The manipulation treatment of lumbar intervertebral disc herniation

    Prolapse of lumbar intervertebral disc is mainly due to degenerative changes or lumbar trauma and fiber ring by ruptured disc to the spinal canal is outstanding, oppressive nerve root cause backleg pain and so on a series of neurologic symptoms. "Weight ministry" is the main reason caused intervertebral disc herniation of intervertebral disc degeneration, the onset of aging is intervertebral disk based.

    The disease is a common and frequently-occurring diseases, orthopedic of traditional Chinese medicine "lumbago," "bi-complex card" category. Changchun university of traditional Chinese medicine ZhaoWenHai professor noted that the disease pathogenesis is the main case kidney-qi is weak, ShiXie break, and the chill in JiGu not scattered, and muscle, and tumbled shem excessive ministry, after the fall of main and collateral channels stasis resistance damaged channels, general clauses pain, so see lumbago such as discount, turn shake not, waist-leg acid hemp arrested urgent; Sick and often most associated with late qi deficiency and kidney deficiency elephant.

     ZhaoWenHai think, clinics in bones and muscles, but disease disease with the zang-fu organs, blood, meridian close relationship. Especially meridian is very important, the viscera and channels, even reached to muscle throughout the body, watch, but the whole body blood circulation channel. The grain asked · flesh kyu-bo yue: fractal volunteers "meridian impassability, disease, born in massage for the unfeeling mash medicine." Camp guard disagreement, meridian blood sluggish and impassability, so ill born callousness, appropriate USES massage and XuanTong tincture, mediate camp guard, meridian qi, the disease that can be traveling alu minium wheels. From clinical signs analysis, the disease is "sick bits du meridian" and "by" the bladder sufficient sun trail of ZhaoWenHai use led, pull, massage manipulations, channels, regulate and muscles, make qi qi to attempt to reconcile; According to the gun, pressure, and with such technique, make the bone is soft, its pain reinforced since check. Specific steps below.

     Preparation technique

     Using press, pressure, and gun gimmick, fully relaxed local soft tissue.

     Pressure performer takes the thumb and palm face side (stomach) from the spine patients with upper back on both sides of the bladder sufficient sun at the second, by go up and down on the massage, lumbar di ministry for three consecutive times. Then the performer in cross your right next to the left hand, since patients first thoracic began along spinous (namely du meridian) compre sacral vertebra ministry, left hand to press to foot side when hard, a continuous three times.

    With the gun law performer of the metacarpophalangeal joint from or back, along with prominent part of bladder sufficient sun by two at warp, top-down scroll, and slightly when lumbar di ministry, suffering from roll to forcibly with department, repeatedly foot 3 times.

    Treatment technique

    Using led, pull technique, to the treatment effect.

     Lead method patients prone bed, performer in patients with full side, hands handholding its ankles hands took the head of a bed, patients with the surface of bed, make patients about 45 degrees of drafting, about 1 minute forcibly, three consecutive times.

     Pull pull method and the method of points prone upon two, stomach flip method is divided again pull pull law great consistence and pull shoulder method. (1) prone great consistence: the performer skill press pull 3, 4 patients with lumbar spine, on hand, make contralateral knee joint extension to a certain degree, hands and relative crisscross pull. When the sound can be heard playing right, do a around each. (2) flip shoulder method: the performer prone to the patient mega-church press 4, 5 lumbar place, one block to the side shoulder, hands also crisscross hard, do a around each. (3) flip law: patients upon, health limbs upon next unbend, limb, the performer in the buckling in patients ventral down, elbows, a cubit long put in patients after a cubit ilium rim, put in the patients with shoulder shoulder former (flat), interlaced force, then change positions, the other side do it again.

    Finishing technique

    Supine dish waist method patient supine flexor hip, performer and kneeling down, hands hold its knees, make close to his chest, first the left-right rotating shake, then push knees, make the waist hip, knee excessive repeated buckling several times, followed by patients with left hand, right hand right shoulder fixed to the contralateral press knees and reverse the waist, then change left shoulder right hand, left hand pressed patients to the opposite direction press knees, repeated 1 time.

    Side patients sat cross-legged, health limbs method upon next unbend, limb on buckling, performer stands in patients ventral, skill from limb in hip, according to the next bypass patients crus, torre forearm beach with abdominal posted on in patients knee ahead, held in one hand and move above the knees, trunk, made the patient pelvic produce push pull, drive, and then make the activities of lumbar bowed the knee hips, make patient against his chest, the performer to hand in one hand, push below the knees department in daiwan hips, torre forearm lived high limb crus, inside, the movement spin phantom limb unbend. Then performer puts the left hand to hold the right hands the knee, patients with ankle, use the add mention eddy motion technique, make the limb do buckling stretch gradually increasing and slightly line of action, pulled out a lasting time for shipment exhibition.

    Treatment and the matters needing attention

    Application for 20 minutes, this law 1 times daily treatment 1, 1 months for 1 of treatment. The size of the force in patients technique body strong degree, age sizes with factors such as the patient can tolerate vary from person to person, for degrees. Gimmick ended, patients bed rest for 30 minutes. Every can regularly do waist muscle activity; Avoid posture on lower limbs unbend next moving take heavy load, in case sprain waist, cause illness or recurrence; Sweat is cold and shelter to prevent a cold after.

     Modern technology research results show that the method can correct gimmick and pull the spine and lateral bending physiological radian, promote local blood circulation, eliminate aseptic inflammation, relieve muscle cramps, and make partial nucleus pulposus displacement, change happened nerve roots and protrusions position, restore lumbar physiological curvature, strengthen the stability of lumbar, adjust the small joint disorders, separate nerve root of adhesion, remove nerve root compression or exciting, make symptoms disappeared or ease. (LiuLiangJun WenHui ZhaoChangWei CaiJun in building TanHe liu nikita zhong)