Cervical spine massage techniques

Based on the study of the pathological changes of cervical joint dislocation, based on the traditional massage methods and orthopedic bone-setting methods of the motherland, and using the guidance of modern spinal biomechanics, we improved the cervical spondylosis techniques and innovated a set of techniques that are light, accurate, safe, comfortable and The efficient technique is called bone-setting massage, because the technique is divided into four steps, and there are ten bone-setting techniques, also known as the four-step and ten-methods. The details are as follows:

1. Four-step technique: This is the technique procedure. The first step: Relaxation techniques, mainly kneading or rolling techniques, applied to the neck, shoulders and back to relax tense muscles and prepare for bone setting, about 1 to 5 minutes. The second step, bone setting techniques, different Use 1~4 corresponding techniques for dislocation, which takes about 1~5 minutes. This is a key technique for lesions, which can often achieve immediate results. Mild cases require only one or two steps. For severe cases and long-term disease, four-step techniques should be performed. The third step: strengthening techniques to treat soft tissues connected to dislocated joints. Use plucking, pinching, and pressing methods to loosen hard knots (cord-shaped tendons, massive adhesions and muscle knots), and tap acupoints locally or along the path to unblock the meridians and activate collaterals, promote qi and blood circulation, for about 2 to 3 minutes. Step 4: Techniques on painful areas. Symptoms of cervical spondylosis are complex, and most of them have symptoms on the head, upper limbs or internal organs. Therefore, after cervical spine treatment, certain symptomatic techniques are performed on the local area where the symptoms are located to speed up the improvement and disappearance of the symptoms, which has the effect of getting twice the result with half the effort. . It is divided into two categories: exciting techniques and calming techniques, which are simplified from traditional massage techniques. For example, if you have a headache, rub the relevant parts to relieve pain; for numb hands, use tapping, twisting, and rolling techniques.

2. Principle of improvement of bone-setting techniques: Correcting cervical joint dislocation and quickly improving clinical symptoms is the key to improving the efficacy of cervical spondylosis. How to make bone-setting techniques both painless (safe) and effective is mainly to improve the accuracy of the techniques. The joint activities (directions) of the cervical vertebrae have greatly different functions. The occipital ring joints, the circumferential joints, the posterior joints and the hook vertebrae joints have different directions when the same intervertebral dislocation occurs, and the clinical symptoms caused by different joints being damaged are quite different. We Use physiological movements of the cervical spine with a little resistance, push or traction to realign the dislocated joints. The principle is shown in the table:

Table Principles of Reform of Bone-setting Techniques for Joint Dislocation in Cervical Spondylosis

Physiological functions of the cervical spine, types of vertebral joint misalignment, bone-setting techniques and their applicable parts, rotational movements, left and right rotation, dislocation-shaping method: head-up shaking method, C1~2

Lower your head and shake the Dharma, C2~6

Shake the head sideways to straighten the method, hooking the vertebrae joints

Shoulder shaking method, C6~12 lateral flexion movement, side bending, side swinging, dislocation and straightening method: lying on the side, moving the head, shoulder pulling method: hooking the vertebral joints

The method of moving the head by the corner of the shoulder C2.3 extension and flexion movements, front and rear slip-type push-up method: side-lying push-up method, reverse tension (pushing forward)

Angled (pushed forward)

Prone punching method (bedside suspension) C6-T2 compound movement mixed dislocation, multi-joint multi-type dislocation, tilt and supine dislocation and intervertebral disc herniation traction bone setting method, reverse movement method. 3. Examples of diagnosis and treatment

Example 1, male, 58 years old, with a history of cervical spondylosis for s years, which worsened for one month. He complained of dizziness, headache, distended left eye with tears, bilateral chest and arm pain, and severe pain on the radial side of his right forearm. He needed to lift his right arm. head to relieve severe pain. Nerve location: Greater and lesser occipital nerves (C2.3), brachial plexus (C5.6), left supraauricular sympathetic node and vertebral artery are all involved; palpation of cervical transverse process (articular process): cervical scoliosis, Cl-3 Right convexity, left posterior protrusion of C4~6, tenderness on the right side of C2 and left side of C5, X-ray shows that the intervertebral joint of C3.4 is wide on the right and narrow on the left, the lateral curvature of the cervical axis is the same as palpation, and the lateral view shows the upper segment Cervical axis straightening, C2.3.4 intervertebral double process sign, C1 supine position, C5.5 angled and interrupted posterior displacement (slipped dislocation), C5.6.7 intervertebral disc degeneration and bone hyperplasia at the posterior edge of the vertebral body, C6.7 An intervertebral bone bridge is formed, and the intervertebral foramina at C2.3.4 on the left and C5.6 on the right in the oblique view are deformed and narrowed<. Analysis: C5.6 spondylolisthesis and dislocation are complicated by C1~3 lateral bending dislocation, which has nothing to do with C6.7 bone hyperplasia. Bone-setting massage and massage, lie down on the left side. Use the palm-finger kneading method to relax the tense parts of the neck and back muscles, and correct the right convexity of C1~3 and the rotational misalignment of C3.4 with the lower-head-shaking method and side-lying massage method; the surgeon grasps with his right fingers Press the bulge of the articular process and move C4~1 up one by one. At the same time, use your left hand to support his lower jaw to help him turn his head to the right. Use both hands to restore the joint during movement. Change your left hand to support his left ear and move it to the right. Lateral flexion (raise the head), add resistance with the right thumb one by one at C4-1 to correct the lateral bending during lateral flexion. Turn over to the left lying position, the surgeon holds his shoulder with his right hand, use his left thumb and thumb to pick out the transverse process of the C5.6 vertebra, perform shoulder stretching, and pull the shoulder, and during the movement, the posteriorly displaced transverse process is pushed forward with force. Take the supine position and perform manual stretching method (traction), exchanging traction with both hands. (If the manual traction does not relieve the bend, you can use a traction chair to perform bone setting method under traction). End after the strengthening techniques and pain area techniques are completed. The severe pain will stop after one time, and it will be basically cured after 10 times. After each technique, red light is irradiated on the neck for 20 minutes.

Case 2, female, 41 years old, complained of lightning-like throbbing pain in the head behind the right ear for more than a month, stiffness and discomfort in the neck, and sometimes dizziness. The transverse process C1 was palpated and moved to the right, and C3 moved to the left, accompanied by obvious tenderness. The head turning force test was positive. The lateral X-ray showed that the cervical axis became straight, C1supination position, C2.3 double process sign and mild opisthotonosis, and bone hyperplasia at the posterior lower edge of C5. According to the three-step positioning diagnosis, it is consistent with the C1-3 rotational dislocation causing involvement of the greater auricular nerve and the lesser occipital nerve, and the third segment of the vertebral artery is also stimulated. The disease has nothing to do with C5 bone hyperplasia. Perform bone-setting massage in a sitting position. After the operation, the patient will be fully healed after being exposed to red light for 20 minutes. The bone-setting techniques include the low-shaking method and the upward-shaking method. Supplemented by manual traction, only relaxation techniques, bone-setting techniques, head massage, and acupuncture are enough. The full set of techniques ends at 10 minutes. The main effect is to correct C1~3 Rotational dislocation. Therefore, the relaxation techniques of bone-setting massage are to prepare for bone-setting techniques to avoid side injuries caused by forced bone-setting.

4. Prevent recurrence. Cervical spondylosis is easy to relapse. Our group adopts the following measures to deal with cervical spine instability; 1. Use self-designed front health pillows to prevent recurrence of stiff neck. 2. Water acupuncture to treat soft tissue strain points in the neck and shoulders to promote ligament Muscle recovery, 3. Instruct the patient to practice neck health care exercises for 5 to 10 minutes before getting up every time, and persevere. 5. Clinical efficacy: Our group applied bone-setting massage to treat 8814 cases of cervical spondylosis. Short-term efficacy: 664 cases were cured, 057 cases were markedly effective, 1052 cases were improved, and 41 cases were ineffective. The total effective rate was 98.93%, and the effective rate was 70%. +.32%. The long-term efficacy of the second follow-up in 1979 and 1982 years showed that the consolidation rate in 1~2 years was 95.71%, and the consolidation rate in 2~8 years was 85.89%.