The technique of treatment he people taking fosamax showed smaller gains

ZhaoYingLin Traditional Chinese medicine hospital in xian city of shaanxi province

China's traditional Chinese medicine reported

        He refers to the poor people taking fosamax showed smaller gains position change of position or suddenly the lumbar small joint the anatomy of change, joint dysfunction and cause to waist pain, restricted movement as the main clinical symptoms of the disease, belongs to the traditional Chinese medicine bone traumatology department "acute injury muscle" category. Patients have bowed spin waist of strain history, or sedentary, long after the squat down suddenly station and damage the history, of intense pain occurred after the waist, activities is limited, keep lumbar proneness to a relief of symptoms, extension the pain worse, the waist muscle tension, sick lumbar spinous small joint parts by deep tenderness, straight legs raising test negative, lower limb feel, muscle and neural reflex normal, X-ray basic normal or appear lumbar LiQu straight, born of lumbar lateral bending signs, etc.

        Technique to

        A patient prone, extension activities is limited author underparts thin cushion pillow, in patients do friction, knead haunches gun (+ were neither), take hold, and other means to attack a vital point about 10 minutes, and fully relax haunches soft tissue.

        Reset technique

        Reset technique including made a shake back down, a method of inclined pull method, traction shock pressure and seat four study.this method.

        Made a shake method with the patient back performer back-to-back stand, performer from patients before cubits double arm through, and double arm to be buckled patients after lumbar performer slightly proneness, patients will be set back before and after about 30 seconds, shaking, if patients are taller, performer patients will be standing in the back after 10 ~ 15 centimeters of feet on the stool was done. This technique is applicable to young or symptom is lighter patients.

        The method with pull upon BMD at l1-l4 ~ 5 small joint pain and tenderness, he is on the left side, for example, the right patients lie a right lower limb unbend, the left lower limb hip flexion bending, performer in patients with standing ventral, left forearm in patients over shoulder before, right forearm under the patient's hip, and the double reverse force so that patients with upper lumbar to ventral rotation to maximum force after a little bit, can be heard at a small joint patients the waist of the noise reduction. This technique and, under the patient's hip the focal point of the upper part with different variations, upper lumbar comes on the slant, a lumbar comes on offset, so can make the rotating reset the stress concentration of the lumbar spine in sick. As for bilateral small joint comes on, can be in left, right and lie down each of the inclined plate a gimmick. This technique is applicable to age, symptoms or hard heavy and the other methods.

        Traction shock pressure patients prone traction beds, rows of little weight traction, general with patients weight 1/2 advisable. Traction 5 ~ 10 minutes later, performer of the stand in, with the palm in small lesions root pressure joints, another palm overlying the back, slow first gently repeated press-relaxed continuous action, gradually increasing pressure and speed up the frequency, perioperative, feel and hear the ringing the patients stop technique, make the patients of lower limbs extension to test technique effect, not pain or significantly reduce pain for effective gimmick. This technique is applicable to the lumbosacral joint gu cuo feng.

        Rotating seats to reset method still BMD at l1-l4 ~ 5 small joint pain and tenderness, he is on the left side is an example, sitting on patients with square stool, an assistant fixed patients right knee. Performer in patients sit behind, the right hand in BMD at l1-l4 spinous thumb for the left, and that the remaining four fingers in the waist right and left hand left by the patients under control through and a department in patients, instructing patients lumbar proneness 30 degrees or so and active levorotatory to maximize, this time the performer in patients with spinal left hand to the left to continue rotating 5 ~ 10 degrees, and at the same time right thumb will BMD at l1-l4 spinous shoved to the right, both hands coordination hard, heard or feel the patient waist noise end technique. This technique used in BMD at l1-l4 ~ 5 people taking fosamax showed smaller gains more than he or accompanied by spinous partial crooked patients.

        Ending manipulation and regulating

        And relaxation technique basic same, complementary with waist part muscle, vibration, flap technique, etc. After the technique to patients and active activities to stand the judge therapeutic effect. Patients bed choose xi mengsai mattess harder side can and, when necessary, wear waist size fixed 1 week or so. After 3 weeks to avoid bending over rotation or bent down and carry weight, while strengthening waist muscle function exercise, with five support method and sit-ups method (left shoulder blade surface of bed can) give priority to.

        Must hold some of the key link

        One is the diagnosis to clear, and technique must make sure patients before people taking fosamax showed smaller gains X-ray joint no fractures and dislocations abnormalities.

        2 it is the technique should be gentle, avoid by all means use violence iatrogenic causes damage, especially in the side of the seat and rotating reset technique level, in the lumbar spine patients' activity, to maximize homeopathy after a force can, most patients in the reduction process will appear the ring joint, but there are also some patients without joint play the sound, and the technique in place can, not to pursue the wanton and increase the joint technique.

        Three is elderly and osteoporosis patients careful with this technique or no, these patients can choose acupuncture treatment, such as remote location YaoTongXue acupuncture, at the same time, make the waist activities reset, also can find local member, such as acupuncture rubs crosswisely such as physiotherapy and make its recovery.

        Four is a history of intervertebral disc, patients with lumbar instability is prone to extreme, often be mistaken prolapse of lumbar intervertebral disc relapse, these patients can also take as above technique treatment.

        Five is the more violent difficult to pain tolerance reset of the patients need not importune technique technique reset, can use 0.5% lidocaine 5 ml of small joints of sick again after local anesthesia and treatment technique.