The cervical spine provides a relatively slender lever to balance the weight of the head, and the joint surface can move in all directions, so the cervical spine is the most mobile part of the spine. Greater mobility means less stability, so the cervical spine is the most vulnerable to injury compared to other spinal segments. If the doctor does not have a system, it is better not to massage the cervical spine.
Because the things inside the cervical spine are so important. In layman's terms, let me tell you about the functions of the spinal cord here. The centers that regulate breathing, body temperature, and body temperature to maintain life are all here or continue here. Therefore, this place is not only important but also very delicate. If the massage intensity is not mastered well, Once an accident occurs and there is no time for rescue, sudden death or high paraplegia will occur!
When Zhang Fan touched C4, he felt that the patient's neck muscles began to tighten. "Does it hurt?" Zhang Fan asked.
"It doesn't hurt. I just 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 stopped responding. Zhang Fan continued the examination and found no abnormalities in the neck. "Brother Hu, the problem should be around the C4 segment." Then he said to the patient: "Sister, come here, lower your head and try."
After the patient lowered his head, Zhang Fan applied a backward force, and the patient said: "Ouch! No, dizzy, nauseating!" After Zhang Fan slowly removed the force, he said to the patient: "Come on, sister, take your time. Look up."
After the patient slowly raised his head, Zhang Fan said: "The inferior longitudinal fasciculus has become compensatoryly thickened! The thickened part of the inferior longitudinal fasciculus after lowering the head will increase with time or intensity. The thickened part will compress the vertebral artery and cause brain damage. Digestive symptoms and dizziness may occur due to transient ischemia in the body. However, lowering the head for a short period of time or with low intensity will not cause symptoms."
"Are you sure?" Lao Hu asked in disbelief.
"You can't run away. The physical examination is consistent with the symptoms." Zhang Fan said.
"I've never heard of it!~" Lao 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, but the risk is higher. The second is to use manual rehabilitation to adjust the angle of the cervical spine so that the thickened part is slightly away from the vertebral artery. This angle is not The symptoms can be improved as long as necessary, but you can't work at your desk in the future, otherwise it will relapse."
"I'm not going to do surgery!" The patient didn't understand anything else, but she knew the word "surgery" very clearly, so she waved her hand quickly and said.
"Okay, eldest sister, I will perform a cervical spine correction surgery on you. Let's see the effect!"
"Okay!" In fact, the patient does not understand that manual massage correction of the cervical spine is actually quite dangerous.
Zhang Fan asked the patient to lie on his back, then stood on the corrected side of the patient, at an angle of 45 to 90 degrees to the patient, slowly placed his thumb and palm on the patient's cheek on the lower neck, and slowly used the proximal ventral side of his index finger to Slowly rotate, then press the upper cervical spine, rotate the patient's head to the opposite side of the correction side, press, extend, and lateral flex to form an additional angle, which is not large.
The patient's cervical spine is normal, but compensatory thickening of the ligaments is rare. The symptoms will disappear when the neck is straightened for a period of time. So it’s not surprising that the hospital’s expert team didn’t make a clear diagnosis. Except for some very professional spinal experts, ordinary doctors really can’t diagnose this disease.
Half an hour later, the correction treatment was over. Zhang Fan wiped the sweat from his head and said to the patient: "Sister, try it. Get up and walk a few steps!~ See if you are still nauseous and dizzy."
This treatment is very tiring. If the intensity is too low, it will be useless. If the intensity is too high, accidents may occur. Therefore, Zhang Fan has to adjust his muscle strength to match the patient's neck resistance, and requires continuous force output to stabilize the patient's neck. The cervical spine is really not easy.
"It's much better. I'm not dizzy or nauseous now! I feel hungry. I almost vomited my intestines in the past few days, but now I finally have some appetite." The patient said happily.
"Sister, don't be happy. This is just the first step. Your treatment will take a long time. Now it's just a temporary improvement. You may still have dizziness and vomiting at night." Zhang Fan said to the patient.
"What should I do? Doctor." The patient asked worriedly. The vomiting in the past few days has really scared me and made me feel so uncomfortable!
"After a period of rehabilitation treatment, your muscles and bones will be fixed in their current positions, and you will be completely improved. However, it will take a long time, so you have to be mentally prepared." Zhang Fan explained. When Zhang Fan's treatment was completed, 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 quickly called the director of the hospital office.
"It's okay. Don't worry about it taking a long time. You can take your time to treat me. I'm not in a hurry. Thank you!" After the patient finished speaking, he turned to look at his husband.
This kind of small clerks mixed in the civil service are the most sensitive and careless people. The disease that other doctors have not seen has been discovered by this doctor, and now he has to win over this doctor.
The sick husband understood what his wife meant, so he took the milk, gift boxes and other things sent by others and started stuffing them into 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 caught the gift and turned to look at the door. The results turned out to be Dean Ouyang and experts from all the hospitals!
When he saw Zhang Fan holding a gift that was obviously a patient's, Ouyang's smile suddenly changed. This was not the time to deal with Zhang Fan. Ouyang's dagger-like eyes crossed Zhang Fan's face. The meaning is obvious: wait and see!
The expert behind Ouyang looked at the young doctor's embarrassment and smiled knowingly! What is bad luck? This is bad luck! He was so lucky that the boss caught him at the scene.
Ouyang didn't speak, and it was difficult for Zhang Fan to explain. At this time, the director of the medical department came out to speak.
"Why, why don't you put it down? How about I hold it for you?" Zhang Fan also knew that now was not the time to explain, so he quickly put the things on the wall. A group of alpacas passed by in Zhang Fan's heart. It was really yellow. If mud falls on your crotch, it’s either shit or shit!
Lao Hu was also a little embarrassed. Who knew he was like this? He looked at Zhang Fan a little apologetically!
"Tell me about your condition!" Ouyang said to Zhang Fan after Zhang Fan put down his things. Ouyang wanted to swollen 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, which has allowed some top technical experts to rely on her in countless storms. By her side, if you are not a skilled person, you don't need to worry about it.
The expert director of the internal medicine department didn't know Zhang Fan very well, but everyone in the surgical system was familiar with Zhang Fan, especially the director of urology. Seeing Zhang Fan's embarrassment, he was the happiest, not gloating, but as if he had found a companion. , the joy of no longer being alone! He is so depressing as a director!
bq
