Case: Scalp Acupuncture in the Treatment of Tremors

Case Presenter: Elizabeth Sebestyen, MD, FAAMA
Panel: Mitch Elkiss, DO, FAAMA and Michael Freedman, MD, FAAMA

Join us for a dynamic “fine points” session where a real-world case is presented by an AAMA colleague. A panel of experienced medical acupuncturists will discuss possible acupuncture approaches and strategies for the case. From simple to complex cases, the panelists will offer insights into developing strategies based on diagnostic considerations and how to work through developing a framework for treatment. This session will encourage audience engagement through Q&A and collaborative reasoning approaches.

73 yo Hispanic right handed lady with H/O tremors since her 30s, worsening over the past 10 years. The tremor is an action tremor without any resting tremor, is bilateral, affecting both hands with left slightly more than right but the right hand tremors case greater functional limitation, impairing fine motor tasks like writing, eating, cooking and crafts. They are very disabling. She also has significant voice changes and head jerking with stuttering and vocal interruptions lasting from minutes to hours or a whole day. She has mild balance difficulties but no falls.