At present, the most commonly used and effective method for pubic symphysis separation caused by pregnancy is to use pelvic correction belt for physical fixation and correction. The elasticity of the correction belt can be fixed on the pelvis with inward tightening and separation of the crotch, especially in the form of double rhombus, and the double rhombus is used to fix the crotch on both sides, which is balanced from left to right and corresponds to front and back, thus solving the problems of slipping, poor use and poor effect of the current general pelvic belt, and can help to tighten and restore the pelvis and make it separate.
1. Acupuncture of pubic symphysis and electroacupuncture.
2. Tuina manipulation is an effective treatment for this disease, which can often achieve immediate effect. With proper bed rest, the disease can recover quickly.
(1) Massage on the lumbosacral region: The patient takes a prone position, and the doctor first massages the acupoints such as Bajiao, Baihuanshu, Rank Edge and Huantiao with his thumb, and then massages, presses and rolls with the sacroiliac region for 3-5 minutes, and then massages and pats the lumbosacral region tissue, with the degree of heat penetration.
(2) Relaxation by massage: The patient takes a prone position, and the doctor first massages the middle and curved bones with his thumb, then massages the pubic symphysis for 1-2 minutes, and the adductor muscle group starts for 1-2 minutes, and then pinches the quadriceps femoris and rubs the medial thigh muscle group to fully relax the local soft tissue.
(3) traction reduction
1. The patient takes the supine position, and the doctor holds the lower part of the pubic bone of the healthy side with one foot, holds the bare part of the affected lower limb with both hands, and the hands and feet coordinate with each other to make a sudden push-up and pull-down action, so that the reduction can be achieved.
2. The patient takes the supine position, and the doctor holds the patient's bare parts with both hands, so that the patient's legs, hips, knees, and external rotation and abduction are made, and then the legs are suddenly rotated and straightened with both hands, so that the patient can be reset.
(4) Press to reset
1. The patient takes the supine position, and the doctor presses the palms of both hands on the pubic symphysis, and then suddenly presses it down under the breathing state of the patient to reset.
2. The patient takes a prone position, and the doctor presses the palms of both hands in the middle of the sacrococcygeal region. In the case of rotating massage, the hands suddenly press down hard, thus resetting it.
3. The patient lies on his side, with the affected side up, the healthy side leg straight and the affected side leg bending his hips and knees. Facing the patient, the doctor holds the inner thigh of the patient's side with one hand and forearm, and presses the hip with the other hand. First, the hip is rotated several times, and then the hand is used to coordinate the force at the same time, and abduction and downward pressure make the pubic symphysis approach gradually to achieve the reduction.
(5) Reduction of inclined plate: The patient took the lateral position, with the affected side on the top, did the lumbar inclined plate method, and participated in the massage part of acute lumbar sprain. Or press the sacroiliac joint downward with one hand, lift the bare upper part with the other hand, and push the push plate in the opposite direction with both hands to reset it.
In short, no matter which reduction method is used, the pain in the affected part should be obviously alleviated or disappeared after reduction, and the flexion and extension function of the lower limbs will be restored.