Based on the study of the pathological changes of cervical joint dislocation, based on the traditional massage methods and orthopedic bone-setting methods of the motherland, and using the guidance of modern spinal biomechanics, we improved the cervical spondylosis techniques and innovated a set of lightweight techniques. An accurate, safe, comfortable and efficient technique is called bone-setting massage. Because the technique is divided into four steps, there are ten bone-setting techniques, also known as the Four Steps and Ten Methods. It is now described as follows,

One and four-step techniques: This is the technique procedure. The first step: Relaxation techniques, mainly kneading or rolling techniques, applied to the neck, shoulders and back to relax tense muscles and prepare for bone setting, about 1 to 5 minutes. The second step, bone setting techniques, different dislocations Use 1 to 4 corresponding techniques for about 1 to 5 minutes. This is a key technique for lesions and can often achieve immediate results. For mild cases, only one or two steps are needed. For severe cases and long-term disease, a four-step technique should be performed. The third step: strengthening techniques to treat the soft tissues connected to the dislocated joints. Use plucking, pinching, and pressing methods to loosen hard knots (cord-shaped tendons, massive adhesions, and muscle knots), and tap acupoints locally or along the path to unblock meridians and activate collaterals, promote qi and blood circulation, for about 2 to 3 minutes. Step 4: Techniques on painful areas. Symptoms of cervical spondylosis are complex, and most of them have symptoms on the head, upper limbs or internal organs. Therefore, after cervical spine treatment, certain symptomatic techniques are performed on the local area where the symptoms are located to speed up the improvement and disappearance of the symptoms, which has the effect of getting twice the result with half the effort. . It is divided into two categories: exciting techniques and calming techniques, which are simplified from traditional massage techniques. For example, if you have a headache, rub the relevant parts to relieve pain; for numb hands, use tapping, twisting, and rolling techniques.

2. Principle of improvement of bone-setting techniques: Correcting cervical joint dislocation and quickly improving clinical symptoms is the key to improving the efficacy of cervical spondylosis. How to make bone-setting techniques both painless (safe) and effective is mainly to improve the accuracy of the techniques. sex. The joint activities (directions) of the cervical vertebrae have greatly different functions. The occipital ring joints, the circumferential joints, the posterior joints and the hook vertebrae joints have different directions when the same intervertebral dislocation occurs, and the clinical symptoms caused by different joints being damaged are quite different. We Use physiological movements of the cervical spine with a little resistance, push or traction to realign the dislocated joints. The principle is shown in the table:

Table Principles of Bone-setting Techniques for Cervical Spondylosis Joint Dislocation

Cervical Spine Physiological Functions. Joint dislocation types, bone-setting techniques and their applicable parts, rotational movements, left and right rotation, dislocation-shaping methods: head-up shaking method, C1~2

head-down shaking method, C2~6

side-head shaking method The method of straightening, hooking the vertebrae joint

Shoulder shaking method, C6~12 lateral flexion movement, side bending, side swinging and misalignment. The straightening method: lying on the side, moving the head and pulling the shoulder. Method: hooking the vertebrae joint

shoulder shoulder Angle-moving head method C2.3 Extension and flexion movement before and after slip-type misaligned push-up method: side-lying push-up method, reverse tension (forward push-up)

Angle (back-up push)

< p>Prone punching method (bedside suspension) C6-T2 compound movement mixed dislocation, multi-joint multi-type dislocation, tilt and supine dislocation and intervertebral disc herniation under traction bone setting method, reverse movement method 3. Diagnosis and treatment examples

Example 1, male, 58 years old, with a history of cervical spondylosis for s years, which worsened for one month. He complained of dizziness, headache, left eye swelling and pain with tears, bilateral chest and arm pain, and severe pain on the radial side of the right forearm. Raise your right arm to your head to relieve severe pain. Nerve location: Greater and lesser occipital nerves (C2.3), brachial plexus (C5.6), left supraauricular sympathetic node and vertebral artery are involved; palpate the transverse process of the cervical spine. (Articular process): scoliosis of the cervical axis, C1-3 right convex, C4~6 left posterior process, C2 right and C5 left tenderness, X-ray anteroposterior film shows C3.4 intervertebral joint is wide on the right and narrow on the left, neck Axis curvature is the same as palpation. The lateral radiograph shows the straightening of the upper cervical axis, the double process sign of C2.3.4 intervertebral disc, C1 in supine position, C5.5 angled and interrupted posterior shift (slipped dislocation), and C5.6.7 intervertebral disc. Degeneration and bone hyperplasia at the posterior edge of the vertebral body are seen. The formation of intervertebral bone bridge at C6.7, oblique view of the left C2.3.4 and right C5.6 intervertebral foramina are deformed and narrowed. Analysis: C5.6 spondylolisthesis and dislocation of C1. ~3 Side-bending dislocation has nothing to do with C6.7 bone hyperplasia. Bone-setting massage and massage, take the left lying position. Use the palm-finger kneading method to relax the tense areas of the neck and back muscles, and use the head-shaking method and side-lying massage method to correct C1~ 3 Right convexity and rotational dislocation of C3.4; the surgeon grasps the bulge of the articular process with his right finger and moves C4~1 upward one by one. At the same time, he supports his lower jaw with his left hand to help him turn his head to the right, and his hands work together to make the joints Reset during movement. Change the left hand to support the left ear to bend to the right (raise the head), and add resistance with the right thumb one by one at C4-1 to correct the lateral bending. Turn over to the left side, and the surgeon supports the shoulder with the right hand. Use the fingers of the left thumb to pick out the transverse process of the C5.6 vertebra, and perform shoulder stretching and pulling exercises. During the movement, the posteriorly displaced transverse process is pushed forward and straightened, and the hands are exchanged for manual stretching (traction). Traction, (if the bending is not relieved by manual traction, you can use a traction chair for bone setting under traction). End after the strengthening technique and painful area technique are completed. The severe pain will stop after one time, and it will be basically cured after 10 times. After each technique, red light is irradiated on the neck for 20 minutes.

Example 2, female, 41 years old, complained of lightning-like throbbing pain in the head behind the right ear for more than a month, stiffness and discomfort in the neck, and sometimes dizziness. The transverse process C1 was palpated and moved to the right, and C3 was located on the left. Shift, accompanied by obvious tenderness, and a positive head turning force test. Lateral X-ray films showed that the cervical axis became straight, C1 was in a supine position, C2.3 had a double process sign with mild opisthotonosis, and there was bone hyperplasia at the posterior lower edge of C5. According to the three-step localization diagnosis, it is consistent with the rotational dislocation of C1-3 causing involvement of the greater auricular nerve and the lesser occipital nerve, and the third segment of the vertebral artery is also stimulated. The disease has nothing to do with C5 bone hyperplasia.

Perform bone-setting massage in a sitting position. After the operation, the patient will be fully healed after being exposed to red light for 20 minutes. The bone-setting techniques include the low-shaking method and the head-turning method. Supplemented by manual traction, you only need to perform relaxation techniques, bone-setting techniques, head massage, and acupuncture. The full set of techniques lasts 10 minutes. The main effect is to correct the C1~3 rotation. dislocation. Therefore, the relaxation technique of bone-setting massage is to prepare for the bone-setting technique to avoid side injuries caused by forced bone-setting.

Fourth, prevent recurrence. Cervical spondylosis is easy to relapse. Our group adopts the following measures to deal with cervical spine instability; 1. Use a self-designed front health pillow to prevent the recurrence of stiff neck. 2. Water acupuncture to treat soft tissue strain points in the neck and shoulders to promote the recovery of ligaments and muscles. 3. Instruct patients to practice neck health care exercises for 5 to 10 minutes before getting up every time and persevere. . 5. Clinical efficacy: Our group applied bone-setting massage to 8814 cases of cervical spondylosis. The short-term efficacy was: 664 cases were cured, 057 cases were markedly effective, 1052 cases were improved, and 41 cases were ineffective. The total effective rate was 98.93%, and the marked rate was 71.32%. The long-term efficacy of the second follow-up in 1979 and 1982 showed that the consolidation rate was 95.71% in 1 to 2 years and 85.89% in 2 to 8 years.