each patient according to their unique needs. The adaptation is based on the symptoms reported by the patient and the findings from the physical examination.
Despite this, there are treatment types and situations that recur frequently, and these are the ones to
emphasize.
The below videos will guide you throughout the process of the method treatment method of IPRA123
FINGERS
Examination and identification: Start by asking the patient to describe the specific movement movements that cause pain. Determine if the pain is concentrated in a single finger or multiple fingers and whether it persists during upward or downward movement. Then, look for a stiff muscle along the forearm, on its inner and backside.​
Manipulations after acupuncture: The practitioner will gently push the patient's fingers to a level that does not cause pain, initially with a downward movement and then upward against resistance.
WRIST JOINT
Examination and identification: Similar to the fingers, ask the patient to detail the movements causing pain, including upward, downward, sideways, or rotational
movements. The search for a stiff muscle will be along the forearm.
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Manipulations after acupuncture: The practitioner will gently push the patient's palm to a level that does not cause pain, initially with a downward movement and then upward. In case of pain or movement limitation in lateral or rotational movements, the manipulation will be performed against resistance with pushes right and left or in a rotational movement, according to the direction of the pain.
ELBOW
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Examination and identification: Look to identify the type of movement that causes
pain - whether it's upward, downward, rotational, or related to gripping. An
examination of a stiff muscle can occur along the forearm and sometimes also on
the arm, with attention to the possibility of a connection to the neck or shoulder on
the same side.
Manipulations after acupuncture: The patient will be asked to bend the elbow at 90
degrees and push against the practitioner's resistance upward and then
downward. In cases of pain during gripping motion, manipulation will be performed
while holding an object.
SHOULDER
Examination and identification: Ask the patient about the movements that cause pain - whether it's when raising the hand forward, backwards, to the side, or in a
rotational movement. Also, check if the pain is related to an action with the neck and which cervical movements cause pain. Then, find stiff muscles in the upper
back area, above the chest, or the upper arm.
Manipulations after acupuncture: If acupuncture is performed on the upper back, start with a basic neck protocol. If there's no improvement, work on the arm above the deltoid muscle and/or the chest area, without working directly on the breast tissue, integrating movements against resistance.
Basic Neck Protocol: The patient will be asked to push their hand downwards
against the resistance of the treatment bed in the first stage. In the second stage,
the patient will be asked to push their head sideways against the resistance of the
practitioner's hand, which is placed beside the patient's head.
NECK AND TENSION HEADACHES
Examination and identification: Examine the type of movement causing pain or
movement limitation, such as turning right or left, tilting towards the right or left
shoulder, or tilting forward or backward. Look for a stiff muscle in the upper back.
Manipulations after acupuncture: A basic neck protocol is followed, performing
manipulations to the sides, upwards and downwards, and diagonally if needed,
against resistance.
LOWER BACK, COCCYX, AND SCIATICA
Examination and identification: Ask the patient to describe movements causing pain, including bending forward, bending sideways, lifting a leg, or rotational movement.
Search for a stiff muscle focusing on the lower back area, preferably the erectors above the T12vertebra line.
Manipulations after acupuncture: A basic lower back protocol is performed, emphasizing not worsening the pain. If necessary, manipulation in a standing position may be performed, with hands supported on a high surface and movements against resistance.
Basic Lower Back Protocol: The patient will be asked to push their leg downwards against the resistance of the treatment bed in the first stage. In the second stage, the patient will be asked to lift their leg without any resistance.
HIP JOINT
Examination and identification: Seek to identify the type of painful movement -whether it's moving the leg forward, backwards, to the side, or in a rotational movement. Search for a stiff muscle focusing on the lower back, preferably the spinal erectors above the T12 vertebra line.
Manipulations after acupuncture: Integrate a basic lower back protocol, followed by standing manipulations with hand support on a surface and lifting the leg against resistance to the sides.
In case of pain or movement limitation during rotational movement, perform manipulation against rotational movement right and left after needling the area below the iliac crest.
KNEE
Examination and identification: Questions about painful movements and search for a stiff muscle on the thigh above the knee, with a secondary priority given to the side of the tibia, below the knee.
Manipulations after acupuncture: Instruct the patient to sit on the bed and perform kicking movements against resistance, emphasizing different directions according to the pain area.
If pain worsens during rotational movement, hold the patient's foot and ask them to tilt it right and then left against resistance while performing the manipulation.
THE ANKLE, ACHILLES TENDON, AND FOOT
Examination and Identification: Determine which movements cause pain -whether it's moving the foot upward, downward, or to the side. Search for a stiff muscle along the back of the lower leg.
Manipulations After Acupuncture: The patient will lie on their stomach with the leg bent at a 90-degree angle, and manipulation will be performed in a downward movement and then upward, against pressure.
If pain or movement limitation occurs during lateral tilting of the foot, perform the manipulation against resistance to the right and left, while holding the foot.