Patient was a 46-year-old female. She had suffered with a chronic pain on the left suprascapular region for several years with numbness in her left fifth finger. Diagnosed as muscular pain, she went through chiropractics,massage, physical therapy, pain medications, and herbal plasters, all without much help. On examination, there appeared to be a hard nodule (Knot) with tenderness near Quyuan (SI13) on the left suprascapular region .This nodule was selected as master point and ENM (encircling needling method) was applied. Five needles were inserted around the hard nodule while a needle was inserted into the center. Associated points were Tianzong (SI11) , Feishu (BL13), Waiguan (TE5), and sensations, such as soreness and distension, needles were retained for 30 min while infrared radiation was applied. Acupuncture as shown above was applied twice weekly. Since the initial session, she felt much less pain. Through eight sessions, most of her symptoms were completely alleviated.