china medical tourism: 2012

2012年12月4日星期二

stem cells therapy Alcoholic cirrhosis

2012年10月11日星期四

Ankylosing Spondylitis treated by Acupotomy

2012年8月24日星期五

2012年8月23日星期四

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Hello, welcome to China Medical Tourism. When referred to the heating television drama "the Suspected Blood" in 1980s, we will think of the poor heroine who died for leukemia instantly, but this tragedy only happened in the 1980s. Is leukemia that terrifying now after the rapid development in medical treatment? Today, we will go to a cancer Hospital in China Medical Tourism to find out how they cope with leukemia in the hematology department.
The leukemia is one of the ten highest prevalence malignant tumor diseases in China, accounting to the rate of 3-4 in each 100,000 people. In pediatric malignant tumor diseases, the leukemia is also the most common one, increased by the number 30,000 to 40,000 patients per year. The leukemia was once regarded as a deadly disease, but now thanks to the fast-growing medical technology, it can totally be cured if detected in time.
"In fact, the symptoms of leukemia are no specific, and the patients may suffer from different manifestations. Some may appear like a cold. Some may act like anemia, and some patients just develop certain unobtrusive small blood dots on the skin. That's why people would pay no attention to the danger in the initial stage. Most patients choose not to see the doctors until severe bleeding occurs and the fever cannot be gone under antibiotic. In recent 20 years, as the methods of treatments become more and more various, especially for the popularization of the intensive chemotherapy, the transplantation of the hemopoietic stem cells, and the targeted therapy, more than half of the acute leukemia patients can be cured, or keep a long life."
Doctor Lee, Director of the hematology department in China Medical Tourism.
We saw many leukemia patients in hospital got well controlled after receiving some treatment stages.
"We have a patient coming for the high fever and bleeding, his X-ray filter shows that there existed too much leukocyte in his blood. Then the following results of bone biopsy and immunophenotype also prove that he got the acute non-lymphoblastic leukemia. At first we were tended to arrange the therapeutic blood cell apherases for him, but due to his low level of platelet we had to give up. Instead, we injected the cytosine arabinoside from the previous night to decrease the leukocyte number. He is lucky enough to have the leukocyte decreased from over 200,000 to nearly 100,000 in three days."
This hospital receives as many lymphoma patients as leukemia, and most patients are satisfied with the outcome.
"Doc. Li told me not to worry and keep an optimistic attitude. This disease is curable, and it does not only happen overseas. China also has the ability to solve it in previous cases. I felt far better after the second and third stage of treatment."
"The health indicators would return normal after receiving two stages of treatment, then we added 7 more reinforcement stages to her. Maybe it's too early to say her lymphoma is totally cured, however, we observed to find the possibility of recurring is quite low. Generally speaking, the lymphoma should recur after half a year's drug withdrawal, but this patient did not have any recur in two years since stopping the treatment."
What's more, Doc. Li told us that the mentality of the patient has a lot to do with his immunity, so those keeping a relaxed attitude shall have greater effect than those with heavy mental burden in the treatment.
"The mentality does have relation with one's immunity. What a doctor can do is not only to make a sound and safe therapy, but also to help with the patients keeping a fine attitude so that they can receive the whole treatment. This is what our department values and pursues."
The Central Hospital adopts the intensive chemotherapy in the treatment. Then one question will be raised whether the intensive chemotherapy may cause side-effects.
"A therapy can be compared to warfare. When the number of enemy is small, you can fight with them with less power; but when the enemy hides in the cave, you have to increase the weapon and power to reach them. It's the same principle in the final stage of the chemotherapy. We know the details are critical so we work hard on it, including we enjoined the patient to drink more water, how much he should have urinate, all his underpants should be changed to clean every day, and the furniture in his room should be disinfected every day. These details should not be neglected and we do care about them in this hospital. Apart from these, the implementation of supportive treatment and control the blood loss are the other important guarantee to the success of the lymphoma and leukemia."
The patient said, "Doc. Lee's treatment proves to be so right that gives me a sense of re-birth."

2012年2月24日星期五

Minimally invasive interventional therapy for hepatocellular carcinoma

China medicdal tourism-- Cirrhosis--Stem cells therapy 3.mp4

China medicdal tourism-- Cirrhosis--Stem cells therapy 2.mp4

2012年1月24日星期二

China's Cancer Drug - China

The treatment does not come cheap with a full course costing as much as 0,000, and while for some the price of life can never be too high, Rasko worries that not only are people wasting their time, they are also subjecting themselves to "considerable extra suffering" and "unexpected side-effects". Philomena's cancer ultimately proved not to respond to the Gendicine therapy. But she does not regret her trip, "at least I've tried everything in the book" she says. For her, like the hundreds of other patients in the clinic, "seeing people walk out of the clinic cancer free" provided the hope needed to go on fighting this deadly disease.

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Is Medical Tourism the Future of Healthcare?

Concerns Grow Over Medical Tourism in Asia

China will be the world leader in stem cell research

2012年1月18日星期三

Sofastin injection needle-knife with the treatment of knee osteoarthritis clinical

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Knee osteoarthritis (Osteoarthritis, OA) is a chronic joint disease, mainly characterized by degeneration of articular cartilage and inflammatory bone hyperplasia. Common in the elderly, the disease mechanism is currently unknown, most scholars believe that with aging, inflammation and metabolism. With the accelerated aging of our population, the incidence rate increased subsequently, in the middle-aged Chinese are now up to 7.8%, seriously affecting the quality of life of older persons. Although the treatment of OA more, but the effects are not ideal, can not prevent or delay the occurrence of disease and development. To study Sofastin injection needle-knife with the clinical efficacy of OA, the author will be from March 2003 to March 2007 were treated 230 cases of OA were randomly divided into two groups, its effects were compared. Reported as follows.
A clinical data
1.1 General information on the observation group 120 cases, male 42 cases, female 78 cases; aged 43 to 86 years of age; course of disease 7 months to 6 years. Danxi 56 cases, 64 cases of both knees, a total of 184 knee. Kellgren X ray classification: Ⅰ grade 31 knees, Ⅱ grade 86 knees, Ⅲ grade 43 knees, Ⅳ grade 24 knees. Control group, 110 cases, male 35 cases, female 75 cases; aged 45 to 87 years of age; course of 8 months to 6 years. Danxi 43 cases, 62 cases of both knees, a total of 167 knees. Kellgren X ray classification: Ⅰ grade 25 knees, Ⅱ grade 83 knees, Ⅲ grade 39 knees, Ⅳ grade 20 knees. Patients had varying degrees of knee pain, manifested as morning stiffness, pain started moving, after the event reduced, then increased walking activity and rest can be characterized by partial remission. Assessed by VAS pain score of 56 cases of mild, moderate 93 cases, 81 cases of moderate and severe. By knee function score method evaluation, 60 patients with mild activities, barriers, obstacles to the activities of 120 cases of moderate and severe obstacles to the activities of 50 cases.
1.2 diagnostic criteria adopted in 1995 revised American Rheumatism Association diagnostic criteria for OA, ≥ 3 of which would be consistent with these conditions, X-ray confirmed OA performers. OA X-ray film changes according to Kellgren classification method.
1.3 Treatment (1) General treatment:
① acute phase: joint effusion clear who puncture fluid, elastic bandage fixed. General puncture 1 ~ 3 times, and gradually ambulation.
② traditional Chinese medicine fumigation: fumigation using self-prepared Chinese medicine, the application of Chinese medicine products Dalian bed fumigation fumigation treatment, 2 times / d, 4 weeks for a course of treatment.
③ Oral: Nuosong tablets 0.4,1 times / d, Kangguzhengsheng films, 4 / time, 3 times / d, 4 weeks for a course of treatment.
(1) needle-knife therapy: patient supine knees, knees pads, pillows, regular elections point after disinfection, the application needle-knife around the right knee patella, suprapatellar bursa, infrapatellar pouch, infrapatellar fat pad, cruciate ligament, intercondylar eminence and , the lateral collateral ligament and biceps femoris, semitendinosus, semimembranosus, iliotibial tract, etc. attached to the point of tenderness and bone hyperplasia Department degeneration, scarring, adhesions and contracture of the soft tissue release and shovels to cut grinding, leveling, etc. The treatment facilities within the surgery. Needle-knife treatment options depending on the specific point of knee localized disease may be more of a one election 8:00, less of a one 3:00, the election mostly 5 to 6 o'clock.

[2] needle-knife treatment of postoperative external means, ie prior to flat direction of the patellofemoral joint surface pushed by the upper and lower left patella, do not push to the rear, loosen patellofemoral adhesions, and then the passive knee flexion and extension, loosen tibial-femoral joint adhesion.
(3) intra-articular injection: The Sofastin (sodium hyaluronate injection) 2ml intra-articular injection, 1 times / week, were injected four times.
(4) treatment options: observation group were treated with the general treatment, needle-knife therapy combined with intra-articular injections of Sofastin the control group using the general treatment, both after treatment effects were evaluated after 3 months.
1.4 Efficacy in VAS pain score assessed pain intensity before and after treatment changes: O into painless, 1 ~ 3 were divided into mild, 4 to 6 is divided into moderate, 7 to 9 pm was severe, 10 were divided into severe pain. More down the stairs, squatting activities, assessment of knee joint function; O sub-normal, a sub-mild, 2 points moderate, 3 severe, 4 points loss of function.
1.5 Statistical analysis measurement data in order to (x ± s), said the use of statistical data analysis and processing SPSS10.0 statistical software.
2 Results
Treatment of a course of treatment in both groups, at the end of treatment within a specified time after the follow-up, according to the VAS pain score assessed before and after treatment efficacy, the results shown in Table 1,2, the two groups after treatment in patients with joint pain were alleviated knee joint function of the observation group improved significantly better than the control group. The two groups were not related complications occurred. Table 1 the two groups before and after treatment VAS pain score comparison table two groups before and after treatment of knee joint function score comparison (Note: △ before and after treatment P <0.01, ▲ after treatment the two groups P <0.01.
3 Discussion
Knee osteoarthritis (OA) is due to degeneration of articular cartilage and joint synovitis characterized by the transformation of intra-articular lesions. Knee osteoarthritis is a cartilage degeneration, destruction, joint surface, the edge of reactive hyperplasia, osteophytes arising from the formation of secondary inflammatory synovium, joint capsule and soft tissue pathologic changes to joint pain and dysfunction of The main clinical manifestations. With the onset hiding, slow progress, while the prevalence rate increased with age characterized by the elderly of the common and frequently-occurring disease.
Clinically, with joint swelling, pain, stiffness, limited mobility, muscle atrophy, joint distortion characterized. Late medial joint space narrowing, often a result of extensive cartilage destruction flexion deformity. Synovial membrane and joint support structure surrounding proliferative changes were accompanied by chronic damage to the tissues around joints, in tissue repair occurs when the ligaments, muscle and bone between the adhesion.
The formation of local scarring, adhesions, muscle disuse atrophy. There authors found that there is arthritis, the muscles around the trigger point (TrP), the point EMG testing (EMG) activity, especially the inner thigh muscle tension Office. TrP through treatment can effectively eliminate EMG changes.
Needle-knife therapy can be used directly on the patella and the joint space to conduct cutting-week, sneak lysis patellar weeks tendons, ligaments, bursa and other soft tissue scar adhesions, contracture, destruction TrP, improve blood circulation, and soft tissue adhesion, the elimination of nerve endings to stimulate to improve blood circulation and the lifting of reflex muscle spasm, soft tissue to restore knee movement coordination, effectively regulate the balance between structural mechanics around the knee to enhance knee stability, while the needle through the needle-knife effect, and clear the meridians, to reconcile qi and blood, to "General does not hurt," the purpose [2]. YU Jie et al [3] that the needle-knife therapy can gradually restore joint kinetics of dynamic balance, mitigate and alleviate the friction knee injury, relieve pain, swelling, promote the function of the knee to recover. Combination of intra-articular injection of polymers, high-viscosity elastic Sofastin (glass sodium injection), can effectively improve the unit - tibial and femoral - patellar articular and synovial tissues between the coefficient of friction joints to reduce wear and eliminate inflammation.

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'Catfish effect' theory in the needle-knife treatment of frozen shoulder

Traditional Chinese Medicine Treatment of osteoarthritis of the knee Overview

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osteoArthritis of the knee is a common disease of the elderly, and frequently-occurring disease has seriously affected the daily lives of the elderly and work with high morbidity and disability. Articular cArtilage in the early stages of a primary or secondary degenerative changes, and accompanied by subchondral bone destruction and bone hyperplasia, so that the gradual destruction of joints and produce deformities. The disease affects not only the whole process of Articular cArtilage, but also meniscus, subchondral bone, ligament, joint capsule, synovial membrane around the muscles and joints. Traditional Chinese Medicine in the treatment of osteoarthritis of the knee has its unique clinical efficacy, treatment methods, including Traditional Chinese Medicine taken orally, for external use, acupuncture, massage and so on.
[Keywords:] Knee Osteoarthritis Knee osteoarthritis of Chinese Medicine
Osteoarthritis (Osteoarthritis, OA) also known as bone and joint disease, degenerative joint disease, hypertrophic arthritis, age-related arthritis is a common to joint pain, swelling, stiffness and deformity characterized by bone and joint disease. Joints osteoarthritis can occur, especially the knee, it has been reported in the literature about the incidence rate of 41% of patients with osteoarthritis. Our country is entering an aging society, and thus the incidence of elderly OA also showed a rising trend year by year, joint pain and disability in the elderly the main reasons [1].
A Traditional Chinese Medicine Oral Therapy
Chinese medicine, osteoarthritis of the knee is Arthralgia, bone Bi category, multi-due to liver and kidney deficiency, bones and muscles lose support, and blood shortage, easy to damage caused by the body and feel the wind cold dampness evil and disease, is a false standard of the virtual card , the treatment can be roughly divided into replenishing liver and kidney, gluten Zhuanggu, promoting blood circulation Qufengchushi, temperature by-pass network, such as governance is nourishing Qi. Yao Shu-Yuen et al [2] The Biqi Capsule (Darren Tang Pharmaceutical Factory, Tianjin Development) in treatment of 94 patients with knee osteoarthritis, efficiency of 98.87%. Zhao Lin et al [3] The Mustard Seed Powder (White Mustard Seed, Eupolyphaga insects, pangolins, safflower, etc.) in the treatment of knee osteoarthritis in 90 cases, with a total effective rate was 86.7%. Lu Jian Guo et al [4] with Bu Shen Huo Xue Prescription (health Astragalus, puerarin, epimedium, Ligustrum lucidum, Dodder, Clematis, Bupleurum, Forsythia, Cyathula, red sage root, Eucommia, Dipsacus, etc.) in the treatment 165 cases of knee osteoarthritis, with a total effective rate 93%. CHENG Yu-to, etc. [5] with the compound Tongbi capsules (Angelica sinensis, ephedra, the herb, Radix Paeoniae Alba, Cortex Moutan, Cyathula, red sage root, Cyperus rotundus, turmeric, Poria, Plantago, papaya, money nosed pit viper, Eupolyphaga insects, Strychnos, Scorpio, Eucommia ulmoides, Phellodendron, Chuanwu, epimedium, Loranthaceae, Atractylodes, Clematis, Rehmannia glutinosa, etc.) in the treatment of 300 cases of knee osteoarthritis, with a total effective rate 92%. Wang Chunqiu, etc. [6] with the self-made Gubi Tung Wan (Rehmannia glutinosa, white peony root, Cistanche, Drynaria, deer rank grass, epimedium, Clematis, Gentiana, Eucommia, Millettia, Radish Seed, Gui branches, Lindera aggregata, licorice, etc.) treatment of 92 patients with knee osteoarthritis, with a total effective rate 94.5%, one-year follow-up cases were cured without recurrence. Bear across the sea, etc. [7] using self-made knee-Bi Shu Tong drink (Epimedium, Rehmannia glutinosa, Chinese wolfberry, Eucommia, Cyathula, Drynaria, astragalus, Chinese angelica, Millettia, Agkistrodon, system gall Southern Star, white peony root , licorice, etc.) Syndrome addition and subtraction and in line with Angelica injection point injection (get ipsilateral Yanglingquan, hanging bell, Ashi points, etc.) treatment of 30 patients with knee osteoarthritis, with a total effective rate 96.7%. Yuan-Lin Chen et al [8] using self-made Bu Shen Huo Xue Fang (Rehmannia glutinosa, Chinese angelica, Chuanxiong, Achyranthes bidentata, Millettia, psoralen, Epimedium, Eucommia, Dipsacus, red peony, Chinese angelica, Gentiana, etc.) in the treatment 49 patients with knee osteoarthritis, with a total effective rate was 93.9%. Gu Qian et al [9] used DUHUOJISHENG soup (independent living, Loranthaceae, Eucommia, Cyathula, Asarum, Gentiana, Poria, cinnamon, wind, Chuanxiong, Codonopsis, Chinese angelica, peony root, Rehmannia glutinosa, licorice, etc.) in the treatment 60 patients with knee osteoarthritis, with a total effective rate was 93.3%, obviously superior to western medicine control group.
2 Chinese Herbs Therapy
External include Traditional Chinese Medicine Fumigation heat or outside the front and Chinese medicine treatments such as iontophoresis. Feng Guojun et al [10] using self-made blood circulation Shujin lotion (raw rhubarb, Speranskia tuberculata, Lycopodium clavatum, Millettia, Sanleng, Drynaria, Cyathula, turmeric, pangolins, Clematis, Chinese angelica, Gui, salt, etc.) after the first heat or fumigation treatment of 150 cases of knee osteoarthritis, excellent rate of 91.9%. Xu two equal [11] The Gubi paste (Pleurotus eryngii, kaempferol, clove, cinnamon, borneol, etc., plus EE into the plaster) Sticking the lesion, treatment, 78 patients with knee osteoarthritis, with a total effective rate 97.44%.
3 Acupuncture Massage Therapy
Zhang Xianwen, etc. [12] the use of small needle-knife aspect of pain points dredge, shovel cut, cutting, in order to loosen adhesion, and clear the meridians, results were satisfactory. Deng et al [13] using manual massage [including acupuncture (take too River, Xie River, foot three years, wind city, ring jump, red door, bearing mountain, Venezuela, Cheng Fu, etc. Point), loose tendons, shaking knees, reduction and other methods] treated 60 patients with knee osteoarthritis, with a total effective rate was 90.00%.
4 Comprehensive Therapy
Zhangxian Yong et al [14] herbal infusion (raw Chuanwu, the health and Aconitum, raw Pinellia, downtown flower sheep, raw gall Southern Star, the health and Strychnos, snow-capped mountains an Artemisia, safflower, Menispermaceae, turmeric, Sanleng, Zedoary, soil Fuling, etc.) and add wet compress to cut out infrared radiation, soft tissue techniques to relax the knee, point by point and pain flexion and extension, ring shake knee (flexion and extension without severe swelling, ring shake knee), and knee with Danshen injection Point (knee eyes, Venezuela, Albania is a hole) injection and knee functional training methods such as treatment of 350 cases of knee osteoarthritis, with a total effective rate 96.6%, cured patients were followed up for more than one year without recurrence. YANG Meng-Lin et al [15] with Chinese Herbs (single live, Loranthaceae, Cyathula, angelica, peony root, Gentiana, papaya Zaocys, frankincense, myrrh, cinnamon, licorice, etc.) and the dregs for external knee and acupuncture (extracted from inside and outside the knee eye, knee-Yang Guan, Yang Ling-chuen, Hong Leong, sea of blood, Zusanli, etc.) in the treatment of knee osteoarthritis 164 cases, with a total effective rate 98.8%. Water Qi Cai et al [16] with the joint puncture (those with joint effusion) and Traditional Chinese Medicine Fumigation (Cyathula officinalis, single live, Gentiana, Pittosporum skin, Lycopodium clavatum, Speranskia tuberculata, turmeric, frankincense, myrrh, safflower, Artemsia argyi, cassia twig, etc.), combined with manual massage and non-weight-bearing knee flexion and extension functions such as training on their own (Tong Shen Mei Luo Xikang of oral capsules, 7.5 mg, day 1) in the treatment of knee osteoarthritis in 126 cases (157 knees ), the total effective rate was 98.7%. Husheng Ping et al [17] to health knee Decoction (Millettia, deer rank grass, Lycopodium clavatum, Speranskia tuberculata, Clematis, Geranium, Cyathula, papaya, Drynaria, Passepartout, etc. ) and the outer wash (the remaining dregs into the daily bag, the release pot add water 1500 mL, heat 20 min boiling, add a small amount of rice wine, while hot Fumigation knee until the temperature when it is appropriate for drug bags placed in hot-iron knee) and with the local massage and functional exercise (including strength training exercises and joint activities) in the treatment of knee osteoarthritis in 53 cases, with a total effective rate was 92.5%.
5 Conclusion
Primary osteoarthritis of the knee lesion was degeneration of articular cartilage and secondary osteoarthritis [18]. Chinese medicine, the incidence of this disease with liver and kidney deficiency, bones and muscles lose support, and blood and injury and feelings of lack of wind cold dampness and other related evil. Chinese medicine treatment can be adjusted from the overall function, replenishing liver and kidney, gluten Zhuanggu, promoting blood circulation, from the outside for the local symptoms Shujin Tongluo, temperature after cold-dispelling dehumidification, rousing played a total of tackling the problem of the Gong embodies the traditional Chinese medicine 'Jane, then, inexpensive and inspection' principle. But there are TCM, such as lack of uniform standards for diagnosis and treatment of evaluation criteria and other issues.

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Report of 15 cases of axillary nerve injury

Needle-knife and traction with the orthopedic treatment of cervicogenic

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To explore the needle-knife and traction with the orthopedic treatment of cervicogenic headache clinical efficacy and mechanism. Methods 36 cases of cervicogenic headache patients after the use of needle knife loosen the soft tissue and then with the occipital bone-setting governance practices and cervical spinal traction to relieve the oppression and cervical nerve stimulation. Results of 36 cases of cervicogenic headache patients cured 32 cases (88.89%), improved in 3 cases (8.33%), ineffective in 1 (2.78%), the total effective rate 97.22%. Conclusion needle-knife and traction with the orthopedic treatment of cervicogenic headache effect is significant.
Keywords: needle-knife; orthopedic; traction; cervicogenic headache
The cause of many headaches for clinical multiple common diseases. Most patients have neck tenderness, this with the cervical nerve irritation related to their headaches for a long time the high incidence, clinical manifestations complex, more difficult to treat. Most scholars believe that the majority of degenerative changes with cervical spine and cervical dislocation, and muscle spasms related to named cervicogenic headache, I used needle knife after lysis pillow soft tissue tenderness point, and with the bone-setting rule and cervical traction to treat cervical spinal source headache, 36 cases of significant effect.
1 Data and methods
1.1 General Information of this group of 36 patients, male 12 cases, female 24 cases; age of 12 to 63 years, mean 37.2 years old; duration of the longest 23 years and the shortest half a month, an average of 6 years.
1.2 Clinical manifestations and diagnosis of
1.2.1 In early clinical manifestations of occipital, suboccipital Department, ears back, the lower part there is ear discomfort. After the gradual expansion into nausea and acid pain, pain location can be expanded to the neck, top of the forehead, temporal region. Some can be accompanied by ipsilateral shoulder, back, upper limb pain. Pain can have remission. As the illness progresses, and slowly increase the persistence, remission shortened episodes increased. Fatigue, agitation, coughing, drinking, cold and weather changes can trigger the pain increased.
1.2.2 Diagnostic criteria based on pain location and performance, eliminate swelling
Tumor, traumatic brain injury sequelae, tuberculosis, chronic subdural hematoma, paranasal sinuses and periodontal diseases such as organic, and meet the following four characteristics:
(1) from head and neck movements or posture problems, headache, excitation;
(2) push aggravate or cause headache and neck with "comfortable pain";
(3) headache radiation to the neck and the ipsilateral shoulder and upper extremity.
(4), headache, occipital, suboccipital discomfort, as well as the performance of cervical spondylosis.
1.3 Treatment
1.3.1 Needle-knife lysis in the treatment of patients treated with prone position in bed, in patients with chest pad a thin pillow, and placed in the treatment of bed, bedside treatment of patients with head out, so that the head forward 45 ° ~ 60 ° or so. In the upper and lower entry line, C2 spinous process and transverse ligament items to find tender points, marking with gentian violet, sterile surgical field prepared skin under local anesthesia, shop towel, after hole No. 4 with the Han Zhang needle-knife, the knife-edge lines and points vertical axis parallel to the spine, straight into the direct bone surface, slightly raised needle-knife, longitudinal cutting, there is no breakthrough feel-stop, to pine for the degrees, so you can cut Mito can be vertical and horizontal swing. After swinging shovels should be affixed to bone surface transverse cut, left and right click, and then press out the pin. 3 ~ 6 points each so a week, an times, three times for a course of treatment.
1.3.2 Bone-setting rule whether there is cervical spinal dislocation according to the patients and, if misplaced persons, OK needle knife to loosen after cervical spinal orthopedic reset rule.
Based methods in patients with cervical dislocation for the corresponding ridge of bone-setting rule tactics. Such as the occipital ring, atlantoaxial joint dislocation who make upward, and shaking Dhamma: The patient supine, low pillow, a Satisfy their lower jaw, another Satisfy occipital, will be on his head Yang, tilt, slowly shaking a ~ 2, the relaxation in patients with head, it will first go to the most significant time, with limited wrist quick moment "flash power" to the cephalic Dayton pull.
If the level of side tilting left cervical dislocation were for cervical lateral pull by the entire complex method: The patient supine, operator stand bedside, one hand Hold hold his neck and to the thumb side elevated risk of vertebral transverse Department, Another Satisfy his jaw and affixed his cheek with a forearm, both hands cooperation will be the first traction in patients with head and evolute to the contralateral to the affected side after the bend, when to impose the maximum angle of the affected side, the thumb "sentinel" not to relax, with the "fixed point "At the same time to make a move one hand by a slight joint" flash power ", the thumb can touch the whole sense of re-bounce, and multi-joint joint shells could be heard the sound. Such as the rotary cervical dislocation, the entire complex is being pushed for cervical spine: The patient supine, low pillow, to the left cervical correction, for example, the operator squat in patients with cephalic left-rear, two-handed thumb-index finger open, respectively, in patients placed on both sides of cheek, the index finger and the face parallel to the fixed index finger after the thumb, and the other three fingers to hold back the skull and facial Wang Youce patients to the appropriate angle so that patients in a non-neck muscle stiffness as a degree, this time, right below the left In the left hand thumb between the first 1,2 withhold suffering from intervertebral joints of the articular process, his right hand to his head on the patient care to the moderate point of view, and the hand-over, start with within the band way to move forward, upward 45 ° c. the implementation of the entire complex correction.
1.3.3 line needle knife loosen after cervical traction, no cervical dislocation, that is to make continuous supine cervical traction therapy; a cervical dislocation, he shall rule the way orthopedic spinal reset, before making the continuous supine cervical traction therapy, traction supine forward position angle of about 20 ° ~ 40 °, pulling the weight of the individual patient weight and the patient feels comfortable as the basis, ranging from 5 ~ 15kg force day one times, each 30min.
2 Results
2.1 The efficacy of the standard is not valid: patients with symptoms and signs with no change in pre-treatment; valid: to alleviate symptoms, there are clear incentives pillow when you still have pain and tenderness; healing: patient symptoms and signs disappeared completely.
2.2 The results of 36 patients treated by 1 ~ 3 times after treatment, recovered 32 cases, accounting for 88.89%, effective in 3 cases, accounting for 8.33%; ineffective one cases, accounting for 2.78%. The total effective rate 97.22%. Recovered after 6 months follow-up cases, in addition to three cases of patients with occasional discomfort, the rest had no recurrence.
3 Discussion
1995 BOGDUK that cervicogenic headache is the direct cause of cervical degenerative changes, and muscle spasms. He believes that cervicogenic headache can be called cervical dorsal rami-derived pain. Its pathogenesis [1] may be involved according to the different parts of nerve root is divided into neuropathic pain and muscle-derived pain.
Sensory nerve root irritation caused by the root fibers of neuropathic pain, while the ventral motor nerve root irritation is caused when the muscle-derived pain. C1 ~ 3, after most of the nerves leaving the spinal canal through the soft muscle tissue. Degeneration in the cervical spine and cervical dislocation, based on the dynamic equilibrium of cervical disorders, foraminal stenosis and intervertebral disc space narrowing. If the pillow back of the soft tissue inflammation, ischemia, spasm and chronic injuries and so on, can be stimulating and (or) pressure caused cervical dorsal rami of cervical pain.
Needle knife loosen the upper and lower entry line, spinous process, transverse process, nuchal ligament attached to the soft tissue, etc., while to peel adhesion, scar curettage, loosen muscles, lifting spasm, blocking clear, the role of blood flow . Pillow soft tissue to restore the dynamic balance after the effective lifting of soft tissue spasm, ischemia and inflammation, can be lifted after cervical nerve branch stimulation and oppression, and ultimately achieving the purpose of lifting of cervical pain.
It should be noted in the needle-knife operation, familiar with the local anatomical structure, the operation should be careful, gentle, in the upper and lower lines between the items into the needle, needle-knife and the skull surface perpendicular to knife-edge parallel with the blood vessels and nerves.
Transverse process and spinous process in the Ministry of therapy, a knife could not leave the bone surface, carefully moving blade to prevent injury in the spinal cord, blood vessels and nerves. Governance practices with the correction of spinal bone-setting because of dislocation and bone mechanical Citation nerve pain, bone-setting reset mode when you need to distinguish between cervical dislocation, targeted the main ridge of the different methods, is the key to effective operation, aiming at steady, accurate, Qiao, way to avoid iatrogenic injury caused by improper. Needle-knife release and orthopedic Across The main purpose of cervical traction tension of skeletal muscle tension or spasm, and play a role in braking, and can increase the intervertebral space and expanded the role of the intervertebral foramen to relieve mechanical oppression, to restore cervical homeostasis.

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