1. doctor-patient cooperation
Exercise is an important part of chiropractic therapy, mainly to let patients exercise by themselves. Therefore, chiropractic clinic needs doctor-patient cooperation most. Spinal strain disease is a long-term disease of patients, so it is particularly important for patients to understand the etiology, treatment and prognosis of spinal strain disease. Only when patients cooperate with things like bed rest, receive acupuncture and manipulative treatment in time, persist in exercising, and cooperate with the doctor's treatment plan can the disease be quickly controlled.
2. Dynamic and static combination
In the clinical practice of chiropractic, the muscle ligament that maintains the spine is the splint of the spinal joint. It plays a role in fixing spinal joints. The pathological basis of spinal strain disease is muscle ligament strain, which leads to dislocation of spinal joint and imbalance of sports mechanics and biomechanics. Therefore, in the treatment, we must first restore and improve the dynamic system-muscle ligament. Therefore, tendon management is the first of the three therapeutic principles. The purpose of adjusting tendons and setting bones is to restore the balance between sports mechanics and biomechanics. The stability of bone and joint after reduction is also stabilized by muscle strength balance. Therefore, there is stillness in movement, stillness in movement and stillness in immobility. For example, for the treatment of cervical spondylosis with cervical curvature disorder, it is necessary to insist on exercising neck muscles after bonesetting and do chest expansion exercises from time to time. Practice the neck muscles. The exercise at this time is to stabilize the cervical joint after reduction.
On the other hand, some spinal diseases are caused by exercise. Typical lumbar disc herniation, due to the disorder of lumbar joints and the rotation and inclination of vertebral body, leads to disc herniation, which compresses nerve roots and causes symptoms. In the treatment, because it comes from exercise, it is still, that is, resting in bed, so that the intervertebral disc can avoid the longitudinal stress of the spinal joint from aggravating its compression. Therefore, there is a saying that "disc herniation can sleep well".
3. Pay equal attention to bones and muscles
Spinal strain disease is not a sudden trauma, but a long-term unilateral injury of a muscle group leading to dislocation of spinal joints. Fracture reduction requires alignment, and the so-called alignment refers to restoring the original anatomical and physiological force line. Chiropractic treatment to reduce spinal joints also needs to restore the line of force. This line of force is mainly spinal curvature, especially lumbar curvature and cervical curvature. Almost all clinical spinal strain diseases are caused by spinal bending disorder. The etiology and pathological basis of vertebral bending disorder is domino effect after the displacement of triangular mechanical structure of vertebral joint. The disorder of spinal curvature stems from the imbalance of four-dimensional muscle strength to maintain spinal curvature, so it is necessary to straighten the muscles before setting bones and adjusting curvature. There are three principles, namely, discipline, coordination and training, and the ultimate goal is coordination.
4. both internal and external repair.
"Lingshu" said: "Internal organs and internal organs, external bones and muscles. Therefore, there are yin and yang inside and yin and yang outside. " The human body is a unified whole. Spinal joint diseases not only occur in the skin of bones and muscles, but also affect the internal organs. Therefore, we should treat both inside and outside in treatment.
External treatment methods such as cupping, medicated ironing and acupuncture are commonly used in chiropractic clinic, which can effectively loosen the adhesion of muscle ligament, promote blood circulation and remove blood stasis, improve local circulation and restore muscle volume and muscle tension. Through bone setting and flexion adjustment, the joints are reset, the compressive stress of cartilage and intervertebral disc is reduced, the compressed spinal cord and nerve are released, and ischemia is improved. However, all these tissues need qi and blood to improve circulation. Therefore, treatment based on differentiation of symptoms and signs according to the eight cardinal principles, combined with oral administration of traditional Chinese medicine, is conducive to tissue repair. Clinical practice has proved that many oral prescriptions can not only alleviate the inflammation and edema of disc herniation, but also delay the degeneration of disc, improve the function of spinal cord and nerve, and alleviate the symptoms of spinal cord strain diseases. Therefore, chiropractic advocates both internal and external treatment.
5. cure the disease and drop it.
Treating diseases from top to bottom is a great innovation of chiropractic in traditional Chinese medicine. "Lingshu Meridian" says: "When you have a headache due to syncope, your neck hurts first, and your back should react". The stress of spine contour is balanced by parallelogram. The mathematical law of parallelogram is that the opposite sides are equal and the diagonal lines are equal. Therefore, in clinic, atlantoaxial dislocation can adjust lumbosacral angle; Cervical spondylosis with straight curvature and reverse arch, adjust thoracolumbar vertebrae; Thoracic scoliosis and lumbar adjustment have achieved nearly ten thousand clinical successes. Chinese chiropractic believes that lumbar spine is the basis of spinal structural mechanics and sports mechanics. Lumbar curvature disorder and scoliosis can be secondary to lumbar and cervical curvature disorder and scoliosis. Clinical investigation of 347 cases of cervical spondylosis with cervical curvature disorder, accounting for 98% with lumbar curvature disorder. X-ray dynamic experiment also confirmed that the waist curvature straightened and the neck curvature straightened at the same time. Therefore, it is safe and reliable to treat severe and difficult cervical spondylosis and thoracic scoliosis by treating the disease from the top down, which has become the characteristic of clinical diagnosis and treatment of chiropractic in traditional Chinese medicine.
6. Treat the next disease.
Prevention of disease is also an innovation of chiropractic in traditional Chinese medicine. According to the circular motion law of the spine, the disorder, lateral curvature or curvature of the spine joints are maintained on a central axis. For example, in the three segments of the spine: the cervical segment, the thoracic segment and the lumbar segment, the cervical segment is the cervical vertebra 1 ~ 4 vertebra; The thoracic segment is thoracic vertebra1~ 5; The lumbar segment is 1 ~ 3 vertebrae. Therefore, for the lesions of the lower lumbar segment, the lateral curvature of the upper lumbar segment must be corrected; For the lesions of the lower cervical spine, the lateral curvature of the upper cervical spine must be corrected in order to achieve the purpose of adjustment and reduction. For example, lumbar spondylolisthesis needs to correct the arch and lateral curvature of the upper lumbar spine in order to restore spondylolisthesis; Acute lumbar sprain is often caused by dislocation of 4 ~ 5 joints in the waist, but the dislocation can be restored as long as it is rotated slightly at the thoracolumbar hub.
7. Treatment of abdominal diseases
The treatment of abdominal diseases refers to spinal gastrointestinal dysfunction, spinal gynecological diseases and spinal male sexual dysfunction. These lesions originated from the joint disorder of the lower thoracic vertebra and the upper lumbar vertebra, leading to the disorder of the spinal nerves that dominate this organ, resulting in functional lesions. Therefore, it is a concrete measure to treat spinal diseases by chiropractic to restore its spinal nerve function.
8. Treat waist and abdomen
The stability of the lumbar spine depends on the posterior lumbar erector spinae, the anterior psoas major and the intra-abdominal pressure near the retroperitoneum. Therefore, intra-abdominal pressure is the main internal force to stabilize the lumbar spine. Abdominal muscle relaxation, lumbar instability and chronic low back pain. Therefore, there is a "abdominal acupuncture therapy" to treat low back pain in clinic. The internal environment of abdomen and lumbar spine is interactive. Typical patients with lumbar disc herniation often have symptoms of downward flow of damp-heat such as constipation and short and red urine in the early stage, while in the late stage, they have symptoms of deficiency and cold such as weak defecation or frequent urination. Therefore, the clinical treatment based on syndrome differentiation of traditional Chinese medicine, although treating abdomen, is actually treating lumbar disc herniation with downward flow of damp heat, which can relieve symptoms after removing blood stasis with the lower method. In functional exercise, "getting out of bed" and "push-ups" are all aimed at abdominal muscles, and the purpose is also to "treat abdominal diseases".
In short, the eight methods of chiropractic treatment in traditional Chinese medicine are full of holistic syndrome differentiation treatment with Chinese medicine characteristics. If it is used correctly in clinic, it will improve the curative effect, shorten the course of treatment and reduce the recurrence rate.