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落枕
又称“失枕”,指由于睡眠时姿势不良,导致颈项部分肌肉痉挛,出现以疼痛、颈项僵硬、活动受限为主要症状的一种病症。中医学认为“风寒湿三气杂之,合而为痹”。
1、临床诊断及表现:
(1)胸锁乳突肌或斜方肌部位酸楚、僵硬、疼痛、活动受限,动则疼痛加剧,严重者出现颈部歪斜,下颚偏向健侧。
(2)颈部肌肉僵硬,并伴有牵拉样紧缩感。严重者颈部肌肉出现畸形。
(3)颈部活动受限,不能自主转头、低头活动。
(4)颈肩部有明显疼痛点、刺痛,痛有定处,严重者会出现向肩胛骨内侧缘放射性感觉或疼痛。
(5)严重者颈肩部有轻微肿胀痉挛,钙化物,会出现增生。
(6)颈部生理曲度发生改变(偏向一侧),严重者会出现生理曲度变形。
2、治疗
(1)目的:舒筋通络,活血止痛,缓解痉挛,恢复颈部活动功能。
(2)部位及取穴:患部及风池、肩中俞、秉风、肩井、天宗、缺盆等穴。
(3)操作:治疗过程中手法宜轻柔,切记使用强刺激手法,防止发生意外。
1、患者坐位,术者站在身后用拿揉法施于患者颈部两侧由风池至颈根部3-5遍,拿揉肩井至肩峰3-5遍。
2、术者用一指禅法,滚法由颈部至肩峰3-5遍。
창원출장마사지 -5分钟。
4、术者用点揉法点以上诸穴每穴1-3分钟,手法由轻到重。
창원출장마사지 ,右手扶后枕部,左手托起下颌,颈项稍前屈内改,双手向上提拉,左右旋转患者头部10-15次,再缓慢大幅度的旋转患椎,忌暴力蛮劲。

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