Post-Injury Pain: Traditional Chinese Medicine Solutions

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Hello, Doctor: In 1999, I had a minor bicycle accident while not wearing glasses, and I hit the right side of the back of my head, resulting in a bump.
I received treatment at that time, but it didn’t heal completely.
Now it seems like there is still a problem; when I touch or poke that area, it feels like there is still a lump, but I can’t feel it myself.
I have been using a red ointment from traditional Chinese medicine for massage, but that specific area is painful.
I’m not sure if it’s a reaction to the medication or something else.
In any case, the area on the right side of the back of my head hurts when I massage it.
After all these years, I can’t pinpoint the exact location, only a rough idea, and originally there was one lump, but now I find three painful spots on the right side of the back of my head when I massage.
What should I do? I really don’t know if I have healed.
How can I determine if I have healed? My hair has grown long, and using the ointment has limited effects and is painful.
Should I seek treatment from a traditional Chinese medicine practitioner or continue self-medicating and massaging? I thought that by applying the ointment consistently over time, the painful spots would improve, but I can only estimate the correct locations! Which treatment is more effective and faster: acupuncture or medicinal massage? Thank you, Doctor.

A-Wen, 30~39 year old female. Ask Date: 2012/05/31

Dr. Hou Yuchang reply Traditional Chinese Medicine

Dear Mr.
A-Wen,
Based on your description, the most likely conditions are either a "subcutaneous nodule" or "occipital bone hyperostosis." If it is a "subcutaneous nodule," the tissue in that area is usually a fibroma, which can cause abnormalities in the surrounding skin and may lead to discomfort due to changes in weather or the body's condition.
It is advisable to consult a dermatologist or a general surgeon to evaluate whether excision is necessary.

If it is "occipital bone hyperostosis," this condition typically arises from inadequate healing after trauma to the skull.
It is recommended to have a lateral X-ray taken by an orthopedic surgeon or a neurosurgeon to check for any abnormalities.
If this is the case, there is generally no treatment available.
Some may suggest incising the skin to level or smooth the skull, but this method is generally not recommended.

Traditional Chinese medicine is not particularly effective for either of these conditions, so it may not be worth considering.
I hope this response helps clarify your concerns.
Wishing you peace and health,
Director of Traditional Chinese Medicine, Taoyuan General Hospital, Health Department
Hou Yu-Chang

Reply Date: 2012/05/31

More Info

Understanding post-injury pain, especially in the context of Traditional Chinese Medicine (TCM), requires a comprehensive approach that considers both the physical and energetic aspects of the body. In your case, the history of trauma from the bicycle accident and the persistent pain in the right posterior area of your head suggest that there may be lingering effects from the injury, such as Qi stagnation or blood stasis, which are concepts central to TCM.

Diagnosis and Symptoms
In TCM, injuries like yours are often assessed through a combination of patient history, physical examination, and the principles of TCM diagnosis, which include observing the tongue and palpating the pulse. The symptoms you describe—pain upon touch, the presence of a lump, and the sensation of discomfort—could indicate that the area has not fully healed. This could be due to unresolved Qi and blood flow issues in the affected region.

Treatment Options
1. Acupuncture: This is a common TCM treatment that can help alleviate pain and promote healing. Acupuncture works by stimulating specific points on the body to enhance the flow of Qi and blood, which can help reduce pain and inflammation. Given your history of trauma, acupuncture may be particularly beneficial in addressing the pain and promoting recovery in the affected area.

2. Herbal Medicine: TCM often employs herbal remedies to support healing. Formulas that invigorate blood circulation and dispel stasis may be recommended. For instance, herbs like Dan Shen (Salvia miltiorrhiza) and Chuan Xiong (Ligusticum chuanxiong) are known for their properties in promoting blood flow and alleviating pain.

3. Tuina (Chinese Therapeutic Massage): This form of massage can be effective in relieving muscle tension and promoting circulation. However, caution is advised, as excessive pressure on sensitive areas may exacerbate pain. A qualified TCM practitioner can tailor the massage techniques to your specific needs.

4. Topical Treatments: While you have been using a topical ointment, it’s essential to ensure that the product is suitable for your condition. Some topical treatments may cause irritation or allergic reactions, leading to further discomfort. Consulting with a TCM practitioner can help identify the most appropriate topical applications for your situation.

Self-Care and Monitoring
In addition to professional treatment, self-care practices can play a crucial role in your recovery. Gentle stretching and relaxation techniques may help alleviate tension in the surrounding muscles. It's also important to monitor your symptoms closely. If the pain persists or worsens, it may indicate that further medical evaluation is necessary to rule out any underlying issues.

Conclusion
In summary, addressing post-injury pain through TCM involves a multifaceted approach that includes acupuncture, herbal medicine, tuina, and appropriate self-care. Given the complexity of your symptoms and the history of trauma, seeking treatment from a qualified TCM practitioner is advisable. They can provide a personalized treatment plan that considers your unique situation and helps facilitate healing. Remember, healing is a gradual process, and patience is essential as you work towards recovery.

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