形 · Neck & Shoulder Pain · 颈肩痛

Neck & Shoulder Pain Treatment

颈肩痛调理 · Kuala Lumpur & Penang

A stiff neck that will not turn, shoulders that tighten again the day after a massage, headaches that start at the base of the skull, or pain that runs towards the arm. At Virtue TCM we look at how the neck, upper back, ribs and shoulder blades work together, then use SRM structural therapy, acupuncture or tuina as needed.

脖子转不动、按摩完隔天肩膀又硬回来、从后脑勺开始的头痛，或是痛到手臂。醫道閣会先看颈、上背、肋骨与肩胛怎么互相牵动，再视需要使用 SRM 系统还原手法、针灸或推拿。

First visit · 首诊Consultation RM 60 (RM 100 if we review your X-rays or reports). First SRM visit: RM 235 in KL, RM 410 in Penang, assessment included.
Centres · 分店Bangsar · Mont Kiara · The Qing Suites, Penang
Practitioners · 医师Registered TCM practitioners. See who is in which centre below.

What we see · 常见情况

Where it hurts is not always where it starts.

痛的地方，不一定是问题开始的地方。

  • Long hours at a desk or phone
    The head drifts forward and the upper back stiffens; the neck ends up holding the weight.
    长时间低头、坐办公桌，头往前、上背变硬，脖子只好一直撑着。
  • Shoulders that never stay relaxed
    Massage helps for a day, then the tightness returns, often because something else keeps pulling.
    按完松一天又硬回来，常常是别处一直在拉。
  • Old injuries and scars
    A past fall, whiplash or surgery can change how the neck and shoulder move years later.
    以前跌倒、挥鞭伤或手术，多年后仍会改变颈肩的活动。
  • Stress, sleep and breathing
    Shallow breathing and clenched jaws keep the neck and shoulders working overtime.
    压力大、睡不好、呼吸浅、咬紧牙关，颈肩一直处在出力状态。

形 · How SRM looks at neck pain · SRM 怎么看颈肩痛

The neck sits on the rib cage.

脖子，是坐在胸廓上的。

Free the upper back first · 先松上背与胸廓The way we use our dominant hand slowly twists the rib cage and upper back. The junction between neck and upper back locks, the collarbone and shoulder tighten, and the neck cannot look up freely. So we usually free the ribs and upper back first, then the neck.惯用手长年使用，会慢慢把胸廓和上背扭过去，颈胸交界卡住，锁骨、肩膀跟着紧，头就仰不上去。所以通常先松胸廓与上背，再处理脖子。
Layers, not cracking · 一层一层松开，不是扳Tension is also held in skin and fascia that no longer glide. SRM releases these layers gently, so the joints can move again on their own, without forceful neck cracking.张力也藏在不再滑动的皮肤与筋膜里。SRM 温和地一层层松开，让关节自己动回来，不用力扳脖子。
Make room, then let it settle · 先让出空间，再让身体养回来When the body has compensated for a long time, stretching or exercise alone often does not hold. We first remove what is restricting movement, then the body can reorganise in the right direction, and exercises help it stay there.代偿久了，单靠拉筋或运动常常撑不住。先解除卡住活动的地方，身体才会往对的方向自己重组，之后的运动才留得住。
We check before you leave · 做完一定检查Turning, tilting and looking up should feel even on both sides. If something still feels uneven, your practitioner will tell you what is left and why.转头、侧倒、仰头，两边应该一样顺。还有不平均的地方，医师会说明还剩什么、为什么。

醫 · 形 · 養, for neck & shoulder pain

Assess · Structure · Recover

评估 · 结构 · 复元

醫

Assess · 评估

Pulse, tongue, posture and how your neck turns and your arms lift, read together.

把脉、看舌，看姿势、转头与抬手的方式，一起判断。

形

Structure · 结构

SRM structural therapy for the neck, upper back, ribs and shoulder blades. Gentle, without forceful neck cracking.

SRM 处理颈、上背、肋骨与肩胛，手法温和，不用力扳脖子。

養

Recover · 复元

Acupuncture, cupping and simple habits between visits, such as desk set-up and breaks.

针灸、拔罐，以及两次之间的日常习惯，例如桌椅高度与休息节奏。

Your first visit · 第一次来

What happens in the room

初诊会做什么

  1. 1 · Consultation 问诊When it started, what makes it worse, your work, sleep and stress, plus pulse and tongue.
  2. 2 · Assessment 评估How your neck turns, how your shoulders and upper back move, and where the pull starts.
  3. 3 · Treatment 治疗If suitable, SRM, acupuncture or tuina on the same day. You will know the plan before anything starts.
  4. 4 · Plan 计划What we found, what you can do at home, and whether more sessions make sense.

Before your first visit · 来之前

Common questions

Is it safe to work on the neck? 頸部做手法安全嗎？

SRM works through soft tissue and fascia, usually starting with the upper back and ribs, and does not use forceful neck cracking. Your practitioner checks for warning signs first and adjusts to how your neck responds.
SRM 透过软组织与筋膜处理，通常先从上背与胸廓开始，不用力扳脖子。医师会先排除需要转介的情况，并依你的反应调整力道。

General acupuncture or SRM? 該做一般針灸，還是 SRM？

We use two kinds of needling. General acupuncture follows the meridians and suits recent tension linked to sleep or stress. SRA (Systemic Resilience Acupuncture) is part of SRM: shallow needles placed along the lines of tension, often away from the sore spot, released layer by layer with the neck and shoulder held at the right angle. For neck pain that keeps returning, SRM combines hands-on work and SRA needling. Read: how they differ →
我们的针有两种：一般针灸依经络选穴，适合最近才开始、和睡眠或压力有关的紧绷；系统还原针法（SRA）是 SRM 疗程里的针法，浅浅扎在皮下，沿着张力的线、常常不在痛点，配合颈肩的角度一层一层松开。反覆发作的颈肩痛，SRM 会用手法加上系统还原针法一起处理。

I also get headaches. Can you help? 我也常頭痛，可以看嗎？

Headaches that start at the base of the skull often come with neck and upper-back tension, and your practitioner will look at both. A sudden, severe or unusual headache needs a medical doctor first.
从后脑勺开始的头痛常和颈、上背紧绷有关，医师会一起看。突然、剧烈或从未有过的头痛，请先看西医。

Do I need an X-ray or MRI first? 需要先照 X 光或 MRI 嗎？

Not usually. If you already have scans or a report, please bring them. If your practitioner feels imaging is needed, they will tell you why.
一般不需要。已有影像或报告请带来；如果医师认为需要检查，会说明原因。

How many sessions will I need? 需要做幾次？

It varies with how long the pain has been there and what is behind it. After the first session your practitioner will suggest a rhythm, and you review it together, without a fixed package upfront.
要看痛了多久、原因是什么。第一次之后医师会建议节奏，一起边做边检讨，不需要先买配套。

When should I see a medical doctor first? 什麼情況要先看西醫？

After a fall or accident; with arm numbness or weakness; unsteady walking; changes in bladder or bowel control; fever; or a sudden, severe headache you have never had before. Please go to a clinic or A&E first.
跌倒或车祸后的颈痛、手臂麻木或无力、走路不稳、大小便控制改变、伴随发烧，或从未有过的剧烈头痛，请先到医院检查。

Book a consultation · 预约问诊 About SRM · 了解 SRM

Related · 延伸阅读：肩膀按完松了，隔天又硬回来 · 腰背痛调理 · 结构疗法

Individual conditions vary. Recommendations follow consultation and practitioner assessment. 个人情况因人而异，疗程建议需经问诊与医师评估后决定。