Hiccup/burp when the point is press

Hi, I have a patient who has chronic shoulder pain for almost 2 years. I have treated her mainly with deep massage and some acupuncture just for local ahshi point.  Lately I discovered a strange thing with this patient: whenever I press deep in the points (all around the shoulder blade and along the spine, and neck) she would burp out loud.  She said she feel better, less pain everytime she relieves the gas out.????? I don't know what it is.  Could it be that her stomach involve? Does anyone know or heard about this?

Jennifer


Comments

Chad Dupuis's picture

My guess is that while you

My guess is that while you are massaging around the shoulder you may be hitting the vagus nerve or the pressure of the massage may be influencing the vagus nerve (which is accessible in the ST 10, ST 11, ST 12 area).  

The following from wikipedia explain the very broad functions of the vagus nerve - which is why we focus on opening that area in many different conditions:

The vagus nerve supplies motor parasympathetic fibers to all the organs except the suprarenal (adrenal) glands, from the neck down to the second segment of the transverse colon. The vagus also controls a few skeletal muscles, namely:

* Cricothyroid muscle
* Levator veli palatini muscle
* Salpingopharyngeus muscle
* Palatoglossus muscle
* Palatopharyngeus muscle
* Superior, middle and inferior pharyngeal constrictors
* Muscles of the larynx (speech).

This means that the vagus nerve is responsible for such varied tasks as heart rate, gastrointestinal peristalsis, sweating, and quite a few muscle movements in the mouth, including speech (via the recurrent laryngeal nerve) and keeping the larynx open for breathing. It also receives some sensation from the outer ear, via the Auricular branch (also known as Alderman's nerve) and part of the meninges.

bluebarian's picture

Burp pain release

I finally found a link to a very perplexing symptom tha I have had for a few years. I have trigeminal neuralgia, and was sent to physical therapy to try to help the pain. The therapist used her gloved hand to push on the inside of my r mouth . As she pressed, burps came out. She would also get burps when pressing on shoulder or back. She had never seen this response. We laughed and agreed that it was a blessing tha it wasn't from the other gas maker. I have pains in my toes, and multiple places on my body, they give me a zing, electric pain, then here comes the burp which almost always relieves the pain. I was examined by a neurologist who noted the burping during palpation and discussed it with a G I doctor. She swears I must be swallowing air. No I'm not. Not more than anyone else. The pressing on my body evokes the burp. I don't burp when just sitting around. My feet and hands have problems with being cold/ hot/ painful/ numb. At night my husband will rub my feet in a pattern of squeezing between the metatarsals up the length of the crevass of each joint area from distal to proximal. He gives a few presses from top and bottom which relieve the "full feeling in my foot. He does each space. Then he puts floppy socks on my feet b/ my feet are almost always cold, but can't stand any tightness from regular sock. Any time pressure is applied to my body I burp. Even if not in any pain. So if the cat walks across my chest, I burp. If my hubby gives me a hug I burp. If my son gives me a backrub I burp. I have no other GI problems. I do have multiple undiagnosed neurological problems that don't seem to have a common link. I am 51 years old. Up till 6 years ago I was a healthy active RN who worked full time, lived on a farm, was up from sunup to sundown and loved life. FYI other health problems Trigeminal neuralgia Central sleep apnea Neurogenic bladder Fatigue Decrease in ability to plan and make big jobs happen Slowness to my general activity and walking speed Numbness hands and feet cold feet Facial flush/ pulsing burning. Have to use wet washcloth on face Heat intolerance. Can't deal with heat over 70 degrees. Become fatigued, shower over and over to cool. Trouble climbing stairs. Use handrails to pull self. Use big dog to pull me up hill on walk. Decrease in feeling of lateral foot edge leads to falls into walls. My neuro still can't diagnose me. She said she may send me to UW soon. These all started 5 years ago. So, there is my two cents on the burping. Hopefully information gathering on the Internet can help us all.
all ways hope's picture

burping also

i have also had a consistent condition in which i experience an uncomfortable "fullness" or "feeling of air trapped under my shoulder blade area"... and when i have someone push in particular spots, i burp.  the burp provides relief. i have had this condition for at least 8 years.  8 years ago it was a funny & unexpected 'trick' that i could show close friends and family, while also getting relief of the air... they would never believe that the burp was related to them pushing on my back where i told them too.  i have been involved in yoga for decades, with great body awareness, so i knew confidently that it was connected.  back then, it was just once in a while, and also exclusively just under my left shoulder blade.  nowadays (and for past 2-3 years) it seems to occur while pressing in other areas of my body as well... they have this feeling of 'discomfort & fullness' and when i press on them air is relieved... this now includes my feet, forearms, calves, under both scapulae, neck, shoulders, quadraceps, spine, the sides of my lower back, and even the palms of my hands.  

i'm uncertain what this is... i have been searching online for information or other people's accounts for the past 8 years and tonight was the very first time i've heard of anyone else with this condition.  i've always had a sense it could be an imbalance or a progressive disease of some sort, but have just been grateful that i've found a way to relieve the discomfort / air pressure i feel in various body parts. 

i don't have health insurance and haven't told any western medicine doctors about it. i am a yoga teacher and also as a line of work offer many forms of bodywork, and i've never come across this in my studies or with any students or clients.

other things i have experienced lately or on occasion which may or may not be related are:  chronic pain in the right groin & adductor area, pain under my left rib cage (spleen / lung area), occasional nerve/electrical pain impulses near scalenes & general neck area, generalized fatigue, foggy headedness, and many symptoms of IBD/ulcerative colitis/chrohns.

thanks for reading and educated or relative feedback is very welcome.

 

student's picture

Explore the positioning of

Explore the positioning of the phrenic nerve - that is the nerve that innervates the diaphragm which couls apasm and cause the hiccoughs

dauncey's picture

Don't forget that the Spleen

Don't forget that the Spleen can reflect itself in the trapezius muscles. If you are a herbalist think of using herbs such as Ge Gen, or try massaging the Spleen (and Stomach) Shu points.

hawaalia's picture

massage and burping. any medical explaination?

 We, the whole family, call her Nenek (or Granny, in English.) Ow, not that she’s my grandmother. She’s just a 71 year-old masseur who’s, amazingly, still kicking and alive (otherwise she’d just massage herself instead, wouldn’t she?)

When she first arrived at our house to massage me, she burped. And when she was massaging me, she burped again and again. I thought that was just her old-age habit. But then, as if she could read my wondering mind, she explained to me that she would burp everytime someone needed her help and when she is massaging her client (so I suppose it’s like her “sensor” thingy.) In her opinion, there is some kinda unhealthy air within the unwell muscles and that air has to be drawn out, and at this point she usually burps. Meanwhile, I failed to reach the common sense while trying to picture her explanation in my mind *sigh*

On top of it all, Nenek is a very nice old woman. Very polite. She, in an undeniable way, brings warmth to everyone in the house every time she comes.

Anyway, I still don’t get the logic behind the ‘unhealthy air’ and ’burp’ until now. Maybe I should just ask her again next time. Or can anyone please explain the mechanism (whadda…) to me?

Feng Mei's picture

my suggestion

It is a good appearance when you treatment the patient burp out, that means the bad energy come out of her body.

Thank you

Regards

Feng Mei

 

Chad Dupuis's picture

While Feng is saying that it

While Feng is saying that it is good when the patient burps (showing a release of some kind) - you are actually talking about the practitioner.  Certainly some practitioners who work on an energetic level may exhibit certain responses when working with patients.  This can be shaking, certain noises, and I suppose burping.  Medically there is little to explain this as the transference is entirely energetic, but it does happen.