{"id":16972,"date":"2023-02-10T10:34:25","date_gmt":"2023-02-10T02:34:25","guid":{"rendered":"https:\/\/vstcm.com\/?p=16972"},"modified":"2023-02-10T10:37:49","modified_gmt":"2023-02-10T02:37:49","slug":"pulling-heavy-objects-and-strained-the-shoulder","status":"publish","type":"post","link":"https:\/\/vstcm.com\/en\/pulling-heavy-objects-and-strained-the-shoulder\/","title":{"rendered":"Pulling heavy objects and strained the shoulder"},"content":{"rendered":"<p><strong><span style=\"color: #000000;\"><span style=\"font-size: 14pt;\">Patient: Male, 42 years old<br \/>\n<\/span><span style=\"font-size: 14pt;\">Date: August 7, 2022, First visit<br \/>\n<\/span><span style=\"font-size: 14pt;\">Main Problem: Pain in right shoulder for 2 days<\/span><\/span><\/strong><\/p>\n<p><span style=\"font-size: 14pt; color: #000000;\">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.<\/span><\/p>\n<p><img fetchpriority=\"high\" fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-16967 size-large\" src=\"https:\/\/vstcm.com\/wp-content\/uploads\/2023\/02\/shoulder-pain-e1566402477136-1024x553.jpg\" alt=\"\" width=\"1024\" height=\"553\" srcset=\"https:\/\/vstcm.com\/wp-content\/uploads\/2023\/02\/shoulder-pain-e1566402477136-980x529.jpg 980w, https:\/\/vstcm.com\/wp-content\/uploads\/2023\/02\/shoulder-pain-e1566402477136-480x259.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw\" \/><\/p>\n<p><span style=\"color: #993366;\"><strong><span style=\"font-size: 14pt;\">\u3010Diagnosis\u3011<\/span><\/strong><\/span><\/p>\n<p><span style=\"font-size: 14pt; color: #000000;\">When examining patient&#8217;s shoulder joint,\u5728<strong>there were obvious tender points on the front and back of the shoulder joint,<\/strong>and it was diagnosed that<strong>the shoulder joint ligament was injured by excessive force.<\/strong><\/span><\/p>\n<p><span style=\"font-size: 14pt; color: #000000;\">At the same time, when checking the right shoulder and neck muscles, there is tight and soreness, <strong>because his work requires frequent lifting of heavy objects,<\/strong><strong>so it leads to muscle strain.<\/strong><\/span><\/p>\n<p><span style=\"font-size: 14pt; color: #000000;\">Due to<strong>joint ligament strain,<\/strong><strong>his muscle feels tight, tension and pain,<\/strong>and even <strong>affect the quality of sleep.<\/strong><\/span><\/p>\n<p><span style=\"font-size: 14pt; color: #000000;\">After a preliminary examination and diagnosis, patient was invited to the treatment room, lying on the treatment bed for treatment.<br \/>\n<\/span><\/p>\n<hr \/>\n<p><span style=\"color: #000000;\"><strong><span style=\"font-size: 14pt;\"><br \/>\n<span style=\"color: #993366;\">\u3010Treatment\u3011<\/span><\/span><\/strong><\/span><\/p>\n<p><span style=\"font-size: 14pt; color: #000000;\">During the treatment, <strong>muscles near shoulder joint are dredged <\/strong>through <strong>Tuina therapy,<\/strong>so that <strong>the tensed muscles can be relaxed<\/strong>and <strong>the flexibility of the muscles can be restored. <\/strong>Combined with <strong>acupuncture <\/strong>and <strong>warm light treatment,<\/strong><strong>ligaments of the shoulder joint <\/strong>can be <strong>repaired <\/strong>and his <strong>blood circulation <\/strong>can be <strong>enhanced.<\/strong><\/span><\/p>\n<p><span style=\"font-size: 14pt; color: #000000;\">Afterwards, by using <strong>manipulations <\/strong>and <strong>stretching methods <\/strong>to adjust the range of <strong>shoulder joints motion <\/strong>and <strong>relieve the strain <\/strong>on the <strong>shoulder and neck muscles.<\/strong><\/span><\/p>\n<p><span style=\"font-size: 14pt; color: #000000;\">After treatment, asked the patient to move his arms and shoulders, how did he felt?<\/span><\/p>\n<p><span style=\"font-size: 14pt; color: #000000;\">\u201c<strong>Patient felt that his arms and shoulders felt comfortable and less painful.<\/strong>\u201d<\/span><\/p>\n<p><span style=\"font-size: 14pt; color: #000000;\">\u201cI 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.\u201d<\/span><\/p>\n<p><span style=\"font-size: 14pt; color: #000000;\">Before patient left, I also repeatedly warned: &#8220;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.<\/span><\/p>\n<p><span style=\"font-size: 14pt; color: #000000;\">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. &#8220;<\/span><\/p>\n<hr \/>\n<p><span style=\"color: #000000;\"><span style=\"font-size: 14pt;\"><br \/>\n<\/span><span style=\"color: #993366;\"><strong><span style=\"font-size: 14pt;\">Revisit: 14\/08\/2022<\/span><\/strong><\/span><\/span><\/p>\n<p><span style=\"font-size: 14pt; color: #000000;\">A week later, patient came back for follow-up.<\/span><\/p>\n<p><span style=\"font-size: 14pt; color: #000000;\"><strong>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.<\/strong><\/span><\/p>\n<p><span style=\"font-size: 14pt; color: #000000;\">I did a follow-up checkup, his shoulder joint was moving normally, but there was still soreness near the ligaments.<\/span><\/p>\n<p><span style=\"font-size: 14pt; color: #000000;\">This time, I cooperated Tuina and acupuncture to loosen the muscles and fascia near the shoulder joint. <strong>After the treatment,<\/strong>patient felt that <strong>the shoulder was more relaxed and the pain was relieved a lot.<\/strong><\/span><\/p>\n<p><span style=\"font-size: 14pt; color: #000000;\">Since the shoulder joint has not fully recovered yet, I prescribed traditional chinese medicine and external medicine ointment for another 3 days.<\/span><\/p>\n<hr \/>\n<p><span style=\"font-size: 14pt; color: #000000;\"><br \/>\n<span style=\"color: #993366;\"><strong>\u3010Tips when dealing with shoulder injuries\u3011<\/strong><\/span><\/span><\/p>\n<p><span style=\"font-size: 14pt; color: #000000;\">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.<\/span><\/p>\n<p><span style=\"font-size: 14pt; color: #000000;\">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.<\/span><\/p>\n<p><span style=\"font-size: 14pt; color: #000000;\">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.<\/span><\/p>\n<p><span style=\"font-size: 14pt; color: #000000;\">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.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>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 [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":16975,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[435,430],"tags":[702,697,696,444,593,770,707,590,705,591,594,711,446,706,710,709,451,452,701,695,712,693,698,694,699,708,456,458,700,467,704,703,469,717],"class_list":["post-16972","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medical-cases-sharing-en","category-tcm-prac-chong-en","tag-kota-kemuning-en","tag-kota-kemuning-tcm-en","tag-kota-kemuning--en","tag-selangor-en","tag-shah-alam--en","tag-shoulder-strained","tag-subang--en","tag-tcm-en","tag-tcm-knowledge-en","tag-tcm-kota-kemuning-en","tag-tcm-shah-alam-en","tag-tcm-subang-en","tag-tcm-usj-en","tag-tradisional-chinese-medicine-kota-kemuning-en","tag-tradisional-chinese-medicine-subang-en","tag-usj-en","tag-usj-tcm-en","tag-usj--en","tag-visions-tcm-branch-en","tag-visions-tcm-kota-kemuning-en","tag-visions-tcm-usj-en","tag--en","tag--kota-kemuning-en","tag--selangor-en","tag--shah-alam-en","tag--subang-en","tag--usj-en","tag---en"],"_links":{"self":[{"href":"https:\/\/vstcm.com\/en\/wp-json\/wp\/v2\/posts\/16972","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vstcm.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vstcm.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vstcm.com\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/vstcm.com\/en\/wp-json\/wp\/v2\/comments?post=16972"}],"version-history":[{"count":2,"href":"https:\/\/vstcm.com\/en\/wp-json\/wp\/v2\/posts\/16972\/revisions"}],"predecessor-version":[{"id":16984,"href":"https:\/\/vstcm.com\/en\/wp-json\/wp\/v2\/posts\/16972\/revisions\/16984"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vstcm.com\/en\/wp-json\/wp\/v2\/media\/16975"}],"wp:attachment":[{"href":"https:\/\/vstcm.com\/en\/wp-json\/wp\/v2\/media?parent=16972"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vstcm.com\/en\/wp-json\/wp\/v2\/categories?post=16972"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vstcm.com\/en\/wp-json\/wp\/v2\/tags?post=16972"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}