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2011年07月11日
Meniscal injury massage therapy technology
Knee meniscal injury refers to acute and chronic injury for the knee cartilage and half months, sparking local torn knee joint swelling, pain, even into a series of clinical syndrome lock common card. This disease happens in young people.
etiology
Knee flexion, at half a calf in the spin or spin, if a with knee extensor or further rotating calf; Long-term CunWei or kneeling by a worker, meniscus stretch, extrusion; Long-term knee lesions of meniscus within, continuous extrusion wear, cause meniscal degeneration; Obese and overweight meniscus itself loose or ligaments instability of the knee injury, are induced factor of meniscal injury.
The traditional Chinese medicine this disease syndrome classification and qi and blood stasis, for phlegmy wet block and liver and kidney losses three type.
Massage therapy
Among the principle: for activating blood circulation and eliminating stasis, acetanilide detumescence.
Commonly used gimmick: yi, knead, method, etc.
Operation steps
1. The initial: patients to sleep in the knee, performer around the front and thigh to yi, and so method.
2. Into the lock for knee flexion and should be used in patients with skil except pay lock: patients with hip flexion bending supine, 90 degrees, is holding a assistant to hold a performer, bone below the ankle, and the two men relatively traction, the performer can spin crus inside and outside several times, and then make crus buckling, as far as possible, can remove again unbend lower limbs into the lock.
3. Click YangLingQuan, sp10, knee eye, sp9, bilateral, such as blood hole.
4. Local massage: patients to sleep with his thumb, performer on the edge of the joints, and rubbing do take hold.
Appropriate technology
Fixed therapy
The acute injury can be used after knee "plate 170 degrees a bandage rest fixed 3 ~ 4 weeks, simultaneously lower limbs of muscle contraction exercise initiative.
Surgical treatment
Determined for meniscal injury to repair, conservative treatment and the invalid shall be surgical excision treatment as soon as possible.
Three of the knee joint
The patient supine, medical stood in the phantom limbs.
(1) loose reinforcement method
The performer around in the knee joint by click on the loose solution of soft tissue, points of steel straightening out 3 ~ 5 minutes (knee). A usable prone side
(2) on the reason method
The performer in patellar body first to use the standard method (with his thumb knead in patellar knead move on, and then in patellar blow. Daniel around)
(3) expansion of knee
The knee joint activities for several times, make the performer in the knee joint in side do forearm fulcrum, knee, then remove the buckling as far as possible for protection of arm, to direct the knee flexion 2 ~ 3 times.
Use this technique to note: when
(1) technique from mild to severe, make the soft tissue fully loose loose liberation.
(2) if the knee inside and outside gap width is inconsistent, appropriate is in force a case push-pull, and narrow side the not normal.
(3) after treatment, appropriate function exercise in 30 degrees slope walking up and down, to do more training quadriceps muscles contraction in activity, recovery, not walk steps, or do ducks stand up activities.
note
1. The damage in the acute phase, phantom limb fixed at the same time, should be encouraged to lower limb muscles of the patients with active exercise, prevent muscle atrophy contraction.
2. The period of treatment of meniscal injury is long, must consistently persist treatment, can have very good effect.
3. Do not use violence activities or reverse flexion.