Knee pain
Hello Dr.
Yan,
I had a car accident at the end of 2017, during which I sustained a bruise on my right knee and received immediate treatment.
Concerned about potential issues with the knee joint, I went to an orthopedic clinic for an X-ray.
After the orthopedic physician reviewed the X-ray, it was confirmed that there were no fractures or cracks in my right knee joint.
To date, the superficial wounds on my right knee have healed, and I have not experienced any issues with walking or exercising.
However, if I apply strong pressure to that area or kneel on my right knee, I still feel pain.
I would like to ask Dr.
Yan:
1.
From a Traditional Chinese Medicine perspective, what factors could be causing the pain in my right knee?
2.
What would be the best approach to manage the pain in my right knee?
Thank you, Dr.
Yan.
Axiang, 30~39 year old female. Ask Date: 2019/05/01
Dr. Yan Sumei reply Traditional Chinese Medicine
Dear Online Friend Ah Xiang,
Thank you for your letter.
Every experience leaves a mark; a knee that has been injured may heal, but it will not return to its original state.
Just like a cut from a knife leaves a scar, the tissues beneath the skin also bear the effects.
Even now, applying strong pressure or kneeling may still cause pain, indicating that there are areas with poor circulation that need more time to heal.
It will gradually improve.
How to care for your knee?
1.
Minimize kneeling or deep squatting.
2.
Walk on flat surfaces.
3.
Avoid further injuries.
Wishing you health and peace!
Yours sincerely,
Yen Su-Mei
Department of Traditional Chinese Medicine
Nantou Hospital
Reply Date: 2019/05/01
More Info
Understanding knee pain, particularly in the context of Traditional Chinese Medicine (TCM), requires a comprehensive approach that considers both the physical and energetic aspects of the body. In your case, the history of trauma from the car accident in 2017, combined with the current symptoms of pain upon pressure, suggests that there may be underlying issues that TCM can address.
1. Factors Leading to Knee Pain in TCM Perspective:
In TCM, knee pain can be attributed to several factors, including Qi stagnation, blood stasis, and deficiencies in the kidney or liver. The knee is considered a joint that is influenced by the liver and kidney meridians. Trauma, such as the injury you sustained in the car accident, can lead to blood stasis, which is a condition where blood flow is impeded, causing pain and discomfort. Additionally, if the kidney Qi is deficient, it may fail to nourish the bones and joints, leading to chronic pain and weakness in the knee area.
Furthermore, TCM also considers environmental factors such as wind, cold, and dampness, which can invade the body and exacerbate pain, especially in older adults or those with pre-existing conditions. Given that your pain is triggered by pressure, it may indicate that the area is still sensitive due to the previous injury, and there may be lingering inflammation or tension in the surrounding muscles and tissues.
2. Recommended Approaches for Management:
In TCM, the treatment of knee pain typically involves a combination of herbal medicine, acupuncture, and dietary adjustments. Here are some potential strategies:
- Herbal Medicine: A TCM practitioner may prescribe herbal formulas that promote blood circulation, alleviate pain, and nourish the kidneys. Commonly used formulas include Du Huo Ji Sheng Tang (for lower back and knee pain) and Shen Tong Zhu Yu Tang (to invigorate blood flow and alleviate pain). These formulas should be tailored to your specific condition after a thorough diagnosis.
- Acupuncture: Acupuncture can be highly effective in relieving pain and promoting healing. Specific acupuncture points related to the knee and those that help with Qi and blood circulation may be targeted. This treatment can help reduce inflammation and improve mobility.
- Moxibustion: This technique involves burning mugwort (moxa) near the skin's surface to warm the area and promote healing. It can be particularly beneficial for chronic pain and conditions related to cold and dampness.
- Dietary Adjustments: Incorporating foods that nourish the kidneys and promote blood circulation can be beneficial. Foods such as black beans, walnuts, and dark leafy greens are often recommended in TCM for joint health.
- Physical Therapy and Rehabilitation: While TCM offers various treatments, integrating physical therapy can also be beneficial. Gentle exercises that strengthen the muscles around the knee without putting excessive strain on the joint can help improve stability and reduce pain.
- Lifestyle Modifications: Avoiding activities that exacerbate the pain, such as kneeling or heavy lifting, can help manage symptoms. Additionally, maintaining a healthy weight can reduce stress on the knees.
In conclusion, while Western medicine focuses on diagnosing and treating the symptoms, TCM takes a holistic approach that addresses the root causes of knee pain. It is essential to consult with a qualified TCM practitioner who can provide a personalized treatment plan based on your specific condition. By combining TCM with appropriate lifestyle changes and possibly physical therapy, you can work towards alleviating your knee pain and improving your overall joint health.
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