Internal Injuries: Chronic Pain After Trauma and Treatment Options - Traditional Chinese Medicine

More Info

---

It sounds like you are experiencing significant and persistent pain following a traumatic injury to your back, which may involve more than just soft tissue damage. Given that you were told by a massage therapist that you had three broken ribs, but X-rays did not confirm this, it is possible that there are underlying issues that have not been adequately addressed.
When it comes to injuries like rib fractures, it is important to understand that while many rib fractures can heal on their own, they can also lead to complications such as pneumothorax (air in the chest cavity) or hemothorax (blood in the chest cavity), especially if there is significant trauma. Additionally, rib injuries can cause pain that radiates to the back and neck due to the interconnected nature of the musculoskeletal system. The muscles and ligaments surrounding the ribs can become strained or inflamed, leading to chronic pain and stiffness.

Your symptoms of neck stiffness and pain, especially if you have a history of "wry neck" (also known as torticollis), could suggest that the injury has exacerbated pre-existing conditions. The neck and back are closely related, and an injury to one area can lead to compensatory changes in the other, resulting in pain and discomfort.
In terms of treatment options, it is crucial to consult with a healthcare professional who specializes in musculoskeletal injuries, such as an orthopedic doctor or a physical therapist. They can conduct a thorough evaluation, which may include advanced imaging techniques like an MRI or CT scan, to assess for any soft tissue injuries, disc herniations, or other internal injuries that may not be visible on standard X-rays.

Pain management is also an important aspect of recovery. While you mentioned that injections and medications have not alleviated your pain, it may be worth exploring different types of pain management strategies. Options may include:
1. Physical Therapy: A physical therapist can develop a personalized rehabilitation program to improve mobility, strengthen surrounding muscles, and reduce pain.

2. Chiropractic Care: If appropriate, chiropractic adjustments may help alleviate pain and improve function, particularly if there are misalignments in the spine.

3. Pain Management Clinics: These specialized clinics can offer a multidisciplinary approach to pain management, including medication management, physical therapy, and alternative therapies.

4. Alternative Therapies: Techniques such as acupuncture, massage therapy, or yoga may provide relief for some individuals.

5. Medication Review: If you are currently on pain medications, it may be beneficial to review these with your healthcare provider to ensure that you are on the most effective regimen for your specific situation.

As for the question of whether you should take "internal injury medication," it is essential to clarify what you mean by that. If you are referring to medications that target inflammation or pain, such as NSAIDs (non-steroidal anti-inflammatory drugs), these can be helpful but should be used under the guidance of a healthcare provider, especially if you have any contraindications or pre-existing conditions.

In conclusion, it is crucial to seek a comprehensive evaluation from a healthcare professional who can assess your symptoms in the context of your injury. Chronic pain following trauma can be complex, and addressing it often requires a multifaceted approach. Don't hesitate to advocate for your health and seek a second opinion if you feel your concerns are not being adequately addressed. Your well-being is paramount, and there are treatment options available that can help you manage your pain and improve your quality of life.