Manipulative Treatment of 60 cases of sacroiliac j -

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Manipulative Treatment of 60 cases of sacroiliac joint injury

Key words chondromalacia patellae manual therapy treatment of chondromalacia patellae drug injection is a middle-aged common disease. Since 2000, we apply the approach with intra-articular injection of sodium hyaluronate Yu Shou. 250 cases of the disease, received a white, female Kuang Road is closed Gen F. 1 1.1 General Information The clinical data set of 250 cases, male 46, female 204 cases. The oldest 55 years old,[link widoczny dla zalogowanych], minimum 21 years of age; maternity patients aged 21-40 years ,41-55 years 78 cases; duration of up to 5 years and the shortest 1 month. 1.2 Clinical manifestations of this group of patients had knee pain, up and down stairs and squat bit knee pain increased, and some patients can be seen quadriceps atrophy. Examination shows the patella grinding test positive, very positive patellar experiment. x-ray film cartilage surface rough, dense, marginal osteophyte formation. 2 2.1 Treatment means treatment of knee ① ask to take stock of law: patient supine. Knee extension, 2 minutes before rubbing in the knee, so that knees are feeling a slight fever, following the just the right quadriceps muscle 20-30 times. ② Push patella rubbing stock method: position as above. Who eat with both hands above the thumb finger relative to pinch the patella, the patella with Tuirou way to vertical and horizontal movement 30 times better, the force should be soft and slow, this method is quite good for patients with early results. ③ acupuncture dial bar method: position above, click the calf nose with the thumb, a sea of blood, Yin Ling Quan, Yang Ling Quan, V rabbit, the full three years, Ashi points 2 minutes. In case of the knee tendons around the knot, the line can be allocated tendons thumb method, while on the patellar ligament,[link widoczny dla zalogowanych], the lateral collateral ligament can also be plucked tendon. ④ plucking just the right method: Patients were prone position,[link widoczny dla zalogowanych], with just the right way just the right biceps femoris, semitendinosus, triceps tendon small 20 to 30 times, and then plucked with the thumb and index finger, respectively, shares of two tendons, semitendinosus and semi- membrane tendon, gastrocnemius and Achilles tendon of the external side head 1O times. ⑤ knees Shenjin law: the prone position, described by Hold the ankle, knee pressure will cause the calf to the ankle: the concept of fuzzy disease, today. Some orthopedic books not recorded, no detailed examination of clinical signs,[link widoczny dla zalogowanych], lack of knowledge of the disease, treatment, restoration techniques shall not be treated, the reset is not complete, or even the wrong way worse. Sacroiliac joint injury is movable joints and micro-joints under the action of external forces caused by micro-off position, if repeated staggered joint damage has not been timely treatment. Local bleeding, machine technology, the formation of scar filling the gap joints, ligament strain, resulting in reduction of difficulties and joint instability, causing intractable persistent lower back pain. Sacroiliac joint injuries are Chinese In recent years, some people think that the wrong joint and sacroiliac joint dislocation of the sacroiliac joint exercise in the complications of the disease, however, is a process of joint damage. Also with clinical lumbar disc, superior gluteal neuralgia. Piriformis syndrome, acute lumbar sprain, the differential diagnosis of ankylosing spondylitis. Precautions during treatment: ① All sacroiliac joint injury, treatment should be routine before shooting the sacroiliac joint X-ray to rule out the sacroiliac joint tuberculosis, bone density sacroiliac joint inflammation, congenital deformity, osteoporosis, cancer disease and so on. ② manual reduction, the first clear ipsilateral posterior superior iliac spine is above or below the normal side,[link widoczny dla zalogowanych], and then use the appropriate restoration techniques, restoration is not successful the first time, or ipsilateral sacroiliac joint at the still tender, should be considered the implementation of other practices. Further restoration or every other day. ③ Zhu Huanzhe treatment which should try to relax the body so as not to influence the treatment effect, Manipulation, should enable patients to eliminate fear. ④ sacroiliac joint strip bar cable severe pain, the use of topical local Chinese medicine, physical therapy, treatment of partial closure and other methods. ⑤ After the success of manual reduction, Zhu Huanzhe bed rest for 1-2 weeks, to avoid recurrence.

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