**30-Hour Acupressure Training Program for Musculoskeletal Disorders**

**Objective:** Equip doctors with acupressure techniques to address 30 common musculoskeletal conditions, integrating clinical assessment and evidence-based practices.

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### **Course Structure**

1. **Introduction to Acupressure (2 hours)**

- Principles of acupressure (Qi, meridians, TCM theory).

- Safety protocols: Contraindications (pregnancy, fractures, infections), pressure intensity, and patient communication.

- Anatomical landmarks and point location techniques.

2. **Upper Limb Disorders (6 hours)**

- **Conditions:** Carpal Tunnel, Tennis/Golfer’s Elbow, De Quervain’s, Frozen Shoulder, Rotator Cuff Injury, Cubital Tunnel.

- **Key Points:** PC7, LI4, LU10, TW5, SI9.

- **Practice:** Palpation, pressure application, and stretching techniques.

3. **Lower Limb Disorders (6 hours)**

- **Conditions:** Plantar Fasciitis, Shin Splints, Meniscus Tear, ACL Injury, Patellofemoral Syndrome, Hip Bursitis.

- **Key Points:** BL60, KI3, GB34, ST36.

- **Practice:** Dynamic pressure and mobilization exercises.

4. **Spinal Conditions (6 hours)**

- **Conditions:** Herniated Disc, Sciatica, Cervical Spondylosis, Lumbar Sprain, Spinal Stenosis, Scoliosis.

- **Key Points:** BL23, BL40, GB30, GV14.

- **Practice:** Sequencing points for spinal alignment and pain relief.

5. **Systemic/Other Conditions (6 hours)**

- **Conditions:** Osteoarthritis, Rheumatoid Arthritis, Fibromyalgia, Osteoporosis, Gout, Ankylosing Spondylitis.

- **Key Points:** ST36, LI11, SP6, GV4.

- **Practice:** Systemic approaches and lifestyle integration.

6. **Assessment & Case Studies (4 hours)**

- Practical exams: Demonstrate techniques for assigned conditions.

- Case discussions: Tailor acupressure to complex patient histories.

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### **Clinical Information & Procedure for Each Condition**

*(Example: Carpal Tunnel Syndrome)*

1. **Clinical Check:**

- Symptoms: Numbness/tingling in thumb-index-middle fingers, positive Tinel’s/Phalen’s tests.

- Red Flags: Weakness, atrophy (rule out severe compression/surgery need).

2. **Acupressure Points:**

- **PC7 (Daling):** Wrist crease, between tendons.

- **LI4 (Hegu):** Dorsal hand, 1st/2nd metacarpal.

- **TW5 (Waiguan):** Forearm, 2 cun above wrist.

3. **Procedure:**

- Apply firm, circular pressure for 1–2 minutes per point.

- Combine with wrist stretches (e.g., prayer stretch).

- Frequency: 2–3 sessions/week.

4. **Contraindications:** Avoid deep pressure in acute inflammation.

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### **Teaching Methodology**

- **Theory-Practice Balance:** 50% hands-on practice with peer/model demonstrations.

- **Visual Aids:** Meridian charts, 3D anatomy tools.

- **Evidence Discussion:** Share studies on acupressure’s efficacy (e.g., pain reduction in OA).

### **Outcome:**

- Doctors will confidently integrate acupressure into treatment plans, enhancing patient recovery through non-pharmacological interventions.

**Note:** Customize protocols based on patient feedback and clinical evolution. Emphasize interdisciplinary collaboration for complex cases.

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This structured approach ensures comprehensive skill acquisition, prioritizing safety, efficacy, and practical application.