(30) Lumbar spinal stenosis
Lumbar spinal stenosis refers to the narrowing of the anteroposterior and left and right diameters of the lumbar spinal canal compared to normal, and the shape of the cross-section of the spinal canal is also abnormal, resulting in compression and stimulation of the cauda equina nerve or nerve root in the lateral recess or intervertebral foramen, resulting in symptoms.
Early dysplasia, degenerative changes of the spine, spinal fusion, chronic fluorosis, etc., can cause spinal stenosis, resulting in pain in the lower back and one or both lower limbs. Pain worsens after exertion, intermittent claudication, sensory deficits in the lumbosacral innervation area, and decreased knee and ankle reflexes or anti-inflammatory.
1. Methods and steps
See Figure 2-2-30.
(1) The patient takes the prone position, the surgeon stands on the affected side of the lumbar spine, applies the four-finger push method or finger kneading method to the muscles on both sides of the lumbar vertebrae, and goes back and forth 3~5 times along the bladder from top to bottom, see this figure (1).
Figure 2-2-30 Massage for lumbar spinal stenosis
(2) The surgeon uses multi-finger kneading method to perform the operation on the patient's waist, back of the thigh, and back and outside of the calf, and repeatedly performs the operation in the area of paresthesia for 5~10 minutes, as shown in this figure (2).
(3) Immediately after the spell, the magician uses the multi-finger kneading method with both hands to knead and push the patient's spine and large intestine Yu, Kidney Yu, Sanjiao Yu, Mingmen, Zhibian, Juji, Yanglingquan and Ah Shi acupoints for 3~5 minutes, see this figure (3).
(4) The patient is still in the prone position, and the surgeon uses the palm of the right hand to knead the lumbosacral region and the sacrospinous muscles on both sides of the patient for 3~5 minutes, with the patient's local diathermy as the degree, see this figure (4).
2. Precautions
(1) This disease is a common and frequent disease in clinical practice, and waist health care should be strengthened.
(2) The above methods for the treatment of this disease emphasize that the strength of the technique should be gentle, and the treatment should not be treated with violence.
(3) Patients usually get up in the morning when they are heavier, get up slowly, and then exercise greatly after a little activity.
(4) Pay attention to keeping the whole body, especially the waist, warm, wear a waist brace during the attack, and lie on a hard bed.
(5) The diet should be appropriately warm, eat less cold and hair, and keep the stool smooth.
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