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1、临床表现及诊断:
(1)腰部板硬,僵滞,酸痛不耐久坐,久站。
(2)晨起症状加重,活动后减轻,过度活动后症状又加重。
(3)颈肩背腰骶部有明显钙化物,腰部肌张力增高,局部有压痛和肌肉痉挛,严重者出现增生、肥厚、骨刺。
(4)脊柱的生理弯曲发生改变,伴有椎间隙狭窄(退行性的主要原因)
(5)腰椎生理前凸曲线减小或消失,出现活动障碍,弯腰受限。 출장마사지 ,出现反弓。
(6) 출장샵 ,麻木感觉障碍等症状。
2、治疗
(1)目的:舒筋通络,行气活血,解痉止痛。增强腰部肌肉的张力,从而恢复腰椎的稳定性。
(2)部位及取穴:患部及肾俞、腰阳关、大肠俞、关元俞、居髎、委中、 承山等穴。
(3)操作:
1、滚揉腰背法:患者俯卧位,术者施于腰背两侧骶棘肌,自上而下3-5遍,然后掌根按揉3-5遍,缓解肌肉痉挛。
2、弹拔止痛法:术者拇指在腰背疼痛的部位上与肌纤维垂直方向弹拔,以松解粘连再点按点穴肾俞、腰阳关、大肠俞、关元俞、居髎、委中、 承山、秩边、环跳、八髎等穴每穴一分钟,以酸胀为度。
3、腰椎板法:术者先行腰椎后伸扳法3-5次,后用腰椎斜扳法左右各1次,以滑利关节。
4、活血通络法:术者以红花油为介质,在腰部督脉及 两侧膀胱经施以擦,再横擦腰骶部,以透热为度,以提高血流量而止痛。
출장샵 、有下肢牵痛者,用滚法施于大腿后外侧和小腿后外侧,后拿委中,承山,按揉阳陵泉、昆仑等。
(4)其它治疗:
1、中药内服,以补宜肝肾,活血化瘀为主。
2、针刺以上穴位采用平补平泻法,可加艾灸治疗。
출장마사지 、拔罐,定罐或走罐。

Website: https://space.mya.co.uk/members/selfnerve12/activity/1618390/
     
 
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