The cervical spine provides a relatively slender leverage that balances the weight of the head, and the articular surfaces can move in all directions, so the cervical spine is the most mobile part of the spine. A large range of motion means that the stability is relatively weak, so the cervical spine is the most vulnerable place to be injured compared to other spinal segments. If the doctor is not systematic, it is better not to massage the cervical spine.
Because the things inside the cervical spine are too important. In layman’s terms, let me tell you about the functions of the spinal cord, the centers that regulate breathing, body temperature, body temperature, etc. to maintain the body’s life are here or continue here, so this place is not only important but also very delicate, and the massage intensity is not good. Once there is an accident, there is no time for rescue, and there will be sudden death or high paraplegia!
When Zhang Fan touched c4, he felt that the patient's neck muscles began to tense, "Does it hurt?" Zhang Fan asked.
"It doesn't hurt, but I feel a little dizzy when I press here." The patient said uncertainly.
"I'll press it again for you to feel it."
When Zhang Fan pressed c4 again, the patient didn't respond. Zhang Fan continued to check, and found no abnormality in the neck, "Brother Hu, it should be near the c4 segment." Then he said to the patient: "Come here, elder sister, bow your head and try."
After the patient lowered his head, Zhang Fan added a slow force backward, and the patient said: "Oh! No, dizzy, nausea!" After Zhang Fan slowly withdrew the force, he said to the patient: "Come on big sister, take your time!" look up."
After the patient slowly raised his head, Zhang Fan said: "The inferior longitudinal fasciculus is thickened compensatoryly! After bowing the head, the thickened part of the inferior longitudinal fasciculus will compress the vertebral artery with time or intensity, causing brain damage. Transient ischemia in the abdomen, leading to digestive symptoms and dizziness. However, if the head is lowered for a short time or the strength is not strong, it will not cause symptoms.”
"Are you sure?" Lao Hu asked in disbelief.
"If you can't run away, the physical examination meets the symptoms." Zhang Fan said.
"I've never heard of it!~" Old Hu thought in confusion, and then said, "How to treat it?"
"There are two methods, one is to surgically cut off the thickened part to permanently and completely relieve the patient, which is more risky, and the second is to perform manual rehabilitation and adjust the angle of the cervical spine so that the thickened part is slightly away from the vertebral artery. This angle is not good. As long as it is needed, the symptoms can be improved, that is, you can’t work at the desk in the future, or you will relapse.”
"I don't do surgery!" The patient didn't understand the rest, but she knew the word surgery very clearly, and hurriedly waved her hand and said.
"That's fine, big sister, I'll give you a cervical spine correction, let's see the effect!"
"Okay!" In fact, the patient does not understand that massage and correction of the cervical spine is actually quite dangerous.
Zhang Fan asked the patient to lie on his back, and then stood on the corrected side of the patient, at an angle of 45 to 90 degrees to the patient. Slowly place his thumb and palm on the patient's cheek on the lower neck, and use the near ventral side of the index finger to slowly Rotate slowly, then press the upper cervical spine, rotate the patient's head to the opposite side of the correction side, press, extend, and bend sideways to form an additional angle, which is not large.
The patient's cervical spine is normal, but compensatory thickening of the ligaments is rare. When the neck is straightened for a period of time, the symptoms will disappear. Therefore, it is not surprising that the expert group of the hospital did not make a definite diagnosis. Except for some very professional spine experts, ordinary doctors really cannot judge this disease.
Half an hour later, when the corrective treatment was over, Zhang Fan wiped the sweat from his head and said to the patient, "Sister, try, get up and take a few steps! ~ See if you still feel sick or dizzy."
This treatment is very tiring, it is useless if the strength is too small, and accidents will happen if the strength is too high, so Zhang Fan has to adjust his muscle strength to match the patient's neck resistance, and needs continuous power output to stabilize the patient's neck. The cervical spine is really not easy.
"It's much better. I don't feel dizzy or nauseated anymore! I feel hungry. I almost vomited out my intestines these days, and now I finally have a little appetite." The patient said happily.
"Sister, don't be too happy. This is just the first step. Your treatment will take a long time. Now it is only a temporary improvement. Maybe you will experience dizziness and vomiting at night." Zhang Fan said to the patient.
"Then what should I do? Doctor." The patient asked worriedly. The vomiting these past few days was really frightening and uncomfortable!
"Rehabilitation treatment that lasts for a period of time will completely improve after your muscles and bones are fixed in the current position, but it will take a long time, so you have to be mentally prepared." Zhang Fan explained. After Zhang Fan's treatment was over, Lao Hu saw that the patient's curative effect was obvious, which showed that Zhang Fan's diagnosis was clear and the treatment was effective. He knew about their department, so he hurried to call the director of the hospital office.
"It's okay, don't be afraid of the long time, you treat slowly, I'm not in a hurry, thank you!" After the patient finished speaking, she turned her head and glanced at her husband.
This kind of small staff mixed in the civil service team is the most sensitive and caring group. The disease that other doctors have not seen has been spotted by this doctor, and now he is going to win over this doctor.
The sick man's husband understood what his wife meant, so he picked up milk, gift boxes and other things from others and started stuffing them in Zhang Fan's hands.
While the two were pushing and shoving, Ouyang came in with a group of experts. Zhang Fan was embarrassed, because when the door opened, Zhang Fan subconsciously took the gift and turned to look at the door. It turned out that it was the dean Ouyang and the experts from the whole hospital!
Seeing that Zhang Fan was holding a gift that was obviously a patient, Ouyang, who was originally smiling, suddenly changed his face. This time was not the time to clean up Zhang Fan. Ouyang's knife-like gaze crossed Zhang Fan's face. The implication is obvious: just wait and see!
The experts behind Ouyang saw the young doctor's embarrassment and smiled knowingly! What is bad luck, this is bad luck! So surviving, the boss caught the scene.
Ouyang didn't speak, and Zhang Fan couldn't explain it. At this time, the director of the medical department came out to speak.
"Why, why don't you put it down, why don't I hold it for you?" Zhang Fan also knew that now was not the time to explain, so he quickly put the thing by the wall, and a group of alpacas floated by in Zhang Fan's heart. The mud fell on the crotch, it was either shit or shit!
Lao Hu was also a little embarrassed, who knew it was like this, he looked at Zhang Fan apologetically!
"Tell me about your illness!" Ouyang said to Zhang Fan after Zhang Fan put down his things. Ouyang wanted to swell the face of the rebellious director of the gastroenterology department, so she let Zhang Fan go for the time being, but she would definitely find an opportunity to beat Zhang Fan. This is her leadership style. By her side, if you are not a top-notch technician, you don't have to worry about it.
The specialist director of internal medicine doesn't know Zhang Fan very well, but the surgical department is very familiar with Zhang Fan, especially the director of urology. Seeing Zhang Fan's distressed appearance, he is the happiest, not gloating but as if he has found a companion , the joy of being no longer alone! His role as director is too depressing!