
Q I am a hairdresser in my 40s. It has been six months since the accident last year, but my neck still feels heavy and achy on cloudy days. It has already become chronic; can it get better if I receive treatment now?
A Even if it has become chronic, improvement is possible. Pain lasting more than six months is often caused by hardened adhesions and weakened ligaments, so it simply requires a different approach (adhesion release, ligament strengthening) than during the acute phase. Although the recovery speed is slower than during the acute phase, the intensity and frequency of pain can be reduced through stepwise treatment.
Detailed Answer
Chronic whiplash pain persisting for more than six months is not due to initial inflammation, but is a complex condition involving soft tissue adhesions formed during the recovery process, instability of weakened ligaments, and a nervous system that has become sensitive to pain (central sensitization). The fluctuation of pain due to weather changes is a typical reaction of damaged tissues that have become sensitive to changes in atmospheric pressure and temperature. At this stage, the key is treatment that releases adhesions and restores tissue stability, as well as gradual exercise rehabilitation, rather than anti-inflammatory drugs. From a Korean medicine perspective, the chronic stage is viewed as a phase of chronic pain where stagnant blood has accumulated over time and settled deep within the meridians, causing pain to fluctuate with changes in weather or the environment. The heavy, aching sensation on cloudy days is a typical signal that wind, cold, and dampness have invaded the joints. Furthermore, long-standing injuries deplete the energy of the liver and kidneys; when the liver and kidneys weaken, the very strength to support ligaments and bones diminishes. At Dongjedang, we apply a step-by-step external treatment to these chronic patients. After confirming the condition of adhesions and ligaments via ultrasound, we separate hardened adhesions using moxibustion and promote the regeneration of weakened tissues through fire acupuncture and thread embedding. The goal of internal treatment is to clear out long-accumulated stagnant blood and waste products, and to strengthen the liver and kidneys with herbal medicine tailored to the body's condition, thereby creating a physical state that remains resilient to the weather. Even with a chronic condition, there is a way forward.
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