Patient: Mr Hew, 35 years old
Date: August 06, 2022, First visit
Main Problem: Repeated pain in right elbow for more than 1 month
I learned from Mr Hew that because of work, He sometimes need to carry heavy things. At first, it was only a little sore, but in the last month, it has become more and more painful. Even when he sleep, it will be sore until wake up, so he came for treatment.
【Diagnosis】
When examining Mr Hew’s elbow, it was found that there was obvious tenderness on the outside of the elbow, and it was also painful when the elbow was rotated inward.
The muscles on the back of the wrist joint are also relatively tight, so it is diagnosed that the elbow has been injured due to long-term strain due to his work, which affects the pulling of the nearby muscles to the wrist.
His pain is feel like needle pain. Because of the long-term strain, the local blood circulation is not good. So it will be very painful when bending the elbow and making a fist.
After preliminary examination and diagnosis, Mr Hew was asked to go to the treatment room and lie down on the treatment bed for treatment.
【Treatment】
During the treatment, the muscles around the elbows and wrists are unclogged through tuina therapy the to relax the tense muscles and activate the flexibility of the muscles, and then cooperate with acupuncture and heating light therapy to promote the blood circulation and joint ligaments of the elbow and wrist joints repair.
Afterwards, use the manipulations and movements to adjust the range of motion of the elbows and wrists to help the elbows and wrists restore the range of motion of the joints.
After the treatment, how does it feel to have Mr Hew move his elbow and make a fist?
Mr Hew felt that the pain in his elbow was relieved, and the pain in his fist was also relieved, but he still felt some needle pain.
“I will prescribe some chinese medicine for you to take, to help relax muscles and blood circulation , strengthen the repair ability of the joints. In addition, it needs to be combined with external medicine ointment to help local blood circulation.”
Before Mr Hew left, I also told him again and again: “Don’t take heavy things for the next few days, try to rest your elbows as much as possible, you need to stop drinking cold drinks, and if necessary, you can wear elbow pads to protect your elbows from re-injury. Take the medicine and apply the medicine on time, and the needle pain will be relieved after applying the medicine.”
Revisit: August 20，2022
Three days later, Mr Hew came back again for follow-up.
Mr Hew said that his elbow has improved a lot, and the needle pain feeling of bending his elbow and clenching a fist is not so strong, but now moving his elbow and clenching his fist only feels slightly tightened.
This time, the muscles and fascia near the elbow and wrist are loosened by tuina therapy, which activates the elasticity of the muscles and strengthens the local blood circulation.
After the treatment, Mr Hew felt that the movements of his elbows and wrists were much smoother, and he felt that there was no anymore needle pain.
“Because the elbow has not fully recovered, I will prescribe chinese medicine and external medicine ointment for another 3 days for you to take and use, and it will basically recover after that.”
【Tips for deal elbow strain pain】
- We can touch the painful part and feel the local skin temperature. If only the local skin is not swollen and hot, and the temperature of the painful part is the same as the skin temperature of other parts, you can use a warm water bag as a warm compress for 10-15 minutes. To warm help blood circulation and relieve pain.
- After a strain injury, try to avoid taking heavy objects and take more rest.
- It is recommended to use elbow pads to wrap the injured part, fix the injured part, stabilize the joint injury and avoid re-injury.
- If you usually have the habit of drinking cold drinks, you should stop drinking cold drinks during the treatment period, because cold drinks can make muscles more tense and affect blood circulation, delaying the recovery of injuries.
- Common strain and soreness can be relieved after resting for a few days. If the soreness persists and not relieved or the soreness is aggravated, 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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