Most of the disease occurs unilaterally, and a few have bilateral onset. The affected shoulder has soreness, tightness and other discomfort, a few people radiate to the same upper limb, and some people have headache, dizziness, tinnitus, dizziness and other symptoms. Acute injuries can be caused by one-time whiplash injuries, such as sudden braking, falls, collisions, etc.; Stiff neck patients often have acute injury to the trapezius muscle. Patients with chronic injuries have a slow onset and often develop the disease due to traction of the trapezius muscle due to long-term shoulder loads; Multiple acute injuries, long-term desk work, and feeling cold are also causes and triggers of chronic injuries. Most patients have a tilted head toward the affected side, local tenderness, and muscle tension. In patients with chronic injury, cord-like reactants may be palpable at the base of the neck or on the scapula.

1. Methods and steps

See Figure 2-2-46.

Figure 2-2-46 Massage for trapezius injury

(1) The patient is seated, the surgeon is located behind the patient, and the right thumb is used to press and rub the painful parts of the patient's neck, shoulder, shoulder and back for 3~5 minutes to relax the local muscles, see this figure (1).

(2) The surgeon should use the index finger and middle finger of the right hand to rub the fingers for 3~5 minutes at the patient's A is acupoint and pain point, and the force should not be too heavy, see this figure (2).

(3) The surgeon's usage is to repeatedly perform the operation on the shoulder wells and shoulder back on both sides of the patient, and then use the large thenar part of the right hand to rub and push at this part for 5~10 minutes, see Figure (3).

(4) The surgeon rubbed the Quchi, Shousanli, Hegu, and Waiguan acupoints of the upper limbs of the patient, and the Xuehai, Yanglingquan, and Zusanli acupoints of the lower limbs for 3~5 minutes, as shown in this figure (4).

2. Precautions

(1) For more serious acute injuries, a little cold compress can be applied locally to relieve the pain, and then the examination can be carried out to confirm the diagnosis.

(2) If the patient has severe pain and significant limitation of head and neck movement, the cervical spine opening film should be taken first to rule out the possibility of atlantoaxial joint subluxation or dislocation.

(3) During treatment, the strength of the technique must be gentle, and violent techniques such as wrenching, pulling, and pulling should not be used.

(4) If there is no alleviation or even aggravation after the above treatment, you should seek medical treatment immediately.

"Look at the picture of Tuina Massage" (46) trapezius injury is in the hand, please wait a while,

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