Patient：Ms. Lim, 33 years old
Date: 22-05-2022, First visit
Main Problem: Repeated pain in left arm for 1 month with back tingling on turning.
【The Cause】
I learned from Ms Lim that the cause of this time may be an injury caused by inadvertent exercise. Back tingling increases when the body is turned to the left; back pain and back shoulder tenderness are affected when the arm is raised forward and abducted.
During this month, she has also had other treatments, and even though chiropractic treatment, the effect is not obvious.
【Diagnosis】
When examine Ms. Lim’s shoulder joint and shoulder ilium, I found that the muscles at the shoulder and shoulder ilium were too tight, which affected the physiological amplitude of the thoracic spine and shoulder ilium at the same time.
That’s why when the body moves and the arm moves that stretches on these muscles cause pain.
【Treatment】
First, tuina therapy was use to unclog the muscles of the shoulders and back to relax the muscles that are too tight, and then cooperate with acupuncture to promote blood circulation and muscle repair in the shoulders and back.
Last, adjust the physiological range of the thoracic spine and the shoulder ilium; and adjust the range of motion of the shoulder joint through exercise.
After the treatment, let Ms. Lim get up and move. “I feel less pain in my arm”
“Today I will prescribe some traditional Chinese medicine to relax your muscles and blood circulation, and regulate your spleen and stomach functions.”
Revisit: 25- 05-2022
When Ms. Lim came back for a follow-up consultation, she told me that the pain in her arm was relieved a lot. Even now, the pain in her back when she turned around was relieved, and her flatulence was also improved.
This time, the curative effect was consolidated through tuina and acupuncture, and then combined with traditional Chinese medicine for conditioning.
Revisit: 29-05-2022
This time, Ms. Lim came back for a follow-up, the pain in her arm and back had improved a lot, and her flatulence had not occurred again.
The physical range of the thoracic vertebrae and scapuloiliac bones returned to normal.
【How to deal with shoulder injury? 】
【1】If you have just been injured, try to rest your arm as much as possible and avoid lifting heavy objects to avoid secondary injury.
【2】When we touch the painful position and feel no redness, swelling and heat, we can use a hot water pack to warm the area for 10-15 minutes to promote local swelling and blood stasis and help muscle repair.
【3】Try to avoid fixing a certain position for a long time, especially if you hold your head down and press the phone or sit in front of the computer for too long. You need to get up and move your arms regularly, stretch your muscles and bones, and relieve the fatigue of your arms and back muscles.
【4】If the persistent pain in the arms and back is not relieved, please consult a physician who can handle muscle injuries, or an experienced physician for examination and treatment.
【Afterword】
TCM treats based on syndrome differentiation. The treatment process is based on the patient’s own conditions. Generally, the main problems and incidental problems can be treated at the same time, not just headaches treat head or hand pains treat hand only.
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