Relieving Neck and Shoulder Pain: Acupuncture and Rehabilitation Solutions

Shoulder and neck pain?

Hello, Doctor! On August 18, a report from the Central Broadcasting System mentioned a 32-year-old woman who experienced shoulder and neck discomfort due to work-related stress.
She sought treatment from a traditional Chinese medicine practitioner, who found her neck muscles to be quite stiff.
The practitioner used intradermal needles, placing them at the trigger points and leaving them in for three days, secured with tape.
After three days, the patient's soreness had significantly improved.
The intradermal needles are about 0.5 inches long and when inserted into the shoulder and neck, it feels similar to a mosquito bite.
Due to her work stress, she often felt discomfort in her shoulder and neck.
Upon examination, the doctor noted significant muscle stiffness and clear trigger points.
By inserting the intradermal needles into the trigger points for three days, the soreness was alleviated.
I also experience shoulder and neck pain but hesitate to try this treatment, fearing potential complications from the needles remaining in my skin.
May I ask if physical therapy could also be an option to relieve the pain? Thank you! Maple

Maple, 30~39 year old female. Ask Date: 2006/08/19

Dr. Chen Xianchang reply Rehabilitation

(1) Needle punctures in the skin may lead to infection.
(2) Rehabilitation can utilize electrical stimulation and ultrasound, achieving similar effects.
(3) Intradermal needles provide continuous stimulation, which is stronger than acupuncture, but may lead to overstimulation.

Reply Date: 2006/08/19

More Info

Relieving neck and shoulder pain can be a multifaceted approach, especially when considering both acupuncture and rehabilitation therapies. The case you mentioned about the 32-year-old woman who experienced significant relief from her neck and shoulder pain through the use of intradermal needles (皮內針) highlights the potential benefits of acupuncture as a treatment modality.
Intradermal acupuncture, which involves placing very fine needles just beneath the skin, can stimulate local blood flow, reduce muscle tension, and promote the release of endorphins, which are natural pain-relieving chemicals in the body. This method is particularly effective for muscle tightness and trigger points, which are often the culprits behind chronic neck and shoulder pain, especially in individuals with high-stress jobs. The fact that the patient experienced relief after three days suggests that this technique can be beneficial for managing symptoms related to muscle stiffness and discomfort.

However, it is essential to address your concerns about the safety of leaving needles in the skin. While there is a small risk of infection or irritation, when performed by a trained professional, the procedure is generally safe. The needles are designed for single use and are sterile. After the treatment, the practitioner will typically remove the needles, minimizing any potential complications. If you are considering this treatment, it is crucial to consult with a licensed acupuncturist who can provide you with detailed information and address any specific concerns you may have.

In addition to acupuncture, rehabilitation therapy can also play a significant role in alleviating neck and shoulder pain. Rehabilitation approaches often include physical therapy, which may involve exercises to strengthen the muscles around the neck and shoulders, improve flexibility, and correct posture. Techniques such as electrical stimulation, ultrasound therapy, and manual therapy can also be employed to relieve pain and promote healing.

Physical therapists can design individualized exercise programs that focus on stretching tight muscles and strengthening weak ones, which is particularly important for individuals who spend long hours in front of a computer or in positions that strain the neck and shoulders. Ergonomic assessments can also be part of rehabilitation, helping to adjust workstations and daily activities to reduce strain on the neck and shoulders.

Moreover, lifestyle modifications, such as regular breaks during prolonged sitting, practicing good posture, and incorporating stress-reducing activities like yoga or mindfulness, can significantly contribute to managing and preventing neck and shoulder pain.

In summary, both acupuncture and rehabilitation therapy can be effective in relieving neck and shoulder pain. Acupuncture can provide immediate relief from muscle tension and pain, while rehabilitation focuses on long-term solutions through strengthening and flexibility exercises, as well as ergonomic adjustments. It is advisable to consult with healthcare professionals who can tailor a comprehensive treatment plan that addresses your specific needs and concerns. Combining these approaches may yield the best results in managing your symptoms and improving your overall quality of life.

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