NO MORE PAIN AND SUFFERING!
The Precision Method by Emerson M. F. Jou, M.D.
No Drugs! No Injections! No Surgery!
There is a misconception among healthcare providers and general public about back pain. In car accident, slip/fall, sprain/strain, sports, soft tissue injury (muscle/fascia strain) is the true cause of pain, not disc herniation (pinched nerve) or other conditions of the spine. Such injury can be diagnosed through manual examination of the involved muscle/fascia for tenderness, tightness, weakness, limited motion and postural changes. X-rays and MRI are not needed. Acute and chronic back pain can be treated successfully and cost-effectively within a short period of time focusing on soft tissue release with light touch (Touch-and-Hold & Stretch-and-Hold of The Precision Method) but not by surgery, injection, medication, exercise, acupuncture or manipulation. Without proper treatment, it may remain unresolved and disabling for years. A diagnosis with no regard to soft tissue injury is deemed to be a misdiagnosis; a treatment with no regard to soft tissue injury is deemed to be ineffective. The same approach can be applied to other parts of the body and many pain-related conditions as illustrated in the Table of Contents.
After accumulation of clinical experiences in personally treating thousands of patients for more than twenty years, I have gained precious insight about pain. I am very delighted to share it with everyone. This book is intended to spread the good news that pain is actually a very simple matter and easy to cure. The issue of pain is outlined here in a nutshell, following three simple steps: (1) what is wrong? (2) where is it? (3) how to fix it?
1. Pain must have its source. Pain indicates an injury and/or acute inflammation. Pain
is often not associated with inflammation because of its brief duration. All pain
comes from soft tissue injury. Once injured, the injury accumulates and remains with
or without pain for a lifetime until treated.
2. Pain is where the injury is and vice versa. Pain does not radiate to or from another
location, but may incite other injured sites to be painful.
3. Pain can only come from an injured tissue that has pain sensation. There is no pain
sensation in the spine, joint or blood vessel, and thus back pain is unrelated to the
spine, knee pain is unrelated to the knee joint and migraine is unrelated to the blood
vessels. We rely on nerves to perceive pain. The fact of feeling pain means nothing
wrong with the nerve, otherwise there is no pain when a nerve is damaged. Pain can
hardly be a problem of the nerve.
4. Pain presents its symptoms and signs in three dimensions (apparent pain, subtle
symptom, subtle sign), all originate from soft tissue injury.
5. Pain is derived from mechanically strained muscle and fascia (not tendon or ligament),
being much more intense with fascia than muscle. In diagnosis, the exact injured
sites can be manually detected and accurately located; X-ray, CT scan or MRI is of no
use. Any treatment that does not untangle the strained tissue is deemed to be
ineffective, including all external means such as medication, injection, hot/cold
application, electrotherapy, manipulation, stretching, surgery, acupuncture, etc. The only effective way to untangle the strained tissue is done internally by the body itself via light touch initiating self-healing. Anything that irritates the injured site worsens the
injury and should be avoided, including strengthening, stretching, traction, forceful
massage, manipulation, electrotherapy, etc.
6. A strain injury usually occurs first, easier, and more severely in a flexible muscle than its attachments on the bone. When injured, fascia is the most painful and cumbersome
to restore, muscle attachment next and muscle the least.
7. The degree of pain is not always proportionate to the severity of injury because of
other factors involved.
8. Acute injury is likely to recover much sooner than a chronic one. An injury should be
treated immediately or as soon as possible. The older the injury, the more stubborn
and time-consuming it is to release. To get rid of pain is easy; to correct contracture
or deformity requires more effort. All acute and chronic soft tissue injuries,
regardless of their severity and duration, can be resolved eventually.
9. Pain from either soft tissue injury or acute inflammation can be readily and quickly
cured by applying Touch-and-Hold & Stretch-and-Hold of The Precision Method
precisely on the injured site. Touch or Stretch initiates physiological response of
self-healing to release the strained tissue and Hold sustains the release until reversing
to normal.
10. All pain-related conditions can be effectively and cost-effectively treated using The
Precision Method, a viable choice in healthcare.
The Precision Method is briefly summarized here in sequential steps:
1. Narrowing down the injury in the context of any symptom or sign of The Three
Dimensions of Pain.
2. Locating the painful site by active range of motion, passive range of motion, active
movement against resistance, the painful site being the injured site.
3. Detecting an injured muscle by muscle testing, the weakened muscle being the
injured muscle.
4. Pressing on the identified injured site to probe for tenderness as the exact locus of
injury.
5. Applying light touch precisely on the locus and holding still for a needed duration
(Touch-and-Hold) until tenderness disappears, then repeating the same to resolve
other injured sites.
6. As an additional step when indicated, gently stretching an injured muscle at a specific
angle/direction and holding still at the point of initial discomfort for 30 to 60 seconds
(Stretch-and-Hold), then repeating the same several times.
Dr. Jou is a board-certified specialist in Physical Medicine & Rehabilitation and has expertise with more than 40 years of experience in the diagnosis and treatment of soft tissue injury. He has treated thousands of patients and achieved 90-100% success rate. His unique The Precision Method has been proven to be so effective in resolving the true sources of pain that no one should ever have to learn to live with pain. Both its theory and practice are well written in his book.
Samples of Pain Mismanagement https://bit.ly/3N0dkS0
不再捱痛！不必受苦！
免吃藥！ 免打針！ 免開刀！
復健專科醫師周明峰 首創精準療法
根治腰酸背痛及各種疼痛疑難雜症
一般人(包括醫師)對腰酸背痛的病因多遭誤導。車禍、工作、跌倒、運動所造成的疼痛，係來自筋肉(肌肉、筋膜)扭傷，並非骨刺、坐骨神經痛、椎間盤突出、壓迫神經、關節炎等脊椎的問題。只要徒手檢查肌肉的緊硬與強弱、動作的障礙與姿勢的彎曲，不需X光或MRI，很容易便可準確診斷出疼痛的根源。若在傷處施用輕按候住及輕拉候住的精準療法(Touch-and-Hold & Stretch-and-Hold of The Precision Method)治之，必速效而癒。疼痛都是筋肉傷惹的禍，不檢查筋肉便誤入歧途，不醫治筋肉就徒勞無功。市面上許多無益的檢驗及無效的療法，枉費金錢、時間和心力，又受苦受罪，終久不癒，因其抓不到癢處(沒找出確切的病因)，未能對症下藥(治療的部位與方法不對)。但只要診斷準確、治療的部位及方法對、治療的次數及時日夠，不管新傷或舊疾，短期內即可痊癒。同樣的道理也可應用到身體其他的部位，以及諸種疑難雜症，如目次所列。
我親手療治疼痛患者逾廿年，百般淬礪，獲取寶貴的臨床歷練，深諳個中的奧秘與訣竅，特予明細論述，旨在闡揚疼痛的道理，樂與讀者分享，並報知佳音，疼痛原來非常簡單而且容易根治。在此依循三個簡單的步驟：問題是什麼？在哪裡？如何治？扼要點破釋疑，精簡分述如下：
(一) 疼痛必有根源，痛表示受傷或發炎，諸種疼痛概皆來自筋肉傷，而與炎症無關，因炎
症痛短期內就消失；一旦受傷，傷處長年留存累積，不治則時痛時隱，終生不癒。
(二) 痛處即傷處，反之亦然；疼痛並不延伸轉移到別處，但會觸發其他傷處而痛。
(三) 疼痛不可能來自沒痛神經的組織，脊椎、關節、血管無痛覺，腰痛與脊椎、膝痛與膝
關節、偏頭痛與血管，互不相關；身體仰賴神經才有感覺，能感覺痛表示神經完好，
否則神經損壞便已喪失痛覺，疼痛並非神經的問題。
(四) 疼痛的症狀有三層次—明顯疼痛、輕微症狀、隱約意態，均源自筋肉傷。
(五) 疼痛來自機械性扭傷的肌肉和筋膜(不是肌腱或韌帶)，筋膜痛比肌肉痛尖銳甚多。徒
手檢查可找出確切的傷處，X光、CT scan、MRI無以顯示。各類療法若不梳理扭纏
的傷處，即屬無效，包括所有外在的方式，例如藥物、打針、冷熱敷、電療、推拿、矯整附
件、開刀、針灸、------等；唯一有效的療法，必須靠身體本身內在的自癒功能，經由輕按來
啟動，才能鬆解傷處。任何刺激傷處的動作，易致惡化，亟宜避免，包括牽引、拉筋、推
拿、運動、按摩壓揉、鍛練肌肉、------等。
(六) 柔軟伸縮的肌肉最先、也最容易受傷，傷勢比其在骨頭上的附著處還嚴重；受傷時，筋膜最
痛、也最棘手，其次是肌肉附著處，再其次才是肌肉。
(七) 疼痛的程度與傷勢的輕重並不皆成正比，因牽涉到其他的因素。
(八) 急性新傷比慢性舊傷恢復得快，受傷後最好即時治療，越早越好，不然拖愈久愈頑固，
就愈費時；除痛容易，但矯正畸形或攣縮，則須多費功夫。不論新傷舊疾有多嚴重、
拖多久，最終都可化解。
(九) 若在確切的傷處施以輕按候住及輕拉候住的精準療法，筋肉傷以及急性炎症痛皆可輕
易祛除，輕按或輕拉啟動自癒功能的生理反應而鬆解筋肉，候住則維持反應直到復原。
(十) 施用此法，診斷與治療既有速效、又花費極少，諸種疼痛病症得以根治，醫療上值得
重視採行。
精準療法的循序步驟，簡要述之：
(一) 任何「疼痛三層次」中的症狀表示有傷，據以指引筋肉傷的部位。
(二) 操作自主動作、扶助動作、動作時抗拒阻力，找出疼痛(受傷)的所在，痛處即是傷處。
(三) 檢測肌力，變弱的肌肉就是受傷的肌肉。
(四) 用手指按壓上述傷痛處，按痛的地方正是確切的傷處。
(五) 在確切的傷處嚴謹仔細地輕按一段時間，亦即輕按候住，直到按痛消失，同法移治其
他傷處，至於解除。
(六) 必要時，對受傷的肌肉以特定的角度與方向輕緩拉筋，稍緊或不適就停住三十秒鐘，
亦即輕拉候住，重複多次，同法移治其他受傷的肌肉。
周醫師在復健醫學界歷史最悠久、規模最大的紐約大學醫學中心完成專科訓練，擁有台灣及美國復健專科執照、Hawaii大學醫學碩士，專精腰酸背痛及各種疼痛疑難雜症的診治，經驗逾四十年，首創精準療法，著書《NO MORE PAIN》All Pain Considered—A Breakthrough，以及《疼痛大突破》—根治各種疼痛疑難雜症。
醫學二三事─疼痛的誤診 https://bit.ly/46fqZy5
Soft Tissue Injury—the Culprit!
PREFACE
As a specialist in Physical Medicine and Rehabilitation, I have seen thousands of patients suffering from back pain over the years. During the first several years of my practice, I followed the current updates from medical journals and seminars, in addition to the previous textbooks and teachings of my professors for diagnosis and treatment. Even with my best efforts, I was unable to cure back pain, leaving me and my patients very frustrated. This bothered me quite a bit. I just could not accept the notion that back pain is incurable in this high-tech modern era. So I took a step back, trying to figure out why back pain is such a tough problem. I soon suspected that back pain must have come from muscles instead of spine or nerves. I then redirected my focus and started treating muscle injury, consistently obtaining satisfactory results, even cures in some cases.
Having many questions, yet little knowledge and no books or teachers for guidance regarding muscle injury, I had to search alone in the dark for answers without knowing where to go and what to look for. Relying on common sense and keen observation, I learned a great deal from carefully examining and treating my patients. I analyzed many medical writings with skepticism as well as verification. I also experimented with nearly all the available treatments. I began to see some light through the inner workings of pain. I was able to break the myths, one after another, and eventually come out of the maze. After considerable experience, I was finally convinced that back pain is actually derived from soft tissue injury, not bone spur, disc herniation, pinched nerve, sciatica, arthritis or other conditions of the spine, as written in the medical books. Therefore, I determined: Soft tissue injury is the culprit of back pain. A diagnosis with no regard to soft tissue injury is deemed to be a misdiagnosis; a treatment with no regard to soft tissue injury is deemed to be ineffective.
I unknowingly stumbled onto a new field of “soft tissue injury”. I was surprised and shocked to find how primitive and uncultivated the field is in modern medicine. No wonder there are numerous errors in the diagnosis and treatment of back pain as well as other pain-related conditions. In diagnosis, the cause of pain is often misleading, non-specific or unknown, not pointing to the real source. In treatment, based on a misleading diagnosis, it is understandably out of focus, ineffective, and largely symptomatic relief at best, but no cure. Thus, so many pain-related conditions remain unresolved for years despite all the medical resources. Patients have suffered so much for so long, still longing for a cure. How unfortunate it is, but how wonderful it would be to have a cure!
So I set out to search for a cure, charging forward with determination and diligence.
In my early efforts, I treated only the injured muscle and managed to soften its tight nodule. Before long, I realized that its attachments must also be treated and tried a slightly lighter technique to treat them.
Later, I understood the relationship between injury and muscle strength and that muscle strength is a key element in the diagnosis of pain. Pain interferes with muscle exertion and limits the output of strength; thereby most of muscle weakness is actually muscle strength limited by pain. Once pain is removed, strength returns to normal immediately. Thus, muscle strength can be utilized as a reliable factor in the diagnosis as well as in the measuring the efficacy of treatment.
Then, I also learned that exercising an injured muscle often irritates and worsens its injury, causing further weakness. To restore muscle strength, injury must first be resolved, but not with exercises. I always treated the injury without any strengthening exercise. Furthermore, most soft tissue injury actually comes from exercises; I realized that there is too much risk and little benefit in exercise. I hereby advocate suitable activity instead by downplaying the importance of exercise while alerting people about the risk of its harm so as to reduce or even prevent the occurrence of soft tissue injury.
In addition, I found that fascia plays an essential and utmost important role in pain. This new concept was monumental! It helps clarify various pain-related conditions. I had devised an effective way to treat fascia injury.
It has taken me quite some time, through trial and error, to find ways of identifying the precise source of pain and the optimal method of curing pain. All these years, I have been sharpening my skills to master the simplest, most effective and efficient techniques to cure pain. Initially, I applied vigorous massage in trying to break down tight muscles, based on physics. Although still somewhat effective, it hurt my patients and my hands. There is also the limitation that massage cannot be done to certain small parts of the body. I attempted various existing and creative methods, searching for a better solution for years in vain. My “eureka!” aha moment came one day (Easter Day 2005) when I tried light touch on a patient (my niece, Alice) who was terrified of pain and could not tolerate massage on the injured site. I was surprised to feel the injured tissue immediately softening under my fingertips until there was no more pain or tightness. By accident, I discovered the previously unknown and unutilized physiological phenomenon that light touch elicits body response for self-healing, reversing the injured tissue to its normal state, and thus pain disappears. Light touch works very well on the muscle and especially the fascia. It can be applied to soft tissue injury of any site and size. I have since replaced physics with physiology so that painful injury can be quickly resolved and there is little pain for my patients or my hands during treatment. This simple, low-tech, highly efficient, and truly effective method has become a terminator of pain and the very tool to cure injury.
The same principles of diagnosis and treatment can be successfully applied to pain anywhere in the body, even extending to other pain-related conditions.
Little by little, over a forty-year span, I have cumulatively established the theory and application of The Precision Method using Touch-and-Hold & Stretch-and-Hold techniques for soft tissue release. With this method, injured sites are precisely identified and effectively treated toward a cure. Any pain-related condition can definitely recover in a very short time without recurrence, regardless of new or old, mild or severe, tiny or large, body part or location. There is no risk or side effect. Costly tests, medications, injections, surgeries as well as tools, devices, machines are not needed; thus medical expenses can be greatly reduced. I am excited about this breakthrough and eagerly reaching out to bring good tidings to those in need.
This book is written entirely based on my personal understanding and clinical experience and for the first time, to introduce “The Precision Method”.
都是筋肉傷惹的禍
自序
筆者係物理復健專科醫師，幾十年來看過腰酸背痛的病人，不知凡幾？少說也有上萬。早先數年依照所學之醫學教科書、教授之授課及臨床指導、醫學期刊與學術研討會的新知，循規蹈矩地作診斷與治療；即使精心盡力，總是難以根治，效果令人失望，病人懊惱，我也十分困惑，何以在這高科技時代竟仍治不好？我的個性偏不信邪，不認為腰酸背痛真的應該如許難纏，便退而檢討解析。不久，我懷疑腰痛極可能來自肌肉傷，而非脊椎或神經的問題。於是，改以檢查肌肉，果然又緊又痛，按摩治療之，概皆成效良好，有些甚至得以根治。
起初，面臨許多疑難，苦於對肌肉傷痛所知有限，在既無書又無師的情況之下，獨自摸黑找答案，茫然不知從何著手，也不懂在搜尋什麼，唯有借助常識辨析及觀察體驗，從臨床診療中學習，仔細檢測，審慎探究，潛心研討各種論述，不斷質疑求證，並實際試驗幾乎所有的現行療法，逐漸尋出脈絡，一一破除迷思，擺脫窠臼，儲積了足夠的經驗，終於柳暗花明，啟開奧秘。從此確認，腰痛原來是筋肉傷所致，絕非書本所言的骨刺、椎間盤突出、壓迫神經、坐骨神經痛、關節炎或其他脊椎病變。總結言之，腰痛都是筋肉傷惹的禍。診斷若不檢查筋肉，便誤入歧途；治療若不及於筋肉，就徒勞無功。
如此無意間闖進「筋肉傷」的嶄新領域，驚見現代醫學在這方面的知識，渾沌未闢，一片貧瘠，因而錯謬百出，難怪對諸種疼痛病症的診斷，含糊迷歧、偏差離譜，始終未搔到癢處；診斷既已錯失，治療遂不對症，落得揚湯止沸、治標不治本，甚至胡為盲撞，療效極差，終成久醫不癒的無解難題。患者多遭誤導去做無益的檢驗與無效的治療，浪費金錢、時間、心力、醫療資源，而沉疴猶存，依舊捱痛嗷嗷待救。實在太冤枉！太可惜！若能根治，該有多好！
於是，我矢志尋求根治之方，全力以赴。
首先，我用按摩治療受傷的肌肉，設法鬆開硬塊，很快就察覺到骨頭表面的肌肉附着處必須兼顧才行，便以較為輕緩的手法試之。
我漸漸搞懂了肌力與筋肉傷的關係，傷痛阻礙肌肉的運作，力道變弱，肌無力(使不上力)多係肌肉受制於疼痛之故，一旦治傷袪痛，肌力立刻恢復正常；肌力對疼痛的診斷頗具關鍵，乃是檢查傷處及驗證療效的要素。
後來，我體會出操練肌肉會刺激傷處使之惡化，肌力不增反減，要恢復肌力，必須先療傷，不能靠運動，治療時我刻意排斥強肌運動。更爾，絕多的筋肉傷乃是運動所造成，我深悟並認清運動的好處太少、壞處太多，在此呼籲，吾人必須貶低運動的重要性，同時強調運動的危害性，代以適當的活動，俾能減少甚而預防筋肉傷。
此外，我發見筋膜在疼痛中扮演極其重大的角色，這個新觀念是瞭解各種疼痛相關病症的一大轉機，我也逐漸揣摩出筋膜傷的診治。
許多年裡，由失誤中學習，從挫折中探討，致力尋找疼痛的確切根源與對症療法；在技巧上持續改進，精益求精，希望鑽研出最簡易、有效、快捷的治療方法。初期依物理原則，用力壓揉緊硬的肌肉，按摩予以鬆開，稍具療效，但是病人喊痛，治療者也手痛；況且按摩有其局限，隱密及細微處無從下手。我用心嘗試各種傳統與創新的療法，一直找不出更好的方法。某天(二ΟΟ五年復活節)轉捩的契機忽地臨門，一位病人(甥女張亮芳)極為怕痛，不肯按摩弄痛傷處，我只好改以輕按代替壓揉，不期然竟感覺到，指尖下緊痛的傷處即刻反應，漸趨鬆軟，至於不緊也不痛，令我萬分驚訝，驀地恍悟出一個現象：輕按傷處能啟動人體的自癒功能，病變迅速復原，疼痛隨即消失。這是身體原本就有的生理功能，歷來沒人知曉，也不懂得應用；我意外地發現了除痛的奧妙，恰是「終日尋春不見春，芒鞋踏破嶺頭雲，歸來笑拈梅花嗅，春在枝頭亦十分」，果爾「踏破鐵鞋無覓處，得來全不費功夫」，不啻天賜的奇蹟！輕按對筋肉(尤其是筋膜)傷的療效特佳，無論大小、部位，甚至沒法按摩的細密處，皆可治之而癒。我乃放棄物理原則而改依生理原則，輕按治療時病人不痛，治療者的手也不痛。這種低科技的徒手療法，對筋肉傷的鬆解與痊癒確具實效，簡便容易又快速，儼然成為疼痛的剋星、療傷的利器。
腰痛之外，引申到全身各部位，及於諸種疼痛疑難雜症，一概適用不爽。
筆者耗費時日四十年，一點一滴累積知識與經驗，終於開創出以輕按候住及輕拉候住手法專治筋肉傷的精準療法(Touch-and-Hold & Stretch-and-Hold of The Precision Method)，建立其理論與實際，完成體系。此法可精確找出傷處，疼痛不管新舊、輕重、大小、部位，短期內便能輕易根除，而且治癒之後，不虞復發。不必吃藥、打針、開刀，無需工具、儀器、器械，沒危險性、副作用，既省事、省時，也省大筆醫療花費。筆者慶幸有此重大的突破，爰立下心願，將之推廣，盼能帶給疼痛患者，根治的佳音。
本書完全根據個人對治療疼痛的認知心得和臨床經驗而寫，並介紹筆者首創的精準療法。
* 本書比照筆者的英文原著：《NO MORE PAIN》All Pain Considered—A Breakthrough 2023年最新增訂版。
Table of Contents
Preface
Soft Tissue Injury—the Culprit!
Breaking the Myth of Back Pain
1. Introduction
2. Myth and Maze
3. Critique and Comment
4. Source and Cause
5. Principle
6. Symptom and Sign
7. Diagnosis
8. Treatment
*The Precision Method—Touch-and-Hold & Stretch-and-Hold
9. Exercise
10. Self-Care
11. Conclusion
12. Addendum
Other Pain
1. Headache and Facial Pain
* Scalp Numbness, Scalp Noise, Dizziness, Vertigo, Motion Sickness, Blurred Vision,
Flu-like Symptoms, Stuffy Nose, Runny Nose, Post-Nasal Drip, Sneezing, Tinnitus,
Meniere's disease, Baldness, Strabismus, Protruding Eye, Dry Eye, Dry Mouth,
Watering Eye, Tear Spillage, Visual Dysfunction (Myopia, Hyperopia, Astigmatism,
Presbyopia), Glaucoma, TMJ Dysfunction, Lockjaw, Dropped Jaw, Earache, Plugged Ear,
Trigeminal Neuralgia, Bell’s Palsy, Slurred Speech, Stuttering, Drooping Eyelid,
Ingrown Eyelashes, Incomplete Eyelid Closure, Drooling, Facial Numbness,
Facial Apathy, Eye Blinking, Blepharospasm, Facial Tic, Restless Lips/Tongue/Chin,
Nasal Septum Deviation, Loss of Smell, Loss of Taste, Burning Mouth Syndrome
2. Neck and Shoulder Pain
* Dropped Head Syndrome, Spasmodic Torticollis, Tilt Head, Restless Neck, Snoring,
Throat Wheezing, Dry Cough, Dysphagia, Vocal Cords Dysfunction, Rotator Cuff Tear,
Habitual Shoulder Dislocation
3. Frozen Shoulder
4. Tennis Elbow and Arm Pain
* Golfer's Elbow
5. Wrist and Hand Pain
* Thoracic Outlet Syndrome, Complex Regional Pain Syndrome, Carpal Tunnel Syndrome,
De Quervain’s Disease, Wrist Drop, Personage-Turner Syndrome, Trigger Finger,
Focal Dystonia, Restless Hand, Dupuytren’s Contracture, Claw Hand, Cold Hand,
Finger Numbness, Deformed Fingernail
6. Chest and Rib Cage Pain
* Costochondritis, Tietze’s Syndrome, Intercostal Neuritis, Dyspnea, Hiccups, Belching, Nausea, Breast Pain, Post-lumpectomy Breast Lump, Sagging Breast
7. Hip and Thigh Pain
* Coccygeal Pain, Sitting Pain, Groin Pain, Trendelenberg Gait
8. Knee and Leg Pain
* Osgood-Schlatter Disease, Shin Splints, Stump Pain, Phantom Limb Pain
9. Leg Cramps
* Restless Leg Syndrome, Restless Elbow/Wrist/Hand/Finger
10. Ankle and Foot Pain
* Plantar Fasciitis, Morton’s Neuroma, Tarsal Tunnel Syndrome,
Achilles Tendon Tightness, Toe Walking, Pigeon Toe, Club Foot,
Claw/Hammer/Mallet Toe, Ankle Lump, Heel Pain, Shuffling Gait, Bunion, Painful Corn,
Ledderhose Disease, Cold Foot, Toe Numbness, Burning Foot Syndrome,
Ingrown Toenail
Pain-Related Condition
* Scar Pain, Nodule
* Concussion, Contusion, Burn, Wound, Soft Tissue Bulge, Knuckle Pad, Eye Bag,
Facial Wrinkles, Neck Wrinkles, Deformed Eyelid/Ear/Lip/Tongue/Nipple /Labia
* Arthritis, Arthritic Stiffness, Joint Pain
* Fracture, Dislocation
* Scoliosis, Kyphosis, Knock-knee, Legg-Calvé-Perthes Disease,
Avascular Necrosis of the Femoral Head, Dowager’s Hump, Lateral Hump,
Sway Back, Leg-length Discrepancy
* Spinal Cord Injury
* Post-polio Syndrome, Post-stroke
* Shingles Pain, Post-herpetic Neuralgia, Guillain-Barré Syndrome
* Diabetic Peripheral Neuropathy, Trophic Skin Change
* Pre-menstrual Syndrome, Endometriosis, Hot Flash
* Pregnancy, Post-partum Pain, Stretch Marks
* Chronic Fatigue Syndrome, Insomnia, Anxiety, Depression, ADHD, PTSD
* Post-operative Non-surgical Pain
* Essential Hypertension
* Varicose Veins, Spider Veins, Hemorrhoids, Edema, Lymphedema
* Sleep Apnea
* Irritable Bowel Syndrome, Acid Reflux, Hiatal Hernia, Stomach Cramps,
Abdominal Cramps, Stomach/Abdominal Pain, Bulging Belly,
Bowel Dysfunction (Urgency, Frequency, Stress Incontinence), Constipation,
Bowel Retention, Anal Pain, Prolapse of Anus/Hemorrhoids/Rectum
* Irritable Bladder, Urethral Hernia, Urinary Dysfunction (Urgency, Frequency,
Hesitancy, Retention, Stress Incontinence, Post-void Dribbling)
* Erectile Dysfunction, Priapism
* Peyronie’s Disease
* Sexual Pain, Vaginal Tightness/Cramps, Penis Captivus, Vaginal Laxity,
Prolapse of Vagina/Uterus
* Ehlers-Danlos Syndrome, Joint Hypermobility Syndrome, Arthrogryposis
* Fibromyalgia, Stiff-person Syndrome
* Animal
Appendix
Samples of Pain Mismanagement
Acknowledgment
目次
都是筋肉傷惹的禍 自序
破解腰酸背痛的迷思
1. 前言
2. 迷思
3. 評析
4. 病因
5. 原理
6. 症狀
7. 診斷
8. 治療
* 精準療法─輕按候住及輕拉候住
9. 運動
10. 保養
11. 結論
12. 附語
其他部位疼痛
1. 頭痛及顏面痛
* 頭皮麻感、頭殼雜音、頭昏、暈眩、暈車、眼花、感冒般症狀、鼻塞、 流鼻涕、
鼻後滴流、打噴嚏、耳鳴、禿髮、斜視、凸眼症、乾眼症、口乾症、淚溢症、漏淚、
視力失調(近視、遠視、散光、老花眼)、青光眼、顳頜關節障礙、牙關緊閉、垂頜、
耳痛、耳塞、三叉神經痛、顏面神經麻痺、發音不良、口吃症、眼垂、嵌睫、
眼瞼閉合不全、流涎、顏面麻感、表情木訥、眨眼、瞼痙攣、面肌抽搐、
躁動唇/舌/頷、鼻中隔偏斜、嗅覺喪失、味覺喪失、口舌灼熱症候群
2. 頸肩痛
*落枕、垂頭症、陣孿性斜頸、歪頭症、晃頸、打鼾、喉嚨喘鳴、乾咳、吞嚥困難、
發聲障礙、軸轉肌袖口撕裂、習慣性肩關節脫位
3. 五十肩
4. 網球肘及臂痛
*高爾夫肘
5. 手腕痛
*胸廓出口症候群、局部疼痛複合症候群、腕隧道症候群、de Quervain氏病、
垂腕症、Personage-Turner氏症候群、扳機指、局竈性肌緊、躁動手、
掌腱膜纖維瘤病、爪形手、手冷、指麻、指甲變形
6. 胸肋痛
*肋軟骨炎、胸肋軟骨炎、肋間神經炎、呼吸困難、打嗝、呃逆、噁心、乳房痛、
腫塊切除術後乳房腫塊、乳房下垂
7. 臀股痛
*尾椎痛、坐痛、鼠蹊痛、Trendelenberg氏步態
8. 膝腿痛
*夾脛症、脛骨粗隆、截肢痛、幻肢痛
9. 小腿抽筋
*躁動腿症候群、躁動肘/腕/手/指
10. 足踝痛
*蹠筋膜炎、蹠神經瘤、跗隧道症候群、跟腱緊、吊腳、內八字腳、畸足、
爪形/鎚狀/槌狀趾、腳踝腫包、腳跟痛、碎步走路、大趾囊腫、厚繭痛、
蹠腱膜纖維瘤病、腳冷、趾麻、灼熱足症候群、嵌趾甲
疼痛疑難雜症
*疤痕痛、黏連、結節
*震傷、挫傷、灼傷、創傷、筋肉腫塊、指節小結、眼袋、臉面皺紋、脖頸皺紋、
變形(眼皮、耳朵、嘴唇、舌頭、乳頭、陰唇)
*關節緊僵、關節痛
*骨折、關節脫臼
*脊柱側凸、脊柱後凸、膝外翻、Legg-Calvé-Perthes氏病、缺血性股骨頭壞死、
背駝、側駝、翹臀、長短腳
*脊髓損傷性癱瘓
*小兒麻痺後遺症候群、中風後遺症
*皮蛇痛、疹後神經痛、Guillain-Barré 氏症候群
*糖尿病性末梢神經症、營養性皮膚衰變
*月經痛、子宮內膜異位、熱潮紅
*懷孕、月內風、妊娠線
*慢性疲勞症候群、失眠症、焦躁症、憂鬱症、過動症、創傷後壓力症候群
*開刀後非手術性傷痛
*原發性高血壓
*靜脈曲張、蛛網靜脈、痔瘡、水腫、淋巴水腫
*呼吸暫停
*胃腸激躁症、胃液逆流、裂孔疝、胃絞痛、下腹絞痛、胃痛、腹痛、凸肚、
大便機能障礙(便急、頻便、壓迫性失禁)、便秘、滯便、肛痛、直腸脫垂、
脫肛、脫痔
*膀胱激躁症、尿道疝、小便機能障礙(尿急、頻尿、遲尿、滯尿、壓迫性失禁、
尿後餘滴)
*陽痿、陰莖異常勃起
*陰莖海綿體硬結
*性交痛、陰道緊攝/痙攣、陰莖嵌持症、陰道鬆弛、陰道/子宮脫垂
*Ehlers-Danlos氏症候群、關節鬆弛症候群、關節攣縮症
*纖維肌痛、僵人症候群
*動物
附錄
醫學二三事─疼痛的誤診
後記
Emerson M. F. Jou, M.D., M.P.H.
Solo Practice
The Rehab Clinic (since 1983)
Honolulu, Hawaii
NoMorePain Clinic (since 2003)
2512 Walnut Ave., #4
Tustin, CA 92780
Address: 321 North Kuakini Street, Suite 410
Honolulu, HI 96817
Phone: 1-808-523-2421
Cell: 1-808-256-5591
Website: NoMorePainClinic.com
Degree
M.D. Chung-Shan Medical College
Taichung, Taiwan
M.P.H. University of Hawaii School of Public Health
Honolulu, Hawaii
Residency in Physical Medicine
and Rehabilitation
New York University Medical Center
Institute of Rehabilitaion Medicine
New York, New York
Diplomate
American Board of Physical Medicine and Rehabilitaion
Taiwanese Board of Physical Medicine and Rehabilitaion
Membership
American Academy of Physical Medicine and Rehabilitation
Taiwanese Academy of Physical Medicine and Rehabilitation
American Association of Neuromuscular & Electrodiagnostic Medicine
Career Path
Clinical Instructor
University of Minnesota School of Medicine &
Minneapolis VA Hospital,
Department of Physical Medicine and Rehabilitation
Minneapolis, Minnesota
Chief of Outpatient Services
Harmarville Rehabilitation Center
Pittsburgh, Pennsylvania
Associate Medical Director
Rehabilitation Hospital of the Pacific
Honolulu, Hawaii
U.S. Patent (pending)
Touch-and-Hold & Stretch-and-Hold of The Precision Method
周明峰 醫師
學歷
中山醫學院 醫科
台灣 台中
公共衛生學碩士 主修老人學
MPH (Master of Public Health) in Gerontology
University of Hawaii School of Public Health
Honolulu, Hawaii, USA
物理復健專科 住院醫師
Residency in Physical Medicine and Rehabilitation
New York University Medical Center
Institute of Rehabilitation Medicine
New York, New York, USA
專科
美國物理復健專科執照
台灣物理復健專科執照
會員
American Academy of Physical Medicine and Rehabilitation
台灣復健醫學會
American Association of Neuromuscular & Electrodiagnostic Medicine
開業
信望愛復健中心 (1983年迄今)
The Rehab Clinic
Honolulu, Hawaii, USA
疼痛特別門診 (2003年迄今)
NoMorePain Clinic
2512 Walnut Ave., #4
Tustin, CA 92780
地址: 321 North Kuakini Street, Suite 410
Honolulu, HI 96817 USA
電話: 1-808-523-2421
手機: 1-808-256-5591
網站: NoMorePainClinic.com
經歷
臨床講師暨主治醫師
University of Minnesota School of Medicine
Minneapolis VA Hospital, Department of
Physical Medicine and Rehabilitation
Minneapolis, Minnesota, USA
門診部主任暨主治醫師
Harmarville Rehabilitation Center
Pittsburgh, Pennsylvania, USA
醫務副主任暨主治醫師
Rehabilitation Hospital of the Pacific
Honolulu, Hawaii, USA
專利
輕按候住及輕拉候住的精準療法
Touch-and-Hold & Stretch-and-Hold of The Precision Method
美國專利 (審理中)
其他著作：1994 台灣簡史（$15）、1995 心在台灣（$25）、2001 台美情懷（$20）、2020 哈哇意亡 國史—ALOHA哀歌（$15）、2021 晚霞滿天—台美歲月（$25）。若有興趣，請留言。
FORUM 論壇
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（請按這個標誌加入論壇）
本論壇是針對各種疼痛疑難雜症的診斷與治療，提供給所有醫療人員及患者的公開園地，歡迎加入參與，問答討論、交換心得。
This is a public forum open to all healthcare professionals and patients for sharing and discussion about anything in the diagnosis and treatment of all pain and pain-related conditions.