Injury to the small round muscle of the small round muscle

1. The history of the disease is often caused by throwing, throwing objects or wind and cold caused by the injury of this muscle, mostly accompanied by the injury of the short head tendon of the biceps.

2. Symptoms: pain or soreness in the back of the shoulder; in severe cases, the injured side can not lie down; occasionally, there is numbness and coldness in the fingers.

3. The muscle fibers can be touched at the outer edge of the scapula (equivalent to the point of shoulder chastity) and become hard, with obvious tenderness and pain, which can be spread to the foot side of the forearm when sliding and pressing. Upper arm external rotation resistance test is positive. 1. The principle is to relieve the tendons and collaterals, activate blood circulation to dispel blood stasis, and remove wind and relieve pain.

2. Manipulative operation (divided into the following three steps)

(1) Adductor stroking and rolling methodThe patient takes a sitting position. The operator stands on the injured side, one hand holds his elbow to abduct the upper arm, and the other is pushed or stroked by the big fissure at the back of the shoulder joint and the axillary margin of the scapula for 2 minutes; then, use the palm joints of one hand or the small fissure in the above parts to perform rolling and rubbing for several minutes, and at the same time, move the shoulder joint, in order to achieve the purpose of relaxing the tendons and opening the collaterals.

(2) The patient takes a sitting position. The operator holds the elbow of the injured limb in one hand, the upper arm abduction, inward, while the other hand thumb flicked the muscle dozens of times, and along the direction of the muscle fibers to apply tendon manipulation for several times; and then, (an assistant overlap thumbs to press the muscle shoulder attachment) the operator stood on the healthy side, one hand to fix the healthy side of the shoulder, and hold the injured limb in the wrist with the other hand, the first activities of the shoulder joint for several times, and while it is not ready, quickly to the healthy side of the front of the tonic pull once.

(3) Massage the pain point method of the yu acupuncture point the patient to take a sitting position. The operator uses one thumb to press the lack of basin, kneading pressure Tianzong, shoulder chastity, shoulder mu and other points and shoulder pain point each, minutes or so. 1. After applying the technique, it should be combined with local moist heat compress.

2. In cases with significant pain, the shoulder should be braked after manipulation; after the pain is relieved, functional exercise should be provided as appropriate.