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Methods after for thoracic joint disorder

2012年04月20日

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Methods after for thoracic joint disorder

 

 

ZhaoYingLin Xi'an Chinese medicine hospital

 

 

China's traditional Chinese medicine reported

 

 

 

        After the thoracic joint disorder is to point to the facet joints, rib joint, the rib joint because of bad posture tumbled or twist to the imbalance between joint, with back pain as the main clinical symptoms of the disease, belongs to the traditional Chinese medicine bone traumatology department "injury muscle" category.

 

        Many patients with spinal proneness after a long stretch back or move suddenly ask, weight lifting, carry, too, change body parabolic disharmony and engaged in working at his desk, acute and chronic injury history. The clinical manifestations of the deep in the back pain, heavy or acid or uncomfortable, cough and strength, fatigue, spine out or working at his desk is back after long symptom aggravating, some cases can be intercostals nerve along the radiation, may also display to chest ribs is not fixed, wander the sexual pain. Thoracic spinous near or spines about 1.5 ~ 3 cm deep in tenderness, the back muscles tense JuLuan. In the middle part of thoracic majority, can be expressed as a single thoracic come on, also can appear more thoracic come on at the same time. X-ray thoracic joint no abnormalities.

 

        Technique to

 

        A patient prone, performer in patients, rubbing, the back of steel rolling, points, belligerent may also techniques such as the collaterals dial about 5 ~ 10 minutes, fully relax back and waist soft tissue.

 

        Reset technique

 

        Press the technique: patients still take a stomach, chest cushion pillow, make its relaxed, with the right hand surgeons pressure (such as for a single thoracic disease, the root of palm to pressure for more, such as with thoracic vertebra disease is whole palm evenly on the site), left hand over your right veiw, both hands coordination move under the light pressure after several times, while patients relax move under the slightly push hard on, right now but heard or palm feel a small joint parts of the ring. This technique is applicable to all the facet joints disorders.

 

        Rotating technique: with a single thoracic left little joint disorders for example. The seat patients, an assistant fixed patients right knee. Performer in patients sit behind, the right hand in his thumbs for vertebral spinous with the left, and that the remaining four fingers in the back right and left hand under the left in patients with control a department, instructing patients the music before 30 ° spine ~ 45 ° and active levorotatory to maximize, this time the performer in patients with left hand left-lateral 5 ° spinal continue to ~ 15 °, at the same time, the right hand to push the right thumb with vertebral spinous, both hands coordination hard, heard or feel the noise end technique. This technique is applicable to lower the facet joints for single disorder.

 

        Carry out the back technique: patients seat, his hands clasped cross for the item. Performer in patients stand back, right knee flexion of top in part, by holding hands under patients wrists backwards on the dip, and at the same time right knee to push ahead the top, heard or feel the noise end technique. This technique is applicable to below the period of single or multiple the facet joints disorder.

 

        Ending manipulation and regulating: and relaxation technique basic same, complementary with vibration, flap technique, etc. At the same time instructing patients do chest expansion several times and active cough in judgment therapeutic effect, the tactics will significantly reduce symptoms reduction, the site had mild pain is normal phenomenon, consider small joint disorders of correct joint capsule, joint synovitis after get involved, has provided more than pain, 1 ~ 3 days to disappear. After treatment, the patient must correct bad living and working habits, meanwhile, enlarge bosom, five support function exercise.

 

        Methods after for thoracic joint disorders must grasp the following several parts: diagnosis must be clear, and technique must make sure patients before thoracic X check no abnormalities,; The technique should be gentle, avoid by all means use violence caused iatrogenic damage; Patients with osteoporosis used this technique or no, these patients can enlarge bosom and independent movement through the reset itself; Patients with bad posture change to disease of the recovery, and prevent recurrence is particularly important.