No. 172 Alpacas float by!

The cervical spine provides a relatively elongated lever to balance the weight of the head, and the articular surfaces are able to move in all directions, so the cervical spine is the most mobile part of the spine. Large range of motion means that the stability is relatively weak, so the cervical spine is the most vulnerable to injury compared to other spinal segments, if the doctor does not have a system, it is easy not to massage the cervical spine.

Because what's inside the cervical spine is so important. Popularly tell you about the function of the spinal cord, regulating breathing, body temperature, regulating body temperature and other centers to maintain the life of the body are here or continue here, so this place is not only important but also very delicate, the massage strength is not well mastered, once there is an accident, there is no time to rescue, and it will directly lead to sudden death or high paraplegia!

When Zhang Fan touched C4, he felt that the patient's neck muscles began to tighten, "Does it hurt?" Zhang Fan asked.

"It doesn't hurt, but it seems to be a little dizzy when I press here. The patient said uncertainly.

"I'll press you again to feel it. ”

When Zhang Fan pressed C4 again, the patient did not respond. Zhang Fan continued to check, but no abnormalities were found in the neck, "Brother Hu, it should be near the C4 section." Then he said to the patient, "Sister, come and try with your head down." ”

After the patient lowered his head, Zhang Fan blessed a backward relieving force, and the patient said, "Oops, no, dizzy, nauseous!" Zhang Fan slowly withdrew the strength and said to the patient: "Come big sister, slowly raise your head." ”

After the patient slowly raised his head, Zhang Fan said: "The compensatory thickening of the lower longitudinal bundle is done! After bowing the head, the thickened part of the lower longitudinal bundle will compress the vertebral artery with time or strength, resulting in transient ischemia in the brain, and digestive symptoms and dizziness will occur. However, if you bow your head for a short time or do not use much force, it will not cause symptoms. ”

"Are you sure?" asked Lao Hu a little incredulously.

"If you can't run away, the physical examination is consistent with the symptoms. Zhang Fan said.

"I've never heard of it!~" Lao Hu thought wonderingly, and then said, "How to treat it." ”

"Two ways, one is to surgically cut off the thickened part to permanently and completely relieve the patient, that is, the risk is greater, and the second is manual rehabilitation, adjust the angle of the cervical spine, so that the thickened part is slightly away from the vertebral artery, this angle does not need to be big, can improve the symptoms, that is, you can't work at the desk in the future, otherwise it will recur. ”

"I'm not going to have surgery!" didn't understand the other patient numbers, but the word surgery, she was very clear, and hurriedly waved her hand and said.

"Okay, eldest sister, I'll do you a cervical spine correction, let's see the curative effect!"

"Okay!" In fact, the patient does not understand, and the manual massage correction of the cervical spine is actually not small.

Zhang Fan let the patient lie supine, then stand in the position of the patient's corrected side, at 45 to 90 degrees to the patient, slowly in the lower neck, put the thumb and palm on the patient's cheek, slowly rotate the near ventral side of the index finger, and then press the upper cervical vertebrae, rotate the patient's head to the opposite side of the corrected side, press, extend and flex laterally to form an additional angle, the angle is not large.

The patient's cervical spine is normal, and compensatory thickening of the ligaments is rare, and the symptoms disappear when the neck is straightened for a period of time. Therefore, it is not surprising that the expert group of the hospital did not have a clear diagnosis, except for some very professional spine specialists, ordinary doctors really can't judge this disease.

Half an hour later, after the correction treatment was over, Zhang Fan wiped the sweat on his head and said to the patient: "Sister, try, get up and walk a few steps!~ See if you are still nauseous and dizzy." ”

This treatment is very tiring, the strength is small, it is useless, and the strength is large, there will be accidents, so Zhang Fan has to adjust his muscle strength to match the patient's neck resistance, and it is really not easy to need continuous power output to stabilize the patient's cervical spine.

"It's much better, I'm not dizzy now, I'm not nauseous anymore! I'm feeling hungry, I've been throwing up my intestines for the past few days, and now I'm finally having a little appetite. The patient said happily.

"Sister, don't be happy, this is just the first step, your treatment will take a long time, and now it is only a temporary improvement, maybe there will be dizziness and vomiting at night. Zhang Fan said to the patient.

"What then, doctor. The patient asked worriedly, the vomiting in the past few days is really scared, it is too uncomfortable!

"Rehabilitation that lasts for a period of time, and when your muscles and bones are fixed in their current position, they will improve completely, but it will take a long time, and you have to be mentally prepared. Zhang Fan explained. When Zhang Fan's treatment was over, Lao Hu saw that the patient's effect was obvious, which showed that Zhang Fan's diagnosis was clear and the treatment was effective, he knew about their department, so he hurriedly called the director of the hospital office.

"It's okay, don't be afraid of a long time, you treat slowly, I'm not in a hurry, thank you!" After the patient finished speaking, he turned his head and glanced at his husband.

This kind of small staff mixed in the civil service is the most sensitive and attentive group, and the disease that other doctors have not seen makes this doctor see, and now it is time to envelop this doctor.

The sick husband understood what his wife meant, so he picked up some things such as milk and gift boxes sent by others and began to stuff them into Zhang Fan's hands.

When the two of them were pushing and shoving, Ouyang came in with a group of experts. Zhang Fan was embarrassed, because when the door opened, Zhang Fan subconsciously took the gift and turned his head to look at the door. As a result, it was Dean Ouyang and the experts of the whole hospital!

Looking at Zhang Fan holding a gift that was obviously a patient in his hand, Ouyang, who was originally smiling, changed his face in an instant, and this time was not the time to clean up Zhang Fan, Ouyang's knife-like eyes crossed Zhang Fan's face, and the meaning was obvious: Wait and see!

The expert behind Ouyang looked at the young doctor's embarrassed appearance and smiled knowingly! What is bad luck, this is bad luck! The good one actually let the boss catch the scene.

Ouyang didn't speak, Zhang Fan couldn't explain, and at this time, the director of the medical department came out to speak.

"Why, don't put it down yet, or I'll hold it for you?" Zhang Fan also knew that now was not the time to explain, so he hurriedly put things on the wall, and a group of alpacas floated by Zhang Fan's heart, it was really yellow mud falling on the crotch of his pants, not but!

Lao Hu was also a little embarrassed, who knew what it looked like, he looked at Zhang Fan with a little apologies!

"Let's talk about the condition!" After Zhang Fan put down his things, Ouyang said to Zhang Fan. Ouyang wanted to slap the face of the rebellious director of the digestive department, so he let Zhang Fan go for the time being, but she would definitely find an opportunity to beat Zhang Fan, this is her leadership style, in countless storms, let some technical leaders rely on her, not technical leaders, and she doesn't have to bother.

The expert director of the Department of Internal Medicine didn't know Zhang Fan very well, but he was very familiar with Zhang Fan in the surgical system, especially the director of urology, looking at Zhang Fan's embarrassed appearance, he was the happiest, not gloating, but the kind of joy that seemed to have found a companion and was no longer lonely!

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