A Competent Doctor Can Cure Everything - Chapter 459



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Part 2 Episode 151

Adhesive capsulitis (frozen shoulder)

* * *

While filming Seon I-jun’s outpatient clinic.

One of the staff members lowered his voice and whispered to the PD so as not to disturb the treatment.

“PD-nim. What do you think about this Hanbit University filming? Do you think it’s going well?”

The production team’s goal is to document the process of treating pain without painkillers.

And Hanbit Korean Medicine Hospital was a great choice.

The hospital facilities and medical care system were also impeccable.

There were quite a few patients who showed rapid improvement in just a few days.

But PD Na showed a somewhat dissatisfied look in his eyes.

“Well, it’s okay and good, but there hasn’t been a single impressive hit yet.”

“Really? To me, this seems like a success.”

“No, no. It’s not enough. There must be a reason why I recommended Mr. Seon Ijun. If it’s Mr. Seon, I think he’ll give me a painting that gives me a feeling of something more….”

“Is that so…?”

The staff scratched their heads as they watched PD Na, who seemed genuinely sorry.

Despite the PD’s thirst, filming continued.

“I’m not just a fan. I’m the president of Team Doctor Seon-i-jun’s fan cafe!”

A cute college student came to us with ‘rotator cuff syndrome’ of the shoulder.

It turned out that she was the president of Seon I-jun’s fan cafe.

Well, this could be fun if done well. That was when the PD was thinking somewhat indifferently.

“In my opinion, this is adhesive capsulitis… or, to put it simply, frozen shoulder.”

Everyone was surprised by Seon I-jun’s sudden declaration.

The patient was shocked by the unexpected diagnosis.

The production team, sensing signs of a huge hit, tightened their slack nerves.

PD Na asked a question at the right moment.

“Professor Seon-jun Seon. I’ve heard a lot about frozen shoulder from people around me. What exactly is it?”

“The shoulder joint is surrounded by a joint capsule. The joint capsule is a kind of sac that surrounds the joint. It is filled with synovial fluid that helps smooth out joint movement. It’s like a lubricant.”

Seon I-jun continued his explanation while turning his shoulder.

“But when the shoulder joint capsule hardens, it is called adhesive capsulitis, or frozen shoulder. The exact cause is still unknown, but it is mainly thought to be related to aging, diabetes, and thyroid disease.”

“Ah, since the joint capsule has hardened, it’s natural that it hurts when I move my shoulder. And I can’t move it very well either.”

The production team nodded their heads in agreement with the clear explanation.

Bae A-rin raises her voice as if she feels wronged.

“No, sir. But can someone in their 20s like me get frozen shoulder? The name of the disease is frozen shoulder, isn’t it?”

“It is true that it mostly occurs in people in their 50s. But these days, the number of patients in their 20s and 30s is increasing. It seems that the cause is using smartphones or computers for long periods of time in bad posture. Stress and lack of exercise also play a role.”

“Wow… It’s all my story.”

Bae A-rin, who was holding her right shoulder with her left hand, suddenly frowned.

“Then why did all the other hospitals say it was a shoulder muscle problem?”

“It is difficult to differentiate this from rotator cuff disease. Both cause pain when moving the shoulder. It would have been difficult to suspect frozen shoulder, especially in a young patient like Bae A-rin.”

Then PD Na raised his hand and intervened again.

“Then, how did Professor Seon Ijun come up with frozen shoulder?”

“That’s a good question. There are several reasons why I think that. Now, I’ll give you a simple way to tell the difference between the two.”

Seon I-jun goes to stand next to Bae A-rin on her right side and grabs her arm.

“You understand that frozen shoulder is a joint problem and rotator cuff syndrome is a muscle problem, right? This test uses that. Ms. Bae A-rin, try to relax your arm. I’ll slowly lift it up.”

“yes yes!”

Then, Seon-i-jun lifted Bae-ah-rin’s arm to the side.

When I tried to raise my right arm above shoulder height, Arin’s face suddenly wrinkled.

“evil!”

“Have you seen it? Frozen shoulder causes pain when it exceeds a certain angle. However, if it was a rotator cuff problem, you would have been able to raise your arm to your ear without pain.”

“Why?”

“If you raise your arm by yourself, your muscles have to work. But if someone else does it for you, your muscles don’t have to work, so there’s no pain. But with frozen shoulder, regardless, if you raise your arm beyond a certain angle, the joint capsule gets stimulated and it hurts.”

In an instant, exclamations of “Ah~” filled the examination room.

Seon I-jun smiled slightly and then added.

“There is another difference. Rotator cuff disease causes pain in a specific area, but frozen shoulder causes vague pain around the shoulder, making it difficult to pinpoint the exact location of the pain.”

“Yes, it really is. It just feels like the whole area around my shoulder hurts.”

Bae A-rin nodded vigorously and looked at her doctor with earnest eyes.

“Professor Lee Jun. Then how do you treat frozen shoulder?”

“Most cases heal naturally over time, but it can take from one and a half to three years, which causes a lot of discomfort for patients. Aftereffects can also leave behind, limiting joint movement.”

“Does it leave aftereffects? That’s so scary… Even now, I’m still in a lot of pain and discomfort. Like when I comb my hair or get dressed.”

Seon I-jun skillfully comforted the patient who suddenly became sad.

“Don’t worry too much. It was discovered at an early stage. You can receive treatment from now on.”

“Really? What kind of treatment do you do? Surely you don’t need surgery or anything?”

“No. For frozen shoulder, conservative treatment is attempted first rather than surgery. In Oriental medicine, treatment is largely divided into two stages.”

Seon I-jun takes out a fountain pen and writes on a piece of paper.

——

First, pain relief.

– Reduce inflammation and swelling around the shoulder with acupuncture, moxibustion, and herbal medicine.

Second, improving joint movement.

– Relieving stiff shoulders with chiropractic and exercise therapy.

——

Bae A-rin, who had been picking up the paper and reading it out loud, tilted her head.

“Oh? But do you also do Chuna for frozen shoulder? I thought Chuna was only used for things like straight necks or straight backs.”

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“No. The general term for the treatment that a Korean medicine doctor uses to correct structural and functional deformations in a patient’s body is ‘Chuna Therapy.’ It is also useful for increasing the range of motion of the shoulder joint in frozen shoulder.”

“Wow, I see.”

The patient seemed convinced, but then looked at Seon I-jun with worried eyes.

“But, doctor, how long will the treatment take?”

“It’s different for each patient, depending on the case. In someone like Arin… .”

A surprising prediction came out of Seon I-jun’s mouth as he was thinking for a moment while looking at the chart.

“Just get treatment twice a week for 5 weeks, a total of 10 times. I will make you over 90% better.”

Arin and the documentary production crew were both shocked by the groundbreaking declaration.

“Really? But you said earlier that it would take years!”

“Professor Lee Jun. This is all being filmed, so is it okay for you to be so sure?”

But Seon I-jun smiled confidently.

“That’s what happens when you leave it untreated and don’t seek treatment from me. You can film as much as you want, but let’s go to the chiropractic room first.”

* * *

The chunsa room became bustling.

After changing into patient gown, Bae A-rin sat down on the Chuna bed.

A curious production crew surrounded him.

“I will do acupuncture before the chiropractic treatment.”

When Seon I-jun brings a syringe on a tray, PD Na happily acknowledges him.

“Oh, when you say acupuncture, you mean the treatment of injecting the effective ingredients of herbal medicine into acupuncture points? What kind of acupuncture is this?”

“This is the Purple River Chariot (Placenta) acupuncture. I chose this to help with the recovery of the tissues around my shoulder. The acupuncture will be injected into the Jian Liao (肩髎) point on the back of my shoulder.”

When Seon I-jun spread the patient’s arms outward, a concave area appeared at the beginning of the deltoid muscle behind the shoulder joint.

“If you inject a medicinal acupuncture needle here, the medicinal acupuncture liquid will be injected into the subacromial space, which will have the effect of distributing it well to the adhered joint area.”

(*Acromion: The raised part at the outer end of the shoulder blade. Attached to the clavicle.)

Swish-.

The acupuncture liquid goes in cool.

After the injection, it was time to perform the chiropractic treatment.

“The purpose of Chuna is to normalize shoulder joint movements and restore the normal position of the humerus and scapula. Patient, it doesn’t hurt, so don’t be afraid and just relax.”

Bae A-rin is still sitting on the stool or bed.

Seon I-jun placed one hand on the patient’s shoulder blade and the other hand near the head of the humerus, interlocking their fingers.

Then, it looked like Lee Jun was pressing Arin’s shoulders with both hands.

“Arin, please straighten your elbows and raise your arms out to the side.”

“Like this?”

“Yes, you are doing well. This is how we teach you normal joint movements when you raise your arm.”

“Wow, it feels sore but also refreshing.”

After repeating this movement five times.

“This time, I’ll lie straight and look at the ceiling.”

Seon Ijun placed one hand on Bae Arin’s scapula (a small protrusion at the front, above the shoulder blade) and held her elbow with the other hand.

“From now on, I will push down on the patient’s arm and at the same time pull it downward. In this way, I will gradually increase the range of motion of the joint.”

This movement was performed 10 times, 3 sets.

The production crew, who had been watching with bated breath, soon noticed something.

“Oh! PD, you can see that too?”

“Yes, it is definitely visible. The more you repeat the Chuna, the more the range of motion in your shoulder increases.”

“Wow… Is this how it is? My mother also has frozen shoulder. I should recommend a Korean medicine clinic.”

The onlookers are all amazed.

But, no matter what, it was the patient himself who felt the change the best.

“Wow, my shoulders feel refreshed! My movements have become smoother than before!”

Bae A-rin, who got off the Chuna bed, moved her shoulders and opened her eyes wide.

Cheers and applause erupt from the production crew.

Bae A-rin looked at Seon I-jun with eyes full of trust.

“Doctor, is the treatment finished now?”

“No. I also need acupuncture. I’ll need acupuncture on the major acupoints on the shoulder: Gyeonwoo (肩髃), Pino (臂臑), and Cheonjong (天宗).”

“Wow… There are so many treatments for frozen shoulder!”

“Of course. Acupuncture and moxibustion are the main treatments, with acupuncture as a supplementary treatment. It’s even better if you combine it with herbal medicine.”

“Oriental medicine? What kind of herbal medicine do you use?”

“A representative example is Gaekyeolseo-gyeong-tang (開結舒經湯). It is a prescription often used for neck and shoulder pain and stiffness.”

Seon I-jun earnestly asked Bae A-rin, who was surprised by this.

“It is also very important for patients to stretch themselves to loosen up their stiff shoulders.”

“Oh, but other doctors have told me to try to avoid using my shoulders as much as possible. Can I do some stretching?”

“That’s the description for rotator cuff syndrome. Both are shoulder pain diseases, but for frozen shoulder, you have to exercise diligently, and for rotator cuff problems, you have to refrain from exercising.”

“The management method is completely different?”

When the patient looked puzzled, Seon I-jun shrugged his shoulders.

“Because the causes are different. For frozen shoulder, you have to endure the pain and exercise consistently to loosen up the joint capsule and surrounding tissues. For rotator cuff syndrome, you have to refrain from using it because continuing to exercise will further damage the muscles.”

“Ah, I understand.”

Bae A-rin folded her hands in front of her chest as if praying.

“Professor Lee Jun. Can I really get better so quickly?”

“Usually, it’s a disease that takes several months to treat. But Bae A-rin is young and started treatment early, so the prognosis seems good. And until now, she didn’t stretch because she thought it was a muscle problem, but now she’s going to do it actively, so that’s going to make a big difference.”

“I see. Thank you so much, teacher! It was so nice of you to come here today!”

In the warm atmosphere, the production crew also smiled happily.

Only then did a look of satisfaction appear on PD Na’s face.

“This filming was really good. The fact that the patient was the president of Seon I-jun’s fan cafe was also great. We were able to include various treatment methods, such as moxibustion, cupping, and acupuncture.”

“Yes, PD. It was also great that Professor Lee Jun found the diagnosis that other hospitals missed.”

“It was so dramatic! I was worried that people might suspect it was manipulation.”

Then the PD crossed his arms and shook his head confidently.

“It’s okay. Who is that person? It’s Seon-i-jun. No one will doubt the teacher’s skills.”

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