When the cervical intervertebral disc protrudes, the back of the neck is sore and uncomfortable, just like carrying heavy objects, and the upper limbs are numb and sore. In severe cases, the function of lower limbs is gradually affected, and it is difficult to walk after a long illness, muscle atrophy and weakness, and the grip strength is reduced. The cervical vertebra is in a stiff state, and it is easy to appear slight bow and waist. The head can't rotate or lean back, making it difficult to sit up and turn over.
When the spine moves, the intervertebral disc can change its shape accordingly. When the spine bends to one side, the compressed side of the intervertebral disc becomes thinner and the opposite side becomes thicker, and the nucleus pulposus also moves slightly to the opposite side. After straightening, it will return to its original state.
The protruding part can touch the lateral curvature or kyphosis of vertebral body, the supraspinous ligament has a sense of peeling, and the spinous process is inclined. Paravertebral tenderness is obvious, accompanied by soreness, numbness or electric shock radiating to the limbs, and the neck is obviously inclined to the front of the healthy side. X-ray anterograde film shows narrowing of intervertebral space, scoliosis and spinous process deviation. X-ray lateral image shows that the physiological curve disappears, and in severe cases, the arch is reversed.
In our daily life, with the increase of age, intervertebral discs may suffer repeated injuries and degeneration of fibrous rings. In the case of excessive strain, sudden change of posture, violent action or violent impact, the fibrous ring may rupture, leading to the narrowing of the intervertebral disc, leading to the formation of fibrous rupture of the intervertebral disc, thus compressing the spinal nerve roots.
The patient was dignified and the doctor stood behind him. Put one hand on the top of the head, push the head to the front of the healthy side, and put the thumb of the other hand on the deviated spinous process. With a gentle push, the hand on your head slowly turns forward or protrudes backward. At the same time, the thumb placed on the spinous process should moderately push and poke the spinous process in front of the healthy side. If there is a "purring" sliding feeling under the thumb, it means that it has been reset. After reduction, relax the tense tissues in the neck and shoulders. After general manipulation, you will feel relaxed and comfortable, and your illness will be cured by half. Old prolapse, once reduction is unsuccessful, can be reset many times, the method is the same as before. If accompanied by headache, dizziness, insomnia and blurred vision, you can press Fengchi and Sleeping Points with your thumb for 2-4 seconds at moderate intensity. After operation, the head feels relaxed and comfortable, and the eyes are bright.
Ms. Zhang, 4 1 year-old, complained of cervical trauma for 29 days.
Current medical history: the trolley landed too hard and the handlebar hit the left jaw. I was dizzy and nauseous. The local residual element was diagnosed as neck soft tissue injury and treated. Symptoms get worse every day, and pain and numbness radiate to the right upper limb and hands. It is difficult to walk and lie down, and you can't turn over. Your head is tilted to the front right 10 degrees.
Physical examination: Shen Qing, generally in good condition, with pain on his face. Cervical kyphosis palpation, physiological curve reversal, supraspinous ligament sensory peeling, cervical motor function forward 65438 05 degrees and then extended 0 degrees, left hand 5 degrees, right hand 65438 00 degrees, brachial plexus traction test (+), left hand grip strength decreased, Hoffman sign (-). X-ray film shows that the intervertebral space of cervical vertebra 4 and 5 is wide on the left and narrow on the right, and the spinous process of cervical vertebra 4 is skewed.
Diagnosis: Cervical disc herniation.
Conditioning: push, pull, press, hand traction, massage. After three courses of treatment, the symptoms basically disappeared and the function recovered. Go back to work in the original unit.
Have you ever encountered cervical disc herniation? What conditioning techniques will you use in conditioning?