massotherapy

(1) Take the left position, straighten the left lower limb, bend the right lower limb, and place it above the left knee joint. The family members pressed the right ilium with the inside of the left elbow and the right elbow pressed the right shoulder joint. The elbows are forced in opposite directions, and the lower lumbar joint can be heard. Apply the same method to the opposite side.

(2) Take the lateral position and rub the muscles of the waist, buttocks and lower limbs with a shovel to relax local muscles and accelerate blood circulation, so as to facilitate the prominent nucleus pulposus to absorb water.

(3) Take a prone position, press Shenshu, Yaoyangguan, Chengfu, Weizhong and Chengshan with the tip of your thumb for 65,438+0 minutes, and then hold your legs and move your waist.

(4) Take the prone position, press the waist rhythmically with the palm root to make the waist vibrate, then fix the waist, hold both lower limbs with one hand, make the waist overstretch and urge the nucleus pulposus to retract.

operation sequence/order

1. Patient prone position

Keep your knees straight, put your hands on your sides, and try to relax your waist muscles.

(l) Click Huantiao, Chengfu, Yinmen, Weizhong and Chengshan for about 1 min.

(2) Push method. The doctor stands on the patient's side with his hands flat on both sides of the spine and walks along the bladder meridian of the foot sun, pushing from the first chest to the lumbosacral part; Then measure your hands backward along one hip and lower limbs, and push them horizontally to the heel, and repeat 5-7 times. Skills should be profound and powerful.

(3) Rolling method. The doctor stood on the patient's side, rubbed his back with his forearm, from the upper back to the lumbosacral part, and then from the waist to the upper back, repeatedly for 5-7 times, and then focused on rolling the lumbosacral part and repeatedly operated until the affected part felt warm and the pain was relieved.

(4) Press and shake method. The patient clung to the bedside with both hands. The assistant holds the patient's distal leg and pulls it down 1 min. The doctor's hands are overlapped, and the pain point of the patient's waist is pressed and shaken for 5-7 times. Figure 58. The severity of the operation should be tolerable to the patient.

2. The patient's lateral position

The affected limb is on the bed, with the hips and knees bent and the healthy limb straight. In the oblique pulling method, the doctor stands on the patient's back and flexes his elbows, one elbow is placed in the recess in front of the patient's shoulder and the other elbow is placed on the back of the iliac wing. The elbow suddenly leans in the opposite direction, often accompanied by a crisp sound. Then change it to the healthy side in the same way.

3. The patient supine position

(1) Click Taixi, Jiexi, Zusanli, Shi Feng and Chongmen on the affected side for about half a minute.

(2) move your legs. The doctor holds the lower leg of the affected limb with one hand, flexes the affected limb, hip and knee with the other hand, and pushes slightly hard to make the thigh of the affected limb cling to the abdominal wall as much as possible. Then pull the affected limb outward and upward with skilled strength, so that the knees are straight and the hips are slightly flexed. In the process of leg pulling, the patient is required to kick the leg actively to increase the stretching strength. Continue to flex and stretch for 5-7 times. Every time, the affected limb should be raised continuously to increase the range of flexion and extension, which is easy to relieve the adhesion around the nerve root.

(3) shaking method. Ask the patient to bend his hips and knees and hold his knees with both hands. The doctor held his back in one hand and his knees in the other, making the patient shake back and forth.