Shoulder Pain: Healing Time and Treatment Options in Traditional Chinese Medicine

Shoulder

Subcutaneous tissue may develop scab-like fibrous tissue, which can impede the circulation of air and blood.
How long does it typically take for this condition to heal? I've been feeling discomfort in my shoulder for over a month.
What medications might help speed up recovery? I'm currently undergoing rehabilitation every day, but I feel like the improvement is slow; it takes about 2 to 3 weeks to notice a slight improvement.
Is muscle repair generally slow? How long does it usually take? Thank you!

Yang, 10~19 year old female. Ask Date: 2004/10/23

Dr. Yan Sumei reply Traditional Chinese Medicine

When muscle tissue is injured, the body automatically repairs itself.
Once the repair is complete, a scar tissue forms.
The formation of this scar tissue indicates that the muscle repair is essentially finished, but this scar tissue can impede blood circulation.
How long it takes to achieve complete improvement through rehabilitation depends on the severity of the injury, the individual's physical condition, and external factors such as temperature and humidity.
With patient rehabilitation, progress is certainly achievable.
The traditional Chinese medicine Tian San Qi can invigorate blood circulation and replenish Qi, which is very helpful for post-injury recovery.
It is recommended to grind one or two grams of Tian San Qi into powder and take a small spoonful after breakfast.
If it is well tolerated, you can purchase more.

Reply Date: 2004/10/23

More Info

Shoulder pain can be a complex issue, often involving various underlying conditions such as rotator cuff injuries, tendonitis, bursitis, or even referred pain from the neck. In your case, it seems that you are experiencing discomfort that has persisted for over a month, and you are concerned about the healing time and treatment options available, particularly in the context of Traditional Chinese Medicine (TCM).

Firstly, the healing time for shoulder injuries can vary significantly depending on the specific diagnosis, the severity of the injury, and individual factors such as age, overall health, and adherence to treatment protocols. Generally, soft tissue injuries, including muscle strains and tendon injuries, can take anywhere from a few weeks to several months to heal. For example, mild strains may improve within 2-4 weeks, while more severe injuries could take 6-12 weeks or longer. In your case, since you have been undergoing rehabilitation for about 2-3 weeks and are noticing slight improvements, it is a positive sign, but it may still take additional time for full recovery.

In TCM, shoulder pain is often viewed through the lens of Qi (energy) and blood circulation. Blockages in these pathways can lead to pain and discomfort. The presence of fibrous tissue, as you mentioned, may indeed impede circulation, which can prolong healing. TCM treatments such as acupuncture, herbal medicine, and tui na (Chinese therapeutic massage) aim to restore balance, improve circulation, and promote healing.

Acupuncture can be particularly effective for shoulder pain, as it targets specific acupoints that correspond to the shoulder and related areas. This can help alleviate pain, reduce inflammation, and enhance blood flow. Herbal remedies may also be prescribed based on your specific symptoms and constitution, focusing on herbs that invigorate blood circulation and dispel stagnation.

Regarding medication, while TCM emphasizes natural remedies, if you are considering Western medicine, non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help manage pain and inflammation. However, it's essential to consult with a healthcare provider before starting any medication, especially if you are already undergoing TCM treatments.

As for the duration of muscle repair, it is true that muscle healing can be slower than other tissues due to factors like blood supply and the nature of muscle fibers. Generally, muscle repair can take anywhere from a few weeks to several months, depending on the extent of the injury. Engaging in physical therapy and rehabilitation exercises is crucial, as they help strengthen the muscles and improve flexibility, which can expedite recovery.

In summary, the healing time for shoulder pain can vary widely based on the underlying condition and individual factors. TCM offers various treatment options that can complement your rehabilitation efforts. It's essential to maintain open communication with your healthcare providers, both in Western and traditional medicine, to ensure a comprehensive approach to your recovery. If you continue to experience significant discomfort or if your symptoms worsen, it may be necessary to seek further evaluation to rule out more serious conditions.

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