Hello! 1. Dress code for polio patients: no corsets and straps. Some doctors don't understand the treatment of modern as and agree to wear corsets and suspenders, which will make the situation worse, because they make the spine unable to move. Tight, for as, not moving is not moving.
Food requirements for polio patients: Patients should eat nutritious food, fish contains a lot of protein, eat fruits and vegetables to supplement vitamins, and drink milk to supplement calcium, but be careful not to be too fat. Second, patients should pay attention to quitting smoking: As will weaken lung function, and smoking will definitely aggravate this situation, making patients' lungs more susceptible to infection and shortness of breath. If the patient is a smoker, consider quitting smoking; Moderate drinking is harmless to as, but sedatives and alcohol have bad effects on the stomach, so don't use them together.
Third, pay attention to hot and cold: different heating methods help to relieve pain and body hardness. Many people take a hot bath in the morning or before going to bed to relieve pain and stiffness. They also do some stretching exercises. Warm water bags and electric blankets are very useful. If the patient has a particularly inflamed area, ice should be applied, but be careful, which may have a bad effect. Four. * * *: Although in some cases, osteopathy and spinal column * * * may have some effects, we don't recommend activities for as patients because manual exertion is not appropriate.
5. Requirements for sitting posture of polio patients: The experiment can regularly move the spine, keep it straight, move the spine and expand the chest by sitting high, don't do it for too long at a time, stand up and walk. Try to find more suitable chairs at home and at work. The seat should be hard, the backrest should be straight and strong, and the backrest should be high enough to reach the end.
A chair with armrests helps to relieve the pain. The seat should not be too long, in that case, the lower part of the spine can't lean against the seat.
The height of the chair is preferably such that the knees and joints are vertically lowered. In any case, avoid those low, soft chairs and sofas, because that posture will increase the pain.
Sixth, the requirements for the patient's prone position: the ideal bed should be relatively firm, not sinking, but not too hard. If you use a spring mattress and the bottom is not very strong, put a board under the mattress, not a pillow that is too high, just one. No.0/0, Chahar Road, Nanjing.
2. What are the contents of "Eight Methods of Bone Setting"
In the Qing Dynasty, Janice listed touching, receiving, lifting, pressing, rubbing, pushing and taking as eight methods of bone setting in the Essentials of Bone Setting and Mind-setting Methods in Medical Zong Jin Jian.
Bone removal is also called osteopathy, that is, fracture and dislocation are reduced by manipulation. The basic principle of fracture reduction is that the distal end of the fracture is close to the proximal end, so as to be stable, accurate and light, and strive for a successful one-time reduction.
The following is a description of the commonly used osteopathy techniques, which actually includes the contents of the above-mentioned "eight methods". Before touching the heart, you must touch the fracture with your hand, so that the displacement of the fracture shown in the X-ray film can form a three-dimensional image in your mind.
When touching, we should be light before heavy, from shallow to deep, from far to near, and truly understand the specific location of the fracture, so as to achieve the point of "touching the outside with the machine, being clever at growing inside, turning the hand at will, and learning from the hand". Stretching traction is an important step of osteopathic manipulation, which is mainly used to resist the resistance of eye muscles and correct the overlapping displacement of fractures.
When traction, the force should be from light to heavy, stable and continuous, so as to promote the separation of broken bones and create conditions for the next manual reduction. Rotating back is used to correct the rotation and backward movement between broken ends of fracture.
Rotation manipulation is used to restore the normal physiological axis of the limb by rotating inward or outward along the longitudinal axis of the limb while maintaining traction.
3. What are the commonly used methods of bone setting at present?
Bone-setting is a method of traditional Chinese medicine to treat fracture, joint dislocation and other motor system diseases.
At present, there are twelve kinds of manipulations used, such as stretching, rotation, flexion and extension, side extrusion, bone separation, overlapping, rotation, longitudinal pressure, tendon separation, winding, tendon adjustment and tendon elastic, each of which has its indications. However, because most displaced fractures are not isolated, but compound, it is necessary to use several methods at the same time to obtain satisfactory treatment results.
In any case, the purpose is to correct the displacement, close the bone and finally fix it with a small splint. Only in this way can the patient's bone injury heal.
Among them, "small splint fixation" originated in China and was followed by many countries, which can be regarded as one of the great contributions of China traditional medicine to world medicine. This method is healthy.
The principle of biomechanics combining static and dynamic can not only fix the partially injured limb, but also not seriously hinder the functional activities of the limb. It properly solves the contradiction between fixation and incomplete fixation in treatment, which is very beneficial to fracture healing. For example, forearm fracture can be fixed with small splint, which can not only stabilize the fracture end, but also effectively promote muscle contraction and joint activity, and at the same time, the function of fracture will be restored.
If it is fixed with plaster for more than one month, although the fracture has healed, the joint may become stiff and the function will recover slowly. Traditional Chinese medicine orthopedics therapy has a long history in treating orthopedic diseases, with little damage and side effects, or even no damage or side effects. It is characterized by "no surgery, no medicine, quick recovery and low cost", so it is called "green therapy".
It can be used for fracture, joint dislocation, facet joint dysfunction and soft tissue contusion caused by various reasons, with closed treatment as the main treatment. It is an important part of China medicine, and it has been proved to be effective after thousands of years of practice. It is the essence of orthopedics and traumatology of traditional Chinese medicine, the treasure in the treasure house of traditional Chinese medicine and the precious intangible cultural heritage of our country.
In the history of more than 2000 years, the simple technology of Chinese medicine bone setting has been passed down from generation to generation, and the methods of Chinese medicine bone setting for different parts and different bone injuries have gradually matured. At the same time, it has formed a school of bonesetting with its own technical characteristics, which makes Chinese medicine bonesetting colorful and full of flowers.
4. What is orthopedics?
The new eight methods of bone setting are the basic methods of modern clinical bone setting.
(1) touches the heart. Touch the fracture site with your fingers and abdomen and feel it with your heart. Manipulation will gradually go from shallow to deep, from far to near to understand fracture displacement, whether it is separation or bone fragments. The doctor should create a three-dimensional image of fracture displacement in his mind.
Although the shape of bones can be clearly seen through X-rays, X-rays can only give a flat indication, and touching the heart will help to understand the whole picture. Therefore, when using other methods to treat this syndrome in clinic, touching the heart will become the dominant method.
② Stretching and traction. The initial manipulation of fracture reduction is that one or several people hold the proximal and distal segments of the fracture, first make the limb resist traction along the longitudinal axis of the limb in the original deformed position, then change the direction of the limb according to the steps of bone setting, continue traction, correct the shortening deformity of the limb, restore the length of the limb, and create conditions for implementing other bone setting manipulations.
③ Rotation, flexion and extension. The position of the proximal part of the fracture is not easy to change, and the distal part can move because of the loss of continuity. Therefore, methods such as rotation, flexion and extension, abduction and adduction are used to reduce the rotation or angular displacement of the fracture.
(4) Lift and press to the bottom for extrusion. The method used to reduce the lateral displacement of fracture was called straightening in ancient times.
Lateral displacement of fracture can be divided into anterior-posterior displacement and medial-lateral displacement. The former is corrected by lifting pressure, and the latter is corrected by end extrusion. The physician fixes the proximal end of the fracture with one hand and holds the distal end of the fracture with the other hand, or pushes it up and down, or squeezes the left and right ends.
⑤ Swing and touch. Used for transverse and serrated fractures, which can make the fracture surfaces closely contact and increase the stability of reduction.
Fixing the fracture with both hands and gently shaking the distal end of the fracture from left to right or up and down under the traction of the assistant until the bone rubbing sound disappears, which is called shaking method. Touch can make the fracture end tightly inserted. The doctor fixed the fracture with one hand and patted the distal end of the fracture with the other.
⑥ Squeeze and divide the bone. Used to correct the displacement of juxtaposition fracture of two bones, the doctor uses his thumb and fingers to squeeze or pinch the gap between the two bones from the palm of the fracture site, which makes the interosseous membrane tense, and the closed fracture ends separate, which makes the far and near fracture segments relatively stable, and the juxtaposition double fractures can be reset together like a single fracture.
⑦ Fold the top and swing. The overlapping top method is used to correct the fracture of muscle-rich parts, but the large overlapping displacement can not be corrected by simple traction and stretching.
Thumb side by side against the protruding end of the fracture, hands and fingers around the concave end of the fracture, and press the protruding end hard to increase the original angle of the fracture to 30~50 degrees. When the bone cortex at the fracture end is close, wrap four fingers around the suddenly straightened distal end to form an angle, and reverse fold to correct the deformity. Rotation method is used to correct oblique fracture, spiral fracture and soft tissue incarcerated fracture with backward displacement.
Hold the far and near broken ends with both hands, and rotate in the opposite direction according to the original fracture displacement direction, so that the broken ends are opposite. 8 massage * * *.
This method is a concrete application of meridian massage in fracture reduction, aiming at conditioning the damaged tendons around the fracture after fracture reduction, but meridian massage should be used gently and only as a last aid.