Monday, April 26, 2010

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torticollis: evaluation and treatment in TCM and integration myofascial


In the presence of land provided (previous trauma, arthrosis, chronic muscle tension), the torticollis may be caused by prolonged bad position watching television or computer terminal, bad posture, postural alterations associated with scoliosis by asymmetric basin and / or differences in leg length, dental malocclusion.
After finding the history, we proceed to the evaluation of the cervical spine, by performing active and passive movements of the neck, palpation of muscle and joint structures of the neck. All this is to identify the meridians and points of tenderness on palpation and spontaneous. In the MTC
torticollis occurs or an incorrect position during sleep because the pillow is too high, or when you are lying because you can not cover the neck by promoting the penetration of cold wind, or direct exposure to Xieqi (pathogenic energies) Wind and / or cold.
incorrect positions in bed cause stagnation of Qi (energy) and Xue (blood) in jingluo (meridians). The cold wind may penetrate the jingluo and lead to stagnation of Qi and Xue.
The pain may radiate to the back, you will have functional limitation of joints, the sensation of pain is like a "stretch" to the touch you notice areas of contracture of the dorsal cervical muscles, especially the sternocleidomastoid and the trapezius.


treatment principles: Activate blood circulation, circulate IQ, dispel wind and expel cold, unblock meridians and collaterals.


Treatment :
points used with both dynamic and static stimulation are mainly BL 10 Tianzhu, point HuatuoJiaji-C7, Jianjing GB-21, SI-15 and TB5 jianzhongshu waiguan.
Additionally, you can also houx SI-3, GB-39 and SI-11 xuanzhong tianzong by rotating the neck to the user. I remember that the treatment through the use of these points is related to the symptoms, ie pain caused by muscle spasm. In subsequent sessions will be possible to discuss the history and work in the field of energy.

NB. If you experience pain and contracture very intense, better to start with maneuvers of "openness" acting relaxant with a simple massage of back neck.


In this case, myofascial massage therapy can help activate the microcirculation, increase blood flow in the treated area and thus promote muscle relaxation, the "loosening" of the different fascial planes.




Run touches caudal-cranial, continuing frictions with single-hand or hand-held digital (thenar and hypothenar) until tissue engorgement. If the person has dealt with important problems and discomfort in the supine position, sitting on a chair massage it will agree to support the head and upper limbs on a comfortable level (use several pillows to make the most comfortable position possible to avoid further tensions).

Technical side:
Moxa the painful area.
Cups on muscles.
Ear Earphones points on the cervical, occiput, shenmen.

Initial treatment should be aimed at obtaining a general state of detensionamento the muscles and therefore a reduction in pain.
So you can integrate the attrverso massage treatment used in specific acupuncture points with other methods of myofascial type.
A more effective it can be obtained using the reflection of the oculomotor and the relationship between muscle agonists and antagonists, that a contraction of the oculomotor muscles of the right side correspond to a relaxation of the suboccipital muscles contralateral and vice versa.
operator standing behind the user sits. Incorporates in his hands the skull and the mastoid apophysis on the thenar and elbows resting on the shoulders of the user then begins to rotate the head (for example at left) to the point where it begins to show pain, then release a slightly different twist, taking care not to cross the threshold of pain.
Keeping the position reached, so ask your the user to turn our gaze to right and back for about five seconds and then make a profit to a greater degree of rotation. The operator should feel the tension in the hands caused by eye revolution. Then asks you to bring in line the eyes gently and continue to gain the rotation until a new / next threshold of pain by repeating the sequence three times, making sure to leave every time the pain reached a new barrier. Once the sequence riportarel head to the starting position and then begin the rotation to the opposite side.
Repeat the sequence 3 times, then also the other side and then conclude with the head
positioned at the center between the shoulders.






Bibliography;


"atlas of acupuncture Hoepli


" foundations of clinical massage therapy "Little

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