Patient: Ms Hing, 30 years old
Date: July 30, 2022, First visit
Main Problem: Neck pain for 5 days, difficulty turning left and right – Stiff Neck
I learned from Ms Hing that this situation happened on Monday, and the neck started to feel uncomfortable. After getting up on Tuesday, the neck started to pain, and the neck could not be rotated until today, which also caused headaches. During the period, she also has try chiropractic treatment, but the situation did not improve a lot, so she came for treatment.
【Diagnosis】
When helping Ms Hing to check the neck and shoulders, when the hand touches the skin of the shoulder and neck,I feel that these parts have a slight fever, and even a slight touch will feel pain, and the basic diagnosis is that these parts are inflamed caused.
Ms Hing felt very pain when turning her head slightly, and the pain is persistent, even feel the neck muscle tightness.
After the preliminary examination and diagnosis, Ms Hing was invited to the treatment room to lie on the treatment bed for treatment.
【Treatment】
During the treatment, try to minimize the pressure on the already swollen part. Because if keep pressing these parts, it will be more likely to aggravate the pain of the swollen and painful parts, and even make the inflammation more severe.
After the combination of tuina and acupuncture, Ms Hing was asked to get up and try to move the neck.“It feels a lot easier on the shoulders and neck, but the rotation of the neck still felt pain.”
“This is normal, because it is currently in the inflammation period, so the rotation of the neck is not very large, but because I have relaxed the muscles that affect the shoulder and neck, you will now feel easier on the shoulders and less pain.”
“I will prescribe some Chinese medicine for you to take to help relax the meridians and improve blood circulation, and I will also give you external medicine ointment to help reduce inflammation and help blood circulation in the inflamed part.”
Before Ms Hing left, I told him again: “Don’t try to massage your neck the next few days, try to rest as much as possible, and don’t look down at your phone and computer for too long, and remember to take medicine and apply medicine on time, and apply medicine on time. The pain is relieved a lot after the medicine.”
Revisit: August 02, 2022
Four days later, Ms Hing came back for a follow-up.
After 4 days of taking medicine, Ms Hing said that the symptoms of the neck were much better. The neck area is not so painful, she can even turn her head, and even the headache has been improved. However, when turning the neck, it will still feel a little tight.
On re-examination there was still tension and soreness in the neck and shoulders. Once again, Ms Hing was treated with tuina and acupuncture, loosening the muscles of the shoulder and neck, and finally adjusting the range of motion of the neck through exercise.
After the treatment, Ms Hing felt that the neck more comfortable and the neck movement were better.
Since the neck and shoulders have not fully recovered, I will prescribe Chinese medicine and external medicine ointment for you to continue taking them.
【Tips for after stiff neck】
- If you found that the neck is very painful when you just get up, and it is difficult to even rotate, it is not recommended to massage the area to avoid second-degree damage.
- We can also touch the shoulder and neck to feel the skin temperature. If the partial area felt very hot and the pain is more painful when touched, you can apply an ice pack for 10-15 minutes to relieve partial inflammation and reduce pain.
- Conversely, when we touch the shoulders and neck and feel that the partial skin temperature is normal and there is no hot, or just feel very tight, we can use a hot water pack as a hot compress for 10-15 minutes. Warm compresses can relax tense muscles and promote local blood circulation.
- After stiff neck, try to avoid sitting in front of the computer for too long, or looking down the mobile phone for too long to avoid aggravating the condition.
- If the pain persists the next day after stiff neck and is not relieved, please consult a physician who can handle muscle injuries, or an experienced physician for examination and treatment, so as not to delay the treatment time.
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简体中文 (Chinese (Simplified)) 
Melayu (Malay)
