Pain · Neck & Shoulder · Clinical Monograph
Neck and Shoulder Pain
Acupuncture as a Holistic Alternative
§ Abstract
Neck and shoulder pain is a relatively common condition that affects a large number of people. It can be caused by a variety of factors such as poor posture, repetitive strain injuries, physical trauma, and stress. According to the World Health Organisation, up to 70% of people will experience neck pain at some point in their lives, while up to 50% will experience shoulder pain. Prevalence is higher in women than men, and increases with age.
I.
Clinical Investigation
When investigating neck and shoulder pain, the family physician will typically begin by taking a medical history and conducting a physical exam. They will ask questions about the patient’s symptoms — such as when the pain began, the location and severity of the pain, and any factors that may have triggered the pain. They may also ask about the patient’s occupation, lifestyle, and any previous injuries or medical conditions.
During the physical exam, the physician may assess the patient’s range of motion, muscle strength, and any areas of tenderness or swelling. They may also perform additional tests, such as imaging studies (X-rays, CT scans, or MRIs) or nerve conduction tests, to help identify the underlying cause of the pain.
Based on the results of the investigation, the physician may make a diagnosis and recommend a treatment plan. Treatment may include a combination of medication, physical therapy, and other therapies such as acupuncture, massage, or chiropractic care.
II.
Acupuncture as a Viable Alternative
Acupuncture has been shown to be a viable alternative for treating neck and shoulder pain because it is a holistic treatment that addresses the root cause of the pain, rather than simply masking the symptoms. Acupuncture works by stimulating specific points on the body, known as acupoints, which can help release tension and promote the flow of Qi (vital energy) throughout the body. This reduces inflammation, alleviates pain, and improves overall function in the affected area.
Studies suggest that acupuncture can be a safe and effective alternative or complementary treatment for neck and shoulder pain. Acupuncture has very few side effects when performed by a licensed and trained practitioner, making it a safe option for many individuals who may not be able to tolerate conventional pain medications or other interventions. It is also a non-invasive treatment option that does not involve the use of drugs or surgery.
III.
Common Acupuncture Points
Acupuncture points for neck and shoulder pain may vary depending on the individual’s condition and diagnosis. Some commonly used points include:
Jianjing (GB21)
At the midpoint between the top of the shoulder and the base of the neck.
Fengchi (GB20)
In the hollow between the two large vertical muscles at the base of the skull.
Hegu (LI4)
On the dorsum of the hand, between the first and second metacarpal bones.
Quchi (LI11)
At the lateral end of the transverse cubital crease, midway between LU5 and the lateral epicondyle of the humerus.
Waiguan (SJ5)
On the dorsum of the wrist, between the styloid process of the radius and the extensor carpi radialis brevis tendon.
Jianyu (LI15)
In the depression anterior to the acromion, on the upper portion of the deltoid muscle.
Tianzong (SI11)
When the arm is adducted, the point is directly above the medial end of the scapular spine.
Huantiao (GB30)
At the junction of the lateral 1/3 and medial 2/3 of the distance between the greater trochanter and the sacral hiatus.
Yanglingquan (GB34)
In the depression anterior and inferior to the head of the fibula.
In addition to acupuncture, other TCM modalities such as cupping and Tui Na massage can also be effective in treating neck and shoulder pain.
Begin Your Care
At Huatuo Clinic, we specialise in treating a wide range of conditions, including neck and shoulder pain, with acupuncture, cupping, and Tui Na massage. Our team of experienced and highly trained practitioners can provide personalised treatment plans tailored to each patient’s unique needs.