Massage with osteochondrosis of the spine
osteochondrosis - the most severe form of degenerative dystrophic lesions of the spine, which is based on the degeneration of the disk followed by the involvement of adjacent vertebral bodies, intervertebral joints and ligaments. In each department of the spine, osteochondrosis has a typical localization and features.
clinical manifestations of osteoarthritis, depending on the localization of the reduced static, neurological, visceral and autonomic disorders, which are often combined with the corresponding X-ray pattern, while a permanent parallelism between them.
It is known that after 30 years, every fifth person in the world suffers from discogenic radiculitis, which is one of the syndromes of osteochondrosis. So, according to TI Morozova( 1974),
in 1969 in our country was under the clinical supervision of more than 25 million patients with radiculitis. Among the causes of temporary disability, this disease still occupies one of the first places, and the most important of them is injuries and overstrain of the musculoskeletal system. Most often affected cervical and lumbar spine. In a number of cases, the entire vertebral column is involved in the pathological process - a common osteochondrosis.
The purpose of the massage: 1) achieve an analgesic effect;2) eliminate hypertonic muscle;3) improve the functional state of the central nervous system.
In osteochondrosis of the cervical spine with radicular syndrome there are pains in the neck, tension of the neck muscles, forced position of the head. When squeezing roots( radicular syndrome), pain can spread to the arm, shoulder blade, there is a violation of skin sensitivity, decreased reflexes.
Classic massage performed when the patient is lying down or sitting. Massage of the collar zone is performed. The main methods at the same time are stroking, rubbing and vibration of the entire palmar surface of the hand, which has an analgesic effect, reduces the increased muscle tone. After this, it is advisable to use the point massage elements in the identified pain points and acupuncture points. During the session, do not apply to all of the acupuncture points listed below. It is enough to take 3-5 points and monitor the effect of their application.
The average braking method of acupressure is used. Time of impact on the point - an average of 2-3 minutes. Slow rotational movements of the pads III and II of the finger with a gradual increase in the force of pressure and a delay at the depth of pressure are performed. Repeat this method 3-4 times with a return each time to the starting position without lifting the finger from the point( unscrewing).You can carry out vibration with your finger at the point at the moment of maximum pressure. The greatest effect brings impact on the following points:
CI-MAY - on the mastoid process at the level of the external auditory meatus;
TIAN-CHUAN - at the posterior margin of the sternocleidomastoid muscle at the intersection with the line drawn along the upper edge of the thyroid cartilage parallel to the collarbone;
TIEN-Din - the rear edge grudinoklyuchichno-mastoid muscle at the intersection with a line drawn along the bottom edge of the thyroid cartilage parallel to the clavicle in the vertical position of the head;
FU-TU - in the center of the abdomen of the sternocleidomastoid muscle at the level of the upper edge of the thyroid cartilage;
Ya-MEN - above the spinous process of the 2nd cervical vertebra along the midline of the neck;
SYN-SHE - at the outer edge of the trapezius muscle at the level of the middle distance between the spinous processes of III and IV cervical vertebrae;
FEN-FU - in the recess below the lower edge of the external occipital protrusion;
CHUNTU - between the spinous processes of the sixth and seventh cervical vertebrae;
TIAN-ZHU - on the middle of the muscular cushion formed by the deep muscles of the neck, covered with a trapezius muscle, at the level of CM;
The main points for massage with osteochondrosis of the cervical spine.
FEN-CHI - in a recess formed by the occipital bone from the top and lateral posterior margin of the sternocleidomastoid muscle;
VAN-GU - at the posterior margin of the mastoid process at the level of the FEN-CHI point.
In cervical osteochondrosis, there is often an increase in muscle tone and tenderness of the trapezius muscles, therefore, acting on the point of JIANG-JIN( the highest place of the foreleg), these pathological changes can be eliminated.
Do not massage more than 12 points during one procedure. To enhance the effect of acupressure, you can use strong warming ointments such as finalgon. In addition, pressure is applied to the zones with maximum pain.
Linear massage is carried out in three stages:
I stage - along the lines corresponding to the transverse processes of the vertebrae, from C to TX | 1 10 -12 times in the direction from top to bottom.
Stage II - 10-12 once from the point of JIANG-Zhen( the top of the axillary fold at the back) to the upper edge of the shoulder blade, then to the vertebra to the DA-ZHUU point.
The sequence of linear massage with osteochondrosis of the cervical spine.
Ill stage-10-12 times from the point of BI-FEN( at the upper edge of the shoulder blade) towards the interstitial processes CVII-T,( point DA-ZHUY).
When osteochondrosis of the lumbosacral spine with radicular syndrome, severe pain occurs in the lumbosacral region, which can spread along the sciatic nerve( posterior thigh, shin, or foot) or femoral( anterior thigh).There may also be a weakness in the foot.
Classic massage is recommended to be performed on a hard couch, sometimes in the forced position of the patient, for example on the side, if it alleviates the pain. Before the massage, it is advisable to warm up the lumbosacral region by any kind of heat( a bag with hot sand, a heating pad, an iron, etc.) for removing hypertonicity. It is also effective to use warming sprouts( finalgon, dolpig, nicofleks, gymnasium-togal, apizartron, vipratoks, virapin).
Of the main techniques will be stroking and rubbing the lumbar and gluteal region. Then a gentle vibration of the palm surface of the brush is performed.
When involved in the pathological process of the sciatic nerve, it is necessary to massage the muscles innervated by this nerve( muscles of the hamstrings, legs, feet).
Acupressure should begin with an impact on the paravertebral areas of the healthy side, and then on the areas with maximum pain, which may not coincide with the points of acupuncture. Before the massage, it is advisable to use warming of any kind of the entire lumbosacral region.
There are a lot of recipes in terms of the selection of points, it all depends on the nature of the disease. But in all cases it is necessary to pay special attention to to point massage of the following points:
MINY-MEN - between the spinous processes TS;
YAO-YAN-GUAN - between the spinous processes L1V_V;
ZHI-BIAN - at the entrance to the sacral canal;
ZHI-SHI - the second lateral line of the back at the level of Ln_lu;
CHEN-FU - on the gluteal fold between the long head of the biceps femoris and semitendinous muscle;
HUAN-TIAO - in the area of the outer upper quadrant of the gluteus maximus.
The main points and sequence of the lingual massage for osteochondrosis of the lumbar spine.
At the last point, located at a depth of 8-12 cm, the impact should be quite powerful. Therefore, this point can be massaged with an elbow or chopsticks.
. Acute massage with osteochondrosis of the lumbar spine should be combined with massage of the corresponding zones of the auricle.
Linear massage is carried out in 2 stages:
I stage - on the gluteal fold outside mainly in the terminal phalanges of the 1st finger - 10-12 times.
II stage - from the bottom up the first lateral line of the back from Lv to ТХ | 1, then the transition to the second lateral line of the back and with a lower impact intensity from top to bottom down to Lv - up to 20 times.
In any version of the manifestation of pain in the spine, it is easiest to start the fight with points of the auricle. All of them are located on the antiparticle ear. On the outside side of the counter-loom are the places of projection of ligaments and muscles, on the top of the protruding part - the projection of the vertebral bodies, and on the middle of its inner surface - the projection of the discs. The points that anaesthetize nerves emerging from the spine are also on the inner surface of the antifloric, but already at the border of its transition into the shell.
Massage begins with a diagnosis, for which you need to take a clean rod from a ballpoint pen or match and find the most painful point on the counter-cuff. After that, press on it for 2-3 minutes, gently rocking the rod.
To increase the efficiency of both the corporal and the auricular points after the massage, you can gently lubricate with a finalgon or "Golden Star" balm.