Liver Qi Stagnation and Chiropractic Care in Traditional Chinese Medicine

Liver Qi stagnation? Spinal adjustment?

Hello Dr.
Lin,
Two years ago, when I was about six months pregnant, I accidentally missed two steps while carrying my older son and fell onto my right foot.
At that time, I did not experience any significant pain in my lower back or hips, but I did sustain a sprain in my ankle and little toe, which was treated at a traditional Chinese medicine clinic.
However, due to my pregnancy, the treatment was not fully completed.
After giving birth, during my confinement period, I found it difficult to sit or stand comfortably, experiencing persistent soreness from my lower back down to my right ankle, especially during changes in weather.
This has continued until now.
Recently, due to some health issues, I visited a traditional Chinese medicine clinic, and the physician diagnosed me with liver qi stagnation.

Could you please clarify the following:
1.
What is liver qi stagnation, and how does it affect the body?
2.
The physician mentioned that I need to see a chiropractor or a professional to "adjust" my spine.
I visited a chiropractic center for treatment, and the practitioner stated that my thoracic spine, lumbar spine, and pelvis are misaligned, which is contributing to my discomfort.
Should I first go to a rehabilitation department for an X-ray or consult with a rehabilitation physician? Will chiropractic treatment be effective? Do chiropractors have certifications? How can I determine if a chiropractor is qualified? What should I pay attention to in my daily life regarding my injury and chiropractic treatment? Thank you!

yaya, 30~39 year old female. Ask Date: 2005/08/18

Dr. Lin Qingzhong reply Traditional Chinese Medicine

Hello Yaya,
1.
The liver is responsible for the regulation of Qi.
When liver Qi is stagnant, symptoms such as chest or lower abdominal discomfort, a feeling of chest tightness with sighing, irritability, and menstrual irregularities in women may occur.
I wonder if you are experiencing any of these symptoms, as a Traditional Chinese Medicine (TCM) practitioner would diagnose based on these signs.
2.
Regarding any potential misalignment, it is advisable to get an X-ray for a more accurate assessment, which should be evaluated by a qualified TCM practitioner or a rehabilitation medicine physician.
3.
For lower back pain, it is important to avoid obesity and reduce heavy lifting to lessen the burden on your back.
Wishing you good health,
Dr.
Lin Ching-Chung, Director of the TCM Department, Fengyuan Hospital

Reply Date: 2005/08/18

More Info

Liver Qi stagnation is a concept in Traditional Chinese Medicine (TCM) that refers to the disruption of the smooth flow of Qi (vital energy) within the liver. This stagnation can lead to various physical and emotional symptoms, as the liver is believed to play a crucial role in regulating the flow of Qi throughout the body. When the liver Qi is stagnant, it can manifest as feelings of frustration, irritability, and emotional distress, as well as physical symptoms such as pain, discomfort, and digestive issues.

In your case, the history of your injury during pregnancy and the subsequent discomfort you have experienced could be related to liver Qi stagnation. The trauma from the fall, combined with the physical and emotional stresses of pregnancy and postpartum recovery, may have contributed to this stagnation. Symptoms such as persistent pain from your waist down to your ankle, especially during weather changes, can be indicative of this condition.

The TCM perspective on liver Qi stagnation emphasizes the importance of emotional well-being and physical health. When the liver is not functioning optimally, it can lead to a cascade of issues affecting other organs and systems in the body. This is why addressing liver Qi stagnation is crucial for overall health.

Regarding chiropractic care, it can be beneficial for addressing musculoskeletal issues resulting from your injury. Chiropractic adjustments aim to restore proper alignment of the spine and pelvis, which can alleviate pain and improve function. However, it is essential to ensure that the chiropractor you choose is qualified and licensed. In the United States, chiropractors must complete a Doctor of Chiropractic (D.C.) degree from an accredited institution and pass national board exams to practice legally.

Before proceeding with chiropractic treatment, it may be wise to consult with a rehabilitation specialist or a physician who can evaluate your condition through imaging studies, such as X-rays. This step can help rule out any serious underlying issues and provide a clearer picture of your spinal alignment and overall musculoskeletal health.

When seeking chiropractic care, look for practitioners who have good reviews, are recommended by healthcare professionals, and have a clear understanding of your medical history. It is also important to communicate openly with your chiropractor about your symptoms and any concerns you may have.

In terms of lifestyle adjustments, consider incorporating gentle exercises, such as stretching or yoga, to promote the flow of Qi and alleviate tension. Mindfulness practices, such as meditation or deep breathing exercises, can also help manage stress and improve emotional well-being. Additionally, maintaining a balanced diet that supports liver health—rich in fruits, vegetables, and whole grains—can be beneficial.

In summary, addressing liver Qi stagnation through TCM and considering chiropractic care for your musculoskeletal issues can be a holistic approach to improving your health. Always consult with qualified healthcare professionals to ensure that your treatment plan is safe and effective.

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