Some people who work at a desk or with their heads down for a long time are prone to this disease, which eventually leads to unbearable pain in the cervical spine. Some patients choose manual therapy, finding the painful area and performing strong stimulation massage; in addition, surgical treatment is also a good treatment method. 1. Conservative treatment (1) Manual therapy ① Strong stimulation massage on tender points: After finding the tender points, use your thumb to make continuous sliding pressure on them. The pain is often more severe during pressure, and the affected area will feel relaxed after pressure. Once every 3 to 4 days, 10 times as a course of treatment. ② Acupoint massage: use kneading, pinching, pressing, tapping, vibration, plucking, shaking, and tapping methods. Acupoints to be selected include the commonly used acupoints of the three yang meridians of the hand, the three yin meridians of the hand, and the Du meridian's Houding, Fengfu, Dazhui and other acupoints. The operator stands behind the patient and first uses gentle techniques to massage the affected area or along the meridians to relax the soft tissue for about 5 minutes. Then use kneading, tapping, plucking, vibration and other techniques, first lightly and then heavily, to eliminate tissue spasms for 10 minutes, and then straighten the fibers in the direction of travel for about 5 minutes. (2) Drug treatment: Generally, analgesics, sedatives, and non-steroidal anti-inflammatory drugs can be taken. Ibuprofen 300-600 mg, 2/d orally or fentin 100 mg, 1/d, 2/d for severe pain. oral. (3) Physical therapy: Local hot compress, Chinese medicine ion introduction, ultrashort wave, etc. are very helpful for recovery and pain relief. (4) Blockade therapy: For patients with severe pain and fixed tenderness points, 25-50 mg of prednisolone acetate or 2 ml of Diprosone combined with 5-10 ml of lidocaine can be used to block the pain points once a week, with 4 times as a course of treatment. 2. Surgical treatment : If non-surgical treatment is ineffective, surgical incision of the fascia to separate adhesions should be considered, and myofascial nodules can also be resected. |
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