Chronic Pain for a Year: Exploring Causes and Remedies in Traditional Chinese Medicine - Traditional Chinese Medicine

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Strange pain lasting for a year?


(I suspect the following issues are related to my severe constipation.) I used to exercise regularly, but I always did it before bed, especially doing sit-ups.
One time, I had a slight misalignment in my posture, and at that moment, I felt only a little discomfort, almost no pain.
However, the next day, I felt a bit of pain, and it gradually worsened day by day, continuing for over six months.
As a result, I haven't exercised for half a year (I attempted to exercise a few times, but it only made things worse, so I was afraid to continue).
I had an X-ray done, but everything was normal.
Later, a neighbor mentioned a technique he learned for muscle manipulation and helped me a few times.
He also noticed I had constipation and worked on my gluteal muscles.
After that, my lower back seemed to improve, but then I started experiencing pain in my glutes.
This cycle has continued until now.
I have sought treatment from Western medicine, but I haven't seen improvement.
I then switched to acupuncture with a traditional Chinese medicine doctor, who said I have muscle inflammation or something similar, and started treatment.
However, I live in a mountainous area, and I can only go for treatment "at most" once a week.
What could be the underlying cause of my condition? Will I be able to recover? I really enjoy exercising, and this situation is extremely frustrating.
Thank you for your help in answering my questions!

Ms. V, 10~19 year old female. Ask Date: 2015/07/31

Dr. Zhang Weidong reply Traditional Chinese Medicine


Hello, your issue falls under the category of "muscle and joint misalignment" in Traditional Chinese Medicine, which is related to the injury you sustained during sit-ups.
After a prolonged course of the condition, the upper and lower joints may also be affected.
I recommend consulting a Traditional Chinese Medicine practitioner who specializes in massage and bone alignment, or you could start with some relaxation exercises for your lower back muscles before attempting to use a pull-up bar again.
Wishing you a speedy resolution to this problem.
Dr.
Chang Wei-Dong, Changhua Hospital, Department of Traditional Chinese Medicine.

Reply Date: 2015/07/31

More Info


Chronic pain can be a complex and multifaceted issue, especially when it has persisted for an extended period, such as a year in your case. Based on your description, it seems that your pain may have originated from a combination of factors, including improper exercise technique, potential muscle strain, and possibly even digestive issues related to your chronic constipation.
In Traditional Chinese Medicine (TCM), chronic pain is often viewed through the lens of "Qi" (energy) and "Blood" flow, as well as the balance of Yin and Yang within the body. When there is a blockage or stagnation in these areas, it can lead to pain and discomfort. Your experience of pain that shifted from your back to your buttocks after treatment could suggest that the underlying issue may not have been fully resolved, or that the treatment may have temporarily alleviated one symptom while allowing another to manifest.

The fact that you have undergone imaging studies that showed no structural issues is a positive sign, indicating that there are likely no serious underlying conditions such as fractures or tumors. However, the persistent nature of your pain suggests that there may be issues related to muscle tension, inflammation, or even nerve involvement. The mention of your neighbor's massage therapy and the subsequent pain relief followed by a new pain in a different area could indicate that your body is compensating for the initial pain, leading to new areas of tension and discomfort.

In TCM, treatments for chronic pain often include acupuncture, herbal medicine, and manual therapies such as Tui Na (Chinese therapeutic massage). Acupuncture can help to stimulate the flow of Qi and Blood, reduce inflammation, and alleviate pain. Herbal remedies may also be prescribed to address underlying issues such as inflammation or digestive health, particularly if constipation is a contributing factor to your pain. Common herbs used in TCM for pain relief include Du Huo Ji Sheng Tang (for lower back pain) and Xuan Fu Hua (to promote digestion and relieve constipation).

It is also essential to consider lifestyle factors that may be contributing to your pain. Since you mentioned that you enjoy exercising, it may be beneficial to explore alternative forms of physical activity that are less strenuous on your body, such as swimming or gentle yoga, which can help maintain your fitness without exacerbating your pain. Additionally, addressing your constipation through dietary changes, hydration, and possibly herbal remedies can also play a crucial role in your overall well-being and pain management.

Given that you live in a mountainous area and can only access treatment once a week, it may be helpful to establish a home care routine that includes gentle stretching, heat therapy, and self-massage techniques to manage your pain between treatments. Regularly practicing relaxation techniques such as deep breathing or meditation can also help reduce muscle tension and improve your overall pain experience.

In conclusion, while it is difficult to pinpoint a single cause of your chronic pain without a thorough examination and diagnosis, it is clear that a multifaceted approach involving TCM treatments, lifestyle modifications, and self-care strategies can be beneficial. With patience and consistent care, there is a strong possibility that you can find relief and return to the activities you enjoy. It is important to maintain open communication with your healthcare providers, both Western and Eastern, to ensure a comprehensive approach to your health.

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