Thoracic disc herniation is less common than lumbar disc herniation and cervical disc herniation. However, due to poor awareness, patients are rarely detected early. The etiology can be divided into two categories: first, more severe trauma, such as those of martial arts athletes; Second, the cause is unknown. A herniated nucleus pulposus can compress the nerve roots, leading to clinical symptoms, and some patients are unable to straighten their chest and back due to pain. Abdominal pain may also occur, and tenderness may occur in the back. CT or magnetic resonance imaging is diagnostic.

1. Methods and steps

See Figure 2-2-44.

Figure 2-2-44 Massage of thoracic disc herniation

(1) The patient is in the prone position, located on the left side of the patient, and the surgeon rubs and pushes the right palm root on the patient's thoracic vertebrae pain spine segment and the spinous process for 3~5 minutes from top to bottom, see this figure (1).

(2) The position is the same as above, the surgeon overlaps the patient's painful spinous process and pain area with the palms of both hands, and continues the treatment for 3~5 minutes with a little hard compression, as shown in this figure (2).

(3) Connecting method, the surgeon rubs and pushes the patient's spine from top to bottom with palm kneading, and focuses on the painful part, treats for 3~5 minutes, and the strength is from light to heavy, see this figure (3).

(4) The position is as above, the surgeon makes a fist with his right hand, and uses the back of the fist as the contact surface to percussion the patient's pain area for 3~5 minutes, the strength should be gentle and gentle, and the patient can accept and feel comfortable, see this figure (4).

2. Precautions

(1) Patients should sleep on hard beds and sleep in the supine position.

(2) Avoid bowing your head for a long time, lying at the desk, and driving, and appropriately strengthen chest expansion exercises and exercises.

(3) When walking, try to reduce the impact of vibration on the spine, and avoid strenuous exercises such as running and jumping.

(4) If the physical fitness is available, you can do some push-up exercises in moderation, not excessive exercise, should keep warm, and reduce cold stimulation.

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