TCM for PMS: Neck Pain Before Menstruation - A Real Case Sharing
Premenstrual syndrome (PMS) can manifest in various ways, sometimes with unexpected symptoms. In this case sharing, we explore how Traditional Chinese Medicine (TCM) effectively treated a unique presentation of PMS-related neck pain.
Patient Background
Helen, a 34-year-old housewife and mother of two, had been struggling with recurrent neck pain for years. Her condition was distinctive:
Pain intensified before menstruation
Pain subsided significantly after menstruation
Occasionally accompanied by fatigue, headaches, and insomnia
Given this cyclical pattern, we initiated treatment post-ovulation for 2 consecutive months. Helen experienced substantial relief during her 2nd menstrual cycle.
Treatment Approach
We employed a combination of TCM techniques:
Acupuncture (applied to neck, shoulders, and abdomen)
-Regulated hormonal balance
-Improved circulation
Moxibustion (focused on the belly button)
-Stimulated the body's vital energy
-Enhanced Qi flow
Cupping (applied to neck and shoulders)
-Removed stagnation
-Released tension and stiffness
Considering the nature of PMS, we identified an ideal treatment window from post-ovulation to the onset of menstruation (approximately 3 weeks). Helen received weekly treatments during this period, totaling 7 sessions to date.
“Dr. Michelle is very attentive and careful.
Her treatments work well on my body and I can relax well during the treatment.
Highly recommended. Thank you Dr. Michelle.”
TCM Explanation and Treatment Evolution
In TCM, PMS is typically attributed to either deficiency or stagnation(read the previous blog). Helen's case presented as a mixed type: more stagnation, less deficiency.
Initially, we focused on addressing Qi and blood deficiency using acupuncture and moxibustion. However, the results were modest, with Helen still experiencing neck pain during her first post-treatment menstrual cycle.
We then adjusted our strategy to target stagnation more directly. After 3 additional sessions combining acupuncture and cupping, Helen noticed a significant improvement during her second menstrual cycle. Not only did her neck pain diminish considerably, but she also reported increased energy levels and improved sleep quality.
Conclusion
This case highlights the importance of personalized treatment in TCM. By carefully observing symptoms and adjusting our approach, we were able to provide Helen with substantial relief from her PMS-related neck pain. It also demonstrates the effectiveness of combining various TCM modalities to address complex health issues.
For those experiencing similar cyclical pain or other PMS symptoms, TCM offers a holistic approach that can be tailored to individual needs. Always consult with a qualified TCM practitioner to develop a treatment plan suited to your specific condition.
