Treatment of Acute Lumbar Sprain with Lifting

Acute lumbar sprains are acute injuries of the lumbar muscles, fascia, ligaments, and joints (including the facet joints, lumbosacral joints, and sacroiliac joints), commonly known as "flashback" and "hernia." The disease is a common and frequently occurring disease in the clinic. It is prone to occur in the lower back. It is more common in young adults and manual workers. It can also be seen that people who lack physical labor and exercise occasionally participate in labor, and their onset is acute and their waist is painful. Severe, if not handled properly, or if treatment is not timely, it can cause chronic strain. In accordance with the principle of "reinforcement of tendons, tendons and arthrodems, reinforcements in tendons, and astringents in disorder," the author used the technique of "lifting ribs" to change the traditional oblique pulling method to "the festival." "Mainly to treat acute lumbar sprains. The method of mentioning is simple, easy to handle, safe and stable, and there are few contraindications and it is worth promoting.

The cause and pathogenesis of acute lumbar sprain

Acute lumbar sprains are common in life, and severe lumbar pain is more common. The cause is generally as follows:

When the movements are inconsistent, the movements are inconsistent when one person lifts a heavy object, or one of them suddenly loses weight. The body is momentarily under weightlessness. The body, in order to maintain balance, causes a strong contraction of the psoas muscle, resulting in injury to the psoas muscle and thoracolumbar fascia.

Poor posture suddenly raised heavy objects or posture incorrectly, the center of gravity of the object is too far from the central axis of the trunk, resulting in excessive muscle load of the waist, or incoordination of the psoas muscle, often can make the waist muscles, tendons The membrane is excessively hauled or torn.

When the center of gravity accidentally falls, the body's center of gravity suddenly loses its balance, and the psoas muscle suddenly contracts. When it falls, the waist flexes and the lower extremities stretch, causing muscle and fascia damage to the waist.

External force impact external force directly on the back to make the waist flexion, or the waist directly by external force contusion, can cause muscle injury fascial ligament injury. This type of injury is often severe, with multiple fractures, dislocations, or nerve damage.

Inadequate preparation of waist activities in daily life, such as splashing water, bending, standing, and even coughing, sneezing, yawning, waist and other movements, in the absence of preparation of the waist muscles, so that a sudden contraction of the waist muscles cause the waist muscles and fascia The damage, the so-called "flash waist." Chinese medicine believes that the pathogenesis of low back pain is caused by trauma, strain, or exogenous wind, dampness, cold and dampness. This results in striated grooves, knot-locked locks, gluten-reinforced tendons, meridians, blood stasis, and qi stagnation.

The operation of winemaking

Acute lumbar spondylosis treatment should be smooth and fluent.

The basic technique is to paralyse the patient in a prone position or in a lateral position. The healer uses both his thumb and the middle part of the index finger to closely adhere to the skin on both sides of the spine in the pain area. The thumb pulp abdominal face is opposite to the throttling side of the index finger and exerts pressure as much as possible. The skin and subcutaneous tissues of the site were picked up, and they were lifted once and forcibly with moderate force. In most cases, the “bang” sounds were heard. Then it is lifted one by one on the top and bottom of the pain site and one operation is completed.

Operation essentials The thumb and forefinger are relatively hard to pinch and hold the entire layer of soft tissue. The direction is vertical upwards, and the force is exerted instantaneously. Use moderate force and avoid using violence. After the operation was completed, the patient took a short break to perform functional activities in the affected area, depending on the immediate effect, and the interval of 20 minutes could be used to implement the technique again. Treatment once a day, 5 times for a course of treatment.

[typical case]

Wang, male, 55 years old. With "low back pain, limited activities for 1 day" as the chief complaint on February 15, 2016, he was seen at the clinic. He complained of back pain when he stooped, and he suffered an unfavorable flexion and extension. Physical examination: straight waist forced posture, limited activity, flexion 0°, posterior flexion 10°, left flexion 20°, right flexion 10°. Lumbar 5 骶 1 tenderness (+).

Acute lumbar sprains were diagnosed. The treatment was performed with Titina, and the patient got out of bed and relieved his pain. He was once again at a pain point of 5 骶 1, and he continued to administer it after the treatment. The pain disappeared.

Check the waist function is normal, and all activities such as crotch are free and healed.

The traditional oblique wrenching method is one of the main methods for clinical treatment of low back pain. By adjusting the lumbar facet joint disorder, the dislocated joints are reset, the incarcerated synovial membranes are satisfied, and the lumbar ribs can be straightened out, finally reaching the “Lee Festival”. And the purpose of "Shunjin". However, oblique pull manipulation is more difficult to perform. The healer must have greater strength, but also have a higher skill, but also have many years of clinical experience in order to master the lumbar oblique oblique pull. In addition, the patient must be operated in the lateral position. During the procedure, the patient's waist must be under "passive dynamics" and the oblique wrench method is completed. If the patient suffers from severe back pain or develops resistance to surgery, it is difficult to cooperate with surgery. If forcible surgery is performed, it is easy to aggravate the condition.

The teaching methods of the "shunish-benefit festival" theory of traditional Chinese medicine as a therapeutic idea are based on the use of modern mechanics and biomechanics to clarify the mechanism of action of Tina and the Chinese medicine tendons, tendons, tendons and ribs. Destructive astringent, blood stasis and other pathological mechanisms, will chiropractic in children massage, creative application of treatment of acute lumbar sprain. This method achieves “Rewards” through “Bianjin” to enable the “stretching of ribs” to be returned, “Royal Condensation Locking” to be corrected, rib reinforcements to be dissipated, and partial blood stasis swelling to be eliminated, and finally to reach Jin Shungli. , blood and smooth treatment of acute lumbar sprain. Its characteristics are "safe, effective, simple, easy to learn, and cheap," and it is easy to massage clinical applications, especially as an appropriate technique for traditional Chinese medicine worthy of widespread promotion.

(Prescriptions and treatments prescribed in the text should be directed by a physician)

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