Sports Injuries: A Comprehensive Approach from Western and Chinese Medicine Perspectives.

(Organ names in Chinese medicine differ from Western medicine’s understanding).​

Sports injuries are common, and they can range from minor bruises and sprains to severe fractures and tears. Western medicine has made significant advancements in understanding the physiology of sports injuries and treating them. However, traditional Chinese medicine (TCM) offers a complementary approach that can aid in healing these injuries. In this article, we will explore the Western and Chinese medicine perspectives on four common types of sports injuries: fractures, soft tissue injuries, tears, and bruising.

Western Biomedical Understanding and Treatment.

Fractures occur when there is a break in the bone due to excessive force or trauma. The treatment for fractures typically involves immobilizing the affected area with a cast or brace and pain management. In severe cases, surgery may be necessary to realign the bone.

Soft tissue injuries, such as strains and sprains, occur when there is damage to the muscles, tendons, or ligaments. The treatment for soft tissue injuries usually involves rest, ice, compression, and elevation (RICE). In some cases, physical therapy may be necessary to restore mobility and strength.

Tears can occur in any part of the body, but they are common in the knee and shoulder joints. The treatment for tears varies depending on the severity of the injury. Minor tears may heal on their own with rest and physical therapy, while severe tears may require surgery.

Bruising occurs when there is damage to the blood vessels under the skin. The treatment for bruises usually involves rest, ice, and pain management.

In TCM, sports injuries are viewed as an obstruction of the flow of qi and blood in the affected area. TCM practitioners use a combination of acupuncture, herbal medicine, and dietary therapy to address the underlying imbalance and promote healing.

Here are three TCM perspectives on sports injuries:

Five Elements Theory: In TCM, each organ is associated with an element and emotion. Sports injuries can disrupt the balance of the elements, leading to an imbalance in the corresponding organs. For example, a knee injury may be associated with the Water element, which is related to the kidneys and fear. A TCM practitioner may use acupuncture to balance the energy flow in the kidney meridian and prescribe herbs to strengthen the kidney.

Channel Therapy: In TCM, there are twelve main channels in the body, each associated with an organ. Sports injuries can block the flow of qi and blood in these channels, leading to pain and inflammation. Acupuncture is used to stimulate specific points along the affected channels to promote the flow of energy and reduce pain.

Zang Fu Theory: In TCM, the organs are classified into Zang (solid) and Fu (hollow) organs. Sports injuries can affect both the Zang and Fu organs in the affected area. For example, a knee injury may affect the Kidney (Zang) and Bladder (Fu) organs. A TCM practitioner may prescribe herbs to strengthen the Zang organs and acupuncture to balance the flow of energy between the Zang and Fu organs.

While TCM offers a different perspective on sports injuries, it is important to note that it is not a replacement for Western medicine and a western diagnosis should be sought. A patient should always seek medical attention from a Western doctor for severe injuries, such as fractures or torn ligaments. TCM can be used as a complementary approach to manage pain, promote healing, and prevent future injuries.

Sports injuries can be debilitating and require proper management to heal. Western medicine offers effective treatments for these injuries, including pain management and surgery. TCM offers a complementary approach that addresses the underlying imbalance and promotes healing, post surgical support while attending physiotherapy or occupational therapy as directed by your doctor. Acupuncture, herbal medicine, and dietary therapy may prove to be a very owerful adjunct to the western approach.

In conclusion, while Western medicine offers effective treatments for sports injuries, Chinese medicine can provide a complementary approach to managing symptoms and promoting healing. By understanding the different concepts of the body, including Zang Fu organ theory, Qi and Blood, and the five elements, practitioners of Chinese medicine can provide a unique perspective on sports injuries that can help athletes heal more quickly and effectively. Additionally, the use of acupuncture and herbal medicine can provide pain relief and promote healing without the side effects often associated with Western medications.

References:​

Maciocia, G. (2005). The Practice of Chinese Medicine: The Treatment of Diseases with Acupuncture and Chinese Herbs. Churchill Livingstone.

Ni, M. (2005). The Tao of Nutrition: The Healing Power of Chinese Dietary Therapy. Seven Star Communications.

Cheng, X. N. (1987). Chinese Acupuncture and Moxibustion. Foreign Languages Press.

Zhang, Y. H., Tan, Y. R., Jiang, J. G., & Wang, Y. (2019). Herbal medicine for sports injuries: a review. Journal of Traditional Chinese Medical Sciences, 6(4), 392-402.

Huang, G., Wei, P., & Chen, G. (2018). Clinical observation on the treatment of sports injuries with acupuncture and moxibustion. Journal of Acupuncture and Tuina Science, 16(3), 165-168.

Zeng, F., & Liang, Z. X. (2015). Progress in research on acupuncture treatment for sports injuries. World Journal of Acupuncture-Moxibustion, 25(3), 44-50.

Du, Y. X., Lin, L. P., Li, M., Zhang, J. J., & Huang, L. H. (2021). Acupuncture and moxibustion for the treatment of soft tissue injuries caused by sports: A meta-analysis. Journal of Traditional Chinese Medical Sciences, 8(1), 1-12.

Lee, J. H., & Beak, J. S. (2018). A systematic review and meta-analysis of acupuncture and herbal medicine in treating industrial accident injuries. Journal of Physical Therapy Science, 30(2), 321-326. doi: 10.1589/jpts.30.321

Cui, J., Wei, Y., Zhong, L., & Huang, J. (2020). Study on the effectiveness of electro-acupuncture in the treatment of soft tissue contusion. Journal of Hainan Medical University, 26(4), 57-60. doi: 10.1218/j.issn.1671-2089.2020.04.013

Luo, Q. Q., Wang, H., Li, X. S., & Hu, J. H. (2020). Current status and prospect of TCM in the treatment of sports injury. Chinese Journal of Integrative Medicine, 26(4), 318-323. doi: 10.1007/s11655-019-3151-9

Zhang, W., Li, H., Li, B., Wang, J., & Xie, Y. (2018). The effectiveness of Chinese herbal medicine Jinlida as adjunctive therapy in treating type 2 diabetes mellitus: A meta-analysis. Journal of Ethnopharmacology, 227, 305-314. doi: 10.1016/j.jep.2018.09.004

Robert Chu. (2017). Chinese Medicine Traumatology: A Clinical Guide for Acupuncturists. Singing Dragon, London, UK. Pages 5-49.