Gluteal epithelial nerve injury refers to a pain syndrome caused by injury to the gluteal epithelial nerve during walking, such as stretching and compression. Most patients have a history of lumbar and hip sprains, but the history of trauma is not obvious and the onset is chronic. In the acute stage, the pain in the waist and buttocks is more severe, with stabbing, tearing pain or soreness, but the pain is more than the knee, and there are tenderness in the upper part of the hip on the affected side, and the skin is stretched and cord-like, and the movement of the waist is limited, and the preflexion is mainly limited.

1. Methods and steps

See Figure 2-2-31.

(1) The patient is placed in the prone position, the surgeon is located on the affected side of the patient, and the patient's buttocks are alternately rubbed and pushed from below the spinous process of the second lumbar vertebra to the knee of the affected limb, and the relaxation technique is applied for about 10 minutes, as shown in this figure (1).

(2) The surgeon treats the Ashi acupoint, waist eye, ring jump, Zhibian, Juji, Fengshi, and Weizhong acupoints on the affected side with multi-finger kneading and kneading for 3~5 minutes, as shown in Figure (2).

(3) Along the part of the patient's gluteal epithelial nerve, the surgeon presses the affected area with the thumb of one hand and the cord with the thumb of the other hand into the concave groove that he touches, and repeats the operation for 3~5 minutes, as shown in this figure (3).

(4) Repeatedly use pushing and kneading along the distribution of the patient's gluteal epithelial nerve for 3~5 minutes, with the patient's skin diathermy as the degree, see Figure (4).

Figure 2-2-31 Massage for brachial epithelial nerve injury

2. Precautions

(1) The diagnosis should be clear before treatment to avoid missed diagnosis and misdiagnosis.

(2) The treatment technique should be gentle and gentle, and avoid being rough to prevent new damage.

(3) During the treatment period, patients should appropriately strengthen their rest and avoid the aggravation of cold and dampness.

(4) Avoid walking for a long time and heavy physical labor to reduce the chance of seizures.

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