Pain can come about from many different causes; stress can lead to chronic neck and shoulder pain, which can develop into headaches. Excessive walking on hard surfaces is a common cause of plantar heel pain (Plantar Fasciitis). Many of us are stuck working at a desk all day: this can cause pain through the hips and gluteal muscles which can lead to a tight lower back and even sciatica pains. Tennis elbow pain is commonly seen in my clinic from people doing manual labour. As we age our knees often develop osteoarthritis which can affect our ability to walk and be active. These different forms of pain fall into 2 categories in Chinese Medicine, we class them as either “painful bi-syndome” or “Qi and Blood stagnations” depending on where and the type of pain you are experiencing.