基于生物力学探讨侧卧定点踩跷法治疗极外侧型腰椎间盘突出症的临床思考  

Clinical Thinking on the Treatment of Extreme Lateral Lumbar Disc Herniation Based on Biomechanics

作　　者：吴山[1] 蓝石坚[1] 李涛 范志勇[1] 田强[1] Wu Shan;Lan Shijian;Li Tao;Fan Zhiyong;Tian Qiang(Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510405,China;the Second Clinical Medical College of Guangzhou University of Chinese Medicine,Guangzhou 510006,China)

机构地区：[1]广东省中医院,广州510405 [2]广州中医药大学第二临床医学院,广州510006

出　　处：《世界中医药》2019年第12期3406-3409,共4页World Chinese Medicine

基　　金：广东省财政厅资助项目[粤财教(2016)387号]——林氏正骨推拿关键技术规范及传承推广运用研究

摘　　要：由于极外侧型腰椎间盘突出症疼痛剧烈,突出组织接近椎间孔等问题,传统推拿手法往往难达到好的疗效。笔者从中西医对该病发病过程的生物力学改变的认识,侧卧定点踩跷法的操作技巧及生物力学、神经效应等角度出发,对极外侧型腰椎间盘突出症的手法治疗思路及相关临床应用进行思考。Due to the severe pain of the extremely lateral lumbar disc herniation and the proximity of the protruding tissue to the foramina,traditional massage techniques often have difficulty achieving good results.From the perspective of Chinese and western medicine′s understanding of the biomechanical changes in the pathogenesis of the disease,the operating techniques of side-to-side fixed-point toes,biomechanics,and neurological effects,the author made reflection on the manual treatment ideas and related clinical applications of extreme lateral lumbar disc herniation.

关 键 词：生物力学 手法 侧卧定点踩跷法 极外侧型腰椎间盘突出症 临床思考 推拿 操作技巧 解剖 

分 类 号：R274.9[医药卫生—中西医结合]