Acupuncture – The ankle and foot

Pain in this area can be treated quite well by needling the periosteum, for example over the lower end of the tibia and over the navicular. Pain in the heel, often ascribed (I think wrongly) to heel spurs can sometimes be helped by local periosteal needling, although more often by needling painful areas in the leg (see above): look for TPs in the muscles of the leg (soleus, gastrocnemius) which may be referring pain distally.

Pain in the Achilles tendon , often accompanied by a visible swelling of the tendon, may respond to fairly superficial needling around the painful swollen area.

Osteoarthritis of the big toe is rewarding to treat; good relief is provided by periosteal needling of the 1st metatarsal and 1st phalanx. Relief usually lasts about 12 weeks.

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