Patient: Male, 42 years old
Date: August 7, 2022, First visit
Main Problem: Pain in right shoulder for 2 days
I learned from patient that his shoulder joint was strained because of pulling heavy objects with too much force during work. After 2 days of observation at home, the shoulder joint did not heal on its own, so he came for treatment.
【Diagnosis】
When examining patient’s shoulder joint,在there were obvious tender points on the front and back of the shoulder joint,and it was diagnosed thatthe shoulder joint ligament was injured by excessive force.
At the same time, when checking the right shoulder and neck muscles, there is tight and soreness, because his work requires frequent lifting of heavy objects,so it leads to muscle strain.
Due tojoint ligament strain,his muscle feels tight, tension and pain,and even affect the quality of sleep.
After a preliminary examination and diagnosis, patient was invited to the treatment room, lying on the treatment bed for treatment.
【Treatment】
During the treatment, muscles near shoulder joint are dredged through Tuina therapy,so that the tensed muscles can be relaxedand the flexibility of the muscles can be restored. Combined with acupuncture and warm light treatment,ligaments of the shoulder joint can be repaired and his blood circulation can be enhanced.
Afterwards, by using manipulations and stretching methods to adjust the range of shoulder joints motion and relieve the strain on the shoulder and neck muscles.
After treatment, asked the patient to move his arms and shoulders, how did he felt?
“Patient felt that his arms and shoulders felt comfortable and less painful.”
“I will prescribe some traditional chinese medicine for you to take for improving repair of injured muscles and strengthen the repair of joint ligaments. In addition, external medicine ointment will help to improve blood circulation and remove certain part of blood stasis.”
Before patient left, I also repeatedly warned: “Because of your work, you often need to carry heavy objects, try to avoid lifting and pulling heavy objects during this period, so that the right hand can rest and avoid causing secondary injury.
It is necessary to take medicine and apply medicine on time, the pain in the shoulder joint will be relieved after applying medicine, and it is also necessary to avoid hot and sour foods. “
Revisit: 14/08/2022
A week later, patient came back for follow-up.
Patient mentioned the pain in shoulder joint is getting better and he can even sleep better as his sleep will not be affected by the shoulder pain.
I did a follow-up checkup, his shoulder joint was moving normally, but there was still soreness near the ligaments.
This time, I cooperated Tuina and acupuncture to loosen the muscles and fascia near the shoulder joint. After the treatment,patient felt that the shoulder was more relaxed and the pain was relieved a lot.
Since the shoulder joint has not fully recovered yet, I prescribed traditional chinese medicine and external medicine ointment for another 3 days.
【Tips when dealing with shoulder injuries】
1.When the shoulder joint just get injured, try to rest the arm as much as possible and avoid carrying heavy objects to avoid secondary injury.
2.If no redness, swelling and heat when we touch the painful part, we can use a warm water pack to warm the area for 10-15 minutes to reduce swelling and blood stasis that help muscle repair.
3.Try to avoid fixing at certain position for a long time, especially if you hold your head down and use 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 arm is not relieved, please consult a physician who can handle muscle injuries for examination and treatment to prevent delay on the treatment time.
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