Men's neck massage accident Recently, A Hui, a 26-year-old man, went to a leisure club for neck massage, which may lead to local avulsion of the intima of the neck blood vessel and gradually form a thrombus. At noon a few days later, he felt that his right eye was swollen, and then he felt dizzy and vomited. In the afternoon, he hardly went to work. As a result, he suddenly fell to the ground in the bathroom, his eyes stared to the right, he was unconscious, his right limb was weak, and he could not speak. Fortunately, my colleague found out in time and called 120 to send him to a nearby hospital for emergency treatment. He was diagnosed as "cerebral infarction". After receiving thrombolytic therapy, he was transferred to the First Affiliated Hospital of Jinan University for further treatment. The doctor performed a mechanical embolectomy for him, and took out 5 pieces of broken thrombus to recanalize the cerebral basilar artery. After turning the corner, Hui still has a series of sequelae such as swallowing dysfunction, which requires functional exercise.
A study in the United States found that some people had cerebrovascular accidents after spinal massage, which led to neck injury, permanent nerve injury, thrombosis and even death. The common cause is vertebral artery wall injury, which can lead to slurred speech, dizziness and other symptoms. It is estimated that the probability of cerebrovascular accident caused by neck massage is one in four hundred thousand to one in three million.
Neck massage: use your fingers, palms, elbows, etc.
Push method is called push method, which moves in a straight line and one direction on a certain part.
Fingers, palms, elbows, etc. during operation. Should be close to the body surface, move slowly, and penetrate evenly.
Function: It has the functions of promoting digestion, resolving food stagnation, relieving spasm and pain, removing blood stasis, relaxing muscles and collaterals, improving muscle excitability and promoting blood circulation.
Grip: Use thumb, food and middle finger.
Holding method or using thumb and other four fingers as relative force, pinching and lifting one tight and one loose at some parts and acupoints is called holding method.
The strength should be light and heavy, continuous and rhythmic, gentle and coherent, and the contact point should be at the fingertips, not at the fingertips and wrists.
Function: This manipulation is highly stimulating and is often combined with other manipulations for neck, shoulders and limbs.
It has the functions of expelling wind and cold, relaxing muscles and tendons, dredging collaterals, relieving spasm, relieving muscle soreness and mental fatigue, and is widely used in cervical vertebra massage.
Pinch method: use thumb and food, middle finger.
Cervical stretcher, or squeezing skin with thumb and other four fingers, is called pinching method, which requires uniform and rhythmic force.
Function: It has the functions of relaxing muscles and tendons, activating blood circulation, and regulating spleen and stomach. Commonly used in head, face, back, chest, hypochondriac and limbs.
Manipulation: press the body surface with fingers, palms, elbows, etc.
According to the law, it is called the law. The intensity should be light and heavy, steady and continuous, vertical and downward, and violence should not be used. Focus should be fixed.
Function: Pressing is a strong stimulation technique, which has the functions of sedation and analgesia, unblocking occlusion and relaxing muscles.
Shiatsu is suitable for acupoints in various parts of the body; Palm pressure is often used on the back and lower limbs;
The elbow has the greatest pressure according to the law, which is mostly used on the back, buttocks and thighs.
Acupoint manipulation: use fingertips, flexion interphalangeal joints or elbow tips to concentrate the force points.
Acting on the surgical site or acupoint is called acupoint pressing. Surgery requires precise location and deep strength.
Function: It has the functions of unblocking occlusion, promoting blood circulation, relieving pain, relieving spasm and regulating viscera function, and is suitable for all parts of the body and acupoints.
Rub method: the palm or thenar and thenar are attached to a certain part and rubbed back and forth in a straight line, which is called rub method.
The action range is large, close to the skin, the strength is small, and the action is uniform, and the frequency is about 100 times per minute.
Function: This method can raise local temperature, dilate blood vessels, accelerate blood and lymphatic circulation, and has the functions of warming meridians and dredging collaterals, promoting qi and blood circulation, reducing swelling and relieving pain.
Moxibustion techniques: fingers, palms, etc. Are attached to a certain part.
The method of doing a rotating movement is called practice.
Elbow naturally flexes, wrist relaxes, fingers and palms naturally straighten, movements relax, and a certain rhythm is maintained.
Function: This method can improve the skin condition of patients with cervical spondylosis by gently stimulating and lubricating massage agents.
Precautions for neck massage 1. Appropriate massage techniques should be selected according to the condition of cervical spondylosis, and improper massage techniques may bring great harm.
In particular, patients with cervical spondylotic myelopathy should be diagnosed clearly before massage treatment, and the massage reaction should be closely observed.
2. The amount of stimulation in massage is suitable for people, not the bigger the better. Because most patients with cervical spondylosis are middle-aged and elderly people, their physique is weak.
In manual therapy, attention should be paid to gender and age differences. If men are strong and tolerant, the technique should be slightly heavier; Women's physique is weak, their tolerance is poor, and their techniques are slightly lighter;
The elderly are weak in qi and blood, muscle weakness, arteriosclerosis and osteoporosis, so the manipulation should be soft, light and accurate, and the strength should reach the affected part; Young people are full of blood, so they should be calm and accurate, and go deep into the affected area.
3. For patients with cervical dislocation and joint dislocation, manual reduction should be light and accurate.
4. Pay attention to the change of the patient's pulse and the strength and speed of breathing during treatment. Once the patient feels uncomfortable, the technique should be stopped immediately and active measures should be taken.
5. There are many treatments for cervical spondylosis. Massage is a common method to treat cervical spondylosis, which can relieve local muscle spasm.
Improve local blood circulation, strengthen neck muscle strength, increase cervical stability, and achieve the purpose of relieving symptoms. Suitable for most patients with cervical spondylosis.
However, for cervical spondylotic myelopathy and esophageal cervical spondylosis, massage can not achieve the purpose of treatment. On the other hand, if the manipulation is too heavy, the original symptoms can be aggravated.
Especially in patients with cervical spondylotic myelopathy, due to various reasons, the diameter of cervical spinal canal becomes smaller and the spinal cord is compressed.
The buffer space of the spinal cord in the spinal canal is narrowed, and improper operation can make the spinal cord suffer a short and violent impact, resulting in immediate paralysis of the patient.
This kind of situation also happens from time to time in clinic, which will seriously cause patients with lifelong high paraplegia.
In addition, for cervical spondylosis of esophageal type, massage can not reduce the oppression on esophagus, so the surgical treatment of cervical spondylotic myelopathy and cervical spondylosis of esophageal type is better.
Even after the treatment of cervical spondylosis, it is easy to relapse if you do not pay attention to consolidating the curative effect and preventive health care.