Case history A65 year old man who has played golf for more than 30 years presented for treatment of the 'yips'. The yips or golfer's cramp is a motor phenomenon of involuntary movements affecting golfers, making certain strokes, especially putting, all but impossible.
1In more general terms, the yips are described as involuntary jerks, tremors, freezing of the hands, muscle contractions and spasms. They frequently cause twisting or repetitive movements or abnormal posture, and predominantly affect the distal part of the upper extremity.In the patient's case, the symptoms were most frequent during putting. They started two years previously, for no apparent reason. In particular the patient was in balance emotionally and could not recall having exhausted the muscles in his forearms before developing the condition. He is an accountant and does not undertake any heavy manual work. He has no history of mental illness, or neck, shoulder or elbow problems. During the attacks, he feels that his upper extremities are frozen when he is making a short putt. Initially, he tried to solve the problem by changing to the left hand (he is right handed), without success. He has never tried relaxing medication or had any form of psychotherapy, and was not taking medication at the time of the consultation. On average he was playing golf three times a week and had a handicap of 14.On examination, the patient was calm without signs indicating nervousness. No abnormality was found in the neck, shoulder or elbow. On palpation of the wrist area, moderate tension was found in the region of TE5, but no other abnormality. Movements of neck, shoulder, elbow and wrist were normal, and no neurological abnormality was found.Despite the fact that the patient did not show any obvious signs of nervousness, it was decided to approach both the psychological and the muscular component of the yips. Acupuncture treatment was given to GV20, EX-HN-1 ( Si Shen Cong: four points 1 cun away from GV20) and TE5. After insertion, the needles were rotated clockwise and anti-clockwise for three to five seconds and left in situ for five minutes without any further stimulation. On the following visit a week later, the patient claimed that his symptoms had disappeared. He had been on the golf course three times, and had not experienced any sign of the yips.The patient received a similar acupuncture treatment on his second visit, and on his third appointment he claimed to be still without symptoms. As it was suspected that the patient might have a component of anxiety, despite his claim to be calm and relaxed, it was decided to continue the treatment for a few weeks on a fortnightly basis to a total of five treatments. The same treatment was given on each occasion. Afollow up by phone call six, twelve and 24 months after termination of the acupuncture Case reports
Acupuncture for treatment of the yips? -a case reportPalle Rosted Abstract A65 year old golfer with the yips was treated with acupuncture at GV20, EX-HN-1 ( Si Shen Cong) and TE5. The symptoms disappeared...