Supraspinatus tendonitis and its treatment with Acupuncture.
Shoulder pathologies are the most common in family medicine practice or the traumatologist.
Because the shoulder supports the movements of the arm, its articulation allows changes in all directions, which makes it the most likely to be injured during daily activity or as a result of a chronic process.
The majority of shoulder pathology consultations are due to pain. Also, the shoulder often luxates or presents weakness, deformation, or referred pain from the neck or spine.
In a heart attack, shoulder pain or inflammation of the gallbladder may occur. In these latter cases, the evolution of grief is what discards the origin of the lesion.
What is the most frequent pathology?
The tendinitis, inflammation of the tendons of the shoulder, is undoubtedly the most frequent consultation.
Tendonitis of the supraspinatus tendon is the most common because, in its movements, it continually rubs against the acromion, a part of the shoulder blade.
It also breaks, and in that case, it is known as a supraspinatus tendon rupture.
The characteristic sign is that the movement of the arm has a pain point when it raises. Above and below, that point does not hurt.
The diagnosis includes an ultrasound and/or radiography, until an MRI is needed, to determine the extent of the lesion. Treatment usually begins with anti-inflammatory, and physiotherapy, in addition to rest. If it does not improve, surgery may be required as a definitive solution, and yet it may reappear after surgery. Requiring physiotherapy, anti-inflammatory, etc … Even a second surgery.
That is when the patient begins to look for alternatives to his shoulder pain, supraspinatus tendonitis. To avoid a new surgery … if he is in luck or if he is well advised, even by his doctor or physiotherapist. They will tell him to consult an acupuncturist, and that is when he will discover that he can be cured with another type of therapy.
What causes tendinitis, according to Acupuncture?
The pain in Chinese medicine can be caused by external factors, such as humidity, the cold, wind, or a combination of wind-humidity and heat. Chinese doctors observed that the body was weakened by excessive or repetitive work and presented symptoms that they associated with climatic factors.
We have all heard of the pain of the knees of the grandmother, who announces a storm, or the pain of the legs of the grandfather when it is going to rain: Chinese doctors also observed it 3000 years ago and studied its symptoms and signs.
How is cold shoulder pain?
It is a pain at a fixed point, either when moving or still.
It gets worse at night (when it’s colder).
It gets better with heat (in summer, for example).
The shoulder is not swollen or hot, but it hurts (due to the cold).
Does it look like your pain? If so, you have an invasion of cold in the joint, and the acupuncturist will place needles to eliminate the cold, as well as moxa (an Artemis cigarette), to reduce the cold.
It will also examine your diet and working conditions, to recommend hot food and adequate shelter, if you are in winter or depending on your age: Chinese plants to strengthen the kidney, which is affected with age and suffers with cold.
How is shoulder pain from moisture?
If you have moisture in the joint, the pain is constant, heavy,
You feel the numb shoulder.
There is swelling, but there is no heat, or the joint becomes red.
You may also have associated episodes of diarrhea, heaviness in the head, and general tiredness and loss of appetite. These are all symptoms that the body accumulates moisture.
The first cause of moisture in the body is improper feeding — excesses of beer, excess sugar, and especially food without schedules.
Mentally, too many worries, it stops the free flow of energy, and it stagnates.
Of course, you or your traumatologist will realize that your lifestyle, stress, food, are producing pain that is not corrected with anything.
Because it is not our vision of health, we see the human body as separate, in pieces, so. If you have stress, lack of appetite, heaviness, tiredness, and shoulder pain, you have no connection, but as acupuncturists, we know that you have moisture.
How do we treat you? Indeed, there are points to combat moisture, both in the shoulder and in the rest of the body. You have to make changes in your diet and treat the psychic part, the worries in excess, which is the origin of your shoulder pain. It is possible that your acupuncturist does not comment on any of this, for fear that you do not understand it, or it seems to you that he teases you: humidity? Appetite and shoulder pain? Stress and sore shoulder?
A recommendation to know if the acupuncturist knows what your problem is: you should examine your pulse and tongue. If you don’t, you doubt your treatment a lot and look for another acupuncturist soon. Acupuncture cannot be done without examining the patient’s pulse and tongue. It’s like operating without turning on the lights. The pulse and tongue tell us if your problem is cold, damp, hot, or a combination of them. Do not forget.
How is a shoulder pain from wind-humidity-heat?
It is the typical acute pain. You were excellent and awake with your sore shoulder,
It is hot and red, in addition to swelling.
This is the pain that gets better with the cold (because it is hot, the opposite).
And it gets worse if you massage him if you squeeze hard (because he is inflamed, because of the heat).
Also, you can be very irritable (due to internal heat).
Very thirsty (same cause, to decrease heat).
You have a lot of sweating, for the slightest cause.
You have pain, burning, and discomfort in the throat.
Imagine that you are in the desert, with a scorching sun: it is what is happening to your body: tremendous thirst, very irritable, the throat burns. The shoulder is swollen, red, and hot, and it is logical that if you put all these symptoms. Together, Chinese doctors talk about moisture-wind-heat.
And the treatment is aimed at eliminating excess heat. With acupuncture points, with Chinese phytotherapy, with changes in your diet, to calm the fire, ease the stress, strengthen the kidney, which is the one who balances the heat, because it represents water.
There are numerous studies of our western medicine, evaluating the effectiveness of Acupuncture for the treatment of pain, whether in the shoulder, lumbar, sciatica, fibromyalgia, and in all of the emphasis is placed on the improvement of the quality of life of the next patient associated with the clinical development of pain.