Acupuncture and massage therapy: syndrome differentiation and treatment of adductor femoris injury

(1) manual therapy

1. The patient is lying on his back, and the doctor presses the tender point with a pointer to make the wound feel undulating pain, so as to dredge the meridians and harmonize qi and blood.

2. The doctor stands at the end of the patient's affected bed, facing the affected hip joint, holding the lower leg of the patient with one hand to straighten the affected limb, pressing the hip joint with the other hand, and buckling the affected part with his thumb. The straight leg rotates and shakes the hip joint from inside to outside for 6 or 7 times under traction, and the calf is clamped under the armpit to continue traction. After traction, the affected limb bends knees and hips, holding the knee with one hand and smoothing the knee to hip muscles with the other hand for 5 ~ 7 times.

3. Finally, smooth, flap and shake the lower limbs.

(2) drug therapy

1. In the early stage of internal injury, qi stagnation and blood stasis should promote blood circulation to remove blood stasis, promote qi circulation to relieve pain, and you can take Quyu Zhitong Decoction or Sanqishang Tablet orally. In the later stage, Jin Shu Huoxue Decoction and Jin Shu Pill should be taken orally.

2. Early external application should be braked, and external fixation should be done by pressure dressing; After that, it can be applied externally with Baozhen ointment, smoked and washed with Haitong skin soup or wet and hot compress.

(3) Functional exercise

Some muscles are broken and injured, so you should stay in bed early. After the pain is relieved, you can take the initiative to exercise in bed, and the lower limbs will stretch the injured muscles and take the initiative to practice. Prevent painful scar contracture in the later period. 1 week, you can gradually get out of bed and exercise with weight.

(4) Other therapies

1. The obturator nerve can be blocked with prednisone 12.5 ~ 25mg and 1% procaine 4 ~ 6ml for local blocking treatment of spasmodic pain in adductor femoris.

2. Physical therapy has a positive effect on the treatment of adductor femoris injury in recovery period.

3. Surgical treatment When the muscle is completely broken or a hematoma is formed, the broken end should be surgically sutured to remove the hematoma. After 6 weeks, the abduction and adduction activities were gradually carried out.