Effective Solutions for Shoulder Stiffness and Lower Back Pain

Shoulder stiffness, lower back pain, and discomfort in the back!

Dear Director Shih,
My mother has been experiencing stiffness and pain in her shoulders, as well as soreness in her lower back, due to work-related fatigue.
Although she has consulted an orthopedic physician, the examination results were normal, and the doctor only prescribed muscle relaxants and pain medications.
My mother cannot tolerate long-term medication, so she resorted to seeking treatment from a private traditional Chinese medicine practitioner, but the results were not satisfactory.

I would like to ask you, Director:
1.
What effective solutions are available for addressing shoulder stiffness and pain, as well as lower back soreness?
2.
Is traditional Chinese massage a viable and effective treatment option?
3.
Could you recommend a reputable orthopedic specialist in the Taichung area?
I appreciate your time and apologize for any inconvenience.
Thank you, Director Shih.
I am grateful and wish you all the best!

Xiao Laotou, 30~39 year old female. Ask Date: 2011/03/05

Dr. Shi Guozheng reply Orthopedics

Shoulder pain in middle-aged individuals is most commonly caused by arthritis and shoulder bursitis, which can lead to joint stiffness or limited mobility.
Lower back pain is often associated with aging or osteoporosis of the vertebrae, which can result in fractures.
Treatment can be quite challenging and typically requires a prolonged rehabilitation process, sometimes accompanied by medication.
It is recommended that you visit an orthopedic or rehabilitation department at a medical center near Taichung for evaluation and treatment.

Reply Date: 2011/03/05

More Info

Dear施院長,
Thank you for your inquiry regarding your mother's shoulder stiffness and lower back pain. These issues are quite common, especially among individuals who engage in repetitive or strenuous activities. I appreciate your detailed description of her condition, and I will address your questions one by one.

1. Effective Solutions for Shoulder Stiffness and Lower Back Pain:
- Physical Therapy: Engaging in a structured physical therapy program can be highly beneficial. A physical therapist can tailor exercises specifically for your mother's needs, focusing on strengthening the shoulder and back muscles, improving flexibility, and correcting posture. Stretching exercises, particularly for the shoulder girdle and lower back, can help alleviate stiffness and pain.

- Posture Correction: Encourage your mother to maintain good posture while sitting and standing. Poor posture can exacerbate shoulder and back pain. Ergonomic adjustments to her workspace, such as using an appropriate chair and desk height, can also make a significant difference.

- Heat and Cold Therapy: Applying heat to the shoulder and lower back can help relax tight muscles and improve blood circulation. Cold therapy can reduce inflammation and numb sharp pain. Alternating between heat and cold can be effective.

- Regular Exercise: Gentle exercises such as walking, swimming, or yoga can help maintain mobility and reduce stiffness. Activities that promote core strength, such as Pilates, can also support the lower back.

- Mind-Body Techniques: Practices such as mindfulness, meditation, or tai chi can help manage pain and improve overall well-being. These techniques can also reduce stress, which may contribute to muscle tension.

2. Effectiveness of Push Therapy:
- Push therapy, or traditional Chinese medicine techniques such as tui na, can be beneficial for some individuals. However, the effectiveness can vary from person to person. While some may experience relief, others may find it less effective. It is essential to ensure that the practitioner is experienced and understands the specific issues your mother is facing. If she finds that it does not provide the desired relief, it may be worth exploring other therapeutic options.

3. Recommendations for Orthopedic Specialists in Taichung:
- While I cannot provide specific names, I recommend looking for orthopedic clinics or hospitals in Taichung that specialize in musculoskeletal disorders. You may want to consider facilities affiliated with universities or those known for their rehabilitation programs. Online reviews and patient testimonials can also guide you in finding a reputable specialist.

In summary, your mother's shoulder stiffness and lower back pain can be addressed through a combination of physical therapy, posture correction, regular exercise, and possibly complementary therapies. It is crucial to find a treatment plan that suits her needs and preferences. If her symptoms persist or worsen, seeking a second opinion from another orthopedic specialist may be beneficial.

Thank you for reaching out, and I wish your mother a swift recovery and improved quality of life.

Best regards,
Doctor Q&A Teams

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