Patient: Mr. Li, 67 years old
Date: May 23, 2022, first visit
Chief Complaint: Back Sprained, back pain to the point of being unable to bend or turn
Miss Li, who had visit before, helped his father into the consultation room.
Me: “Hello~ long time no see~”
“Today I brought my dad here. He has severe back pain.”
Mr. Li needs his daughter to support him when he walks in. When he sits down, it is obvious that his activities are restricted. “His waist was uncomfortable a few days ago. Yesterday he went to another place massage, but after that severe back pain until cannot walk.”
【Diagnosis】
Mr. Li’s waist was so painful that he couldn’t bend or turn, and it even affected his normal walking. His pain was constant, even throbbing. Open the clothes to see: Mr. Li’s entire waist and lower back are very painful, and the heat is obvious when I touches it with my hands. “Come, come and feel it and see if the temperature of the rest of your father’s body is much different from the painful part.” “Yes, it’s not that hot around, but it’s hot in the middle.” In fact, this is caused by inflammation.
After the preliminary examination and diagnosis, Mr. Li was invited to the treatment room and lay on the treatment bed for treatment.
【Treatment】
During the treatment, I did not press on the swollen and painful area, if we continued to stimulate the swollen and painful area, it may be relieved at the moment, but after that, the swelling and pain will become more severe, and the pain will be worse than before.
After the manual therapy, I ask Mr. Li try to get up.。“Relatively able to get up！”“ Although you feel better and less painful now, it is because I have loosened all the tendons that affect the lower back, so you will feel less pulling and less pain. But after you go back and sit or lie down for a while, the pain will still come back, but you won’t have that tight muscle tension.”
“I will prescribe some Chinese medicine for you to eat to help promote blood circulation and reduce inflammation, and I will also give you three medicine patches for external application, which are used to help reduce inflammation in your inflamed areas.。”
Before the father and daughter left, I reminded again: “Remember that you can’t press the swollen and painful area, and also remember that you will feel comfortable tonight, but it will be very painful after you remove the medicine patch tomorrow, wait until tomorrow night to apply the second patch. The inflammation of low back will be greatly reduced after the second patch, and after three patches, you will feel much better.” The father and daughter thanked and left.
The next day, Miss Li also called and said, “Doctor Gan, my father’s back still hurts so much that he can’t get up, what can I do?” “I told you yesterday that it would be more painful today. Don’t worry, if really too painful, you can do ice compresses for him today. He will be much better tomorrow when the second patch is applied tonight.” Again, I remind him not to press on the swollen and hot parts before hanging up.
Second Visit: 28 May 2022
Four days later, Mr. Li and his wife came for a follow-up.
“Wow, Mr. Li, you looks pretty good today, can move freely.” Mr. Li said that he is much better, and he can bend down, sit down, and get up without any problem. After re-examination, it was found that there was still a little soreness in the waist and mild inflammation. Once again, I loosening the tendons in the waist and leg, Mr. Li felt that the pain in the waist disappeared. Based on the symptoms of mild inflammation in his waist, I prescribed 2 days of oral Chinese medicine and 2 external patches to Mr. Li. “After eating and using the medicine for 2 days, if there is no pain, you don’t need to come again.”
“Next time we straight away come here, don’t mess around with others. “Mr. Li said to his wife.
【Tips for Post-Sprain Treatment】
For friends who have just sprained, if the part of the sprain is swollen and hot, be sure not to press or do excessive massage on the part.
If the painful part of the sprain feels hot, we can find an ice pack and press it for about 10 minutes, which can reduce inflammation and reduce pain.
If the pain does not improve the next day, please visit an experienced doctor for inspection and treatment.
【Afterword】
Many patients told me that they go to visit a doctor after sprain. But the doctor told them not to go to massage or go to anywhere for treatment. In fact, there are reasons. Because if handled improperly, it will indeed aggravate the patient’s injury. Since the doctor can’t handle it himself and doesn’t know who can handle it, so that it is the safest suggestion not to go to massage.
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