First, cervical spondylosis and small round muscle Many clinicians in the treatment of cervical spondylosis, especially when it comes to upper limb numbness of cervical spondylosis always focus on the cervical spondylosis local but no matter how the treatment can not or effect, especially in the large hospital outpatients are particularly large, always formed a stereotypical thinking, cervical spondylosis = hand numbness, hand numbness = cervical spondylosis, often ignore the nerve in the heel, plexus and stem of any part of the pressure can appear The symptom of hand numbness, but what is most not considered is the relationship between the small round muscle and the nerve root type cervical spondylosis. In my clinical treatment of that kind of patients in the major hospitals are ineffective, change of mind from the small round muscle treatment can always be received and healed, and later search the literature found that this not only has an anatomical basis, more people have also done relevant basic research, that the small round muscle aseptic inflammation can lead to increased frequency of spontaneous discharge of the dorsal root ganglion of the spinal cord, increased excitability, resulting in the dorsal root ganglion and subcutaneous tissue of the upper arm pain relief transmitter SP The result is an increase in SP in the dorsal root ganglion and in the subcutaneous tissue of the upper arm, leading to radicular pain and upper extremity radiating pain. He then reinforced his clinical treatment idea that the small circular muscle release maneuver could not only treat neck and shoulder pain due to local aseptic inflammation, but also open up a new idea for the treatment of neurogenic cervical spondylosis. In fact, it is not difficult to review the innervation of the periacetabular muscles and find that the supraspinatus muscle, infraspinatus muscle, and subscapularis muscle are all innervated by the cervical 5-6 nerve, and the lower cervical segment is a high incidence segment for cervical spondylosis. A recent letter of commendation on my website is about an ophthalmologist who was diagnosed with neurogenic cervical spondylosis and was treated by me from the rotator cuff muscle group on the spot after the consultation was ineffective. Second, cervical spondylosis and thoracic outlet syndrome Many physicians tend to focus on the nerve roots and trunk, but neglect the plexus, especially when imaging strongly suggests cervical spondylosis or cervical disc herniation without the chills and weakness of subclavian artery compression, but only symptoms of neck pain and upper extremity numbness, it is easier to ignore the compression of the brachial plexus nerve by the anterior trapezius or pectoralis minor muscles. Three years ago, a patient was diagnosed with cervical 5-6 and 6-7 disc herniation, operated on in a hospital, and had brief relief of hand numbness after the operation, but was discharged less than two months later that he had numbness again, and every time he looked for that specialist to follow up, he asked for a cervical MRI examination, and after the examination, the operation was considered very successful, and finally he returned without success, repeatedly, and also sought treatment from other orthopedic and traumatology massage doctors who were ineffective, and was emotionally He was extremely depressed. When I found me through the Internet, I heard the names of a large list of experts and knew that I could not be better and more advanced than them in cervical spine treatment, so I carefully examined the patient’s oblique angle muscle, and the hard tension of his anterior oblique angle muscle, which was like a steel cable bone, was something I would never forget. After five consecutive treatments, the symptoms of hand numbness disappeared completely. A female teacher teaching computer science at a famous university in Shanghai had severe back pain for two months and could not sit up from her seat. She was diagnosed with lumbar disc herniation by several hospitals, and various treatments had no effect. I know I then from the lumbar disc herniation treatment is not possible to obtain any efficacy, physical examination found that his groin pain is severe, consider the iliopsoas muscle injury, focus on manual release iliopsoas muscle stop femoral trochanter to pubic bone section, a treatment can let the patient from the wheelchair to stand up and walk, gave me a great touch, but also the patient excited, the patient on the network to write me a letter of thanks, which is also my This is the first letter of thanks I have ever received on the Internet, which is invaluable. Fourth, lumbar pain and abdominal muscles A male patient, due to bending to carry flower pots caused a sudden flash back, severe pain, unable to straighten the waist, hospitalized in the external orthopedic injury department for half a month without improvement, and asked the medical history, the patient has been curled up on his side in bed since the sprain, unable to straighten. On examination, the lumbar muscles were tense and stiff, but the location of the pressure pain was vague, and the straight leg raise and “4” test could not be completed. During this study trip to Guangzhou, I also heard the founder of stretching, Mr. Miao Zhen, share the same case and knew that this was no accident. Analyzing the pathogenesis, many doctors only know that lumbar sprain will twist the lumbar back muscle but do not know that it will also twist the abdominal muscle, the weak abdominal muscle is easily strained by centrifugal contraction under twisting, and the strong lumbar back muscle to avoid further injury to the abdominal muscle, immediately compensate for the high tension of the lumbar back muscle, which is often more obvious at this time, hiding the real source of injury – the abdominal muscle. Summarize their own experience in the practice of medicine for more than a decade, set themselves a few principles: a. No diagnosis, no treatment Diagnosis is the basis for the treatment of disease to achieve results, diagnosis is unclear even if the treatment is effective is also a blindfold, chance things, but in fact, how to cure your mind at all. If the diagnosis is clear, the treatment is like cooking a small meal, any method at hand can be treated, whether it is acupuncture, acupuncture knife, tui-na or physiotherapy, only the methods are different, the mechanism of treatment is the same. Of course, these diagnoses are not only limited to the diagnosis of disease, just mastering the general anatomy of some skeletal muscles is far from enough, but also the functional anatomy of muscles, the functional anatomy of nerves, skeletal muscle biomechanics knowledge is enough. This was the inspiration of Mr. Wang Ziping when he studied small needle knife in Nanjing. If a patient has been outside for a long time before coming to you for treatment, you must ask him what treatment he has received. There is always a place that you can’t think of, there is always a dead end that you can’t think of, there is always a technique that he won’t, change your mind for a perspective, change your technique for a way out, you will be able to treat diseases that others can’t treat. Third, the treatment without rehabilitation exercise is always just the relief of symptoms This is inspired by Mr. Miao Zhen when learning stretching in Guangzhou. Although he himself has always insisted on teaching his patients some rehabilitation exercises at the end of the treatment, he did not put it in the really important core position. In fact, very often, on the basis of proficiency in functional anatomy and biomechanics of skeletal muscles, guiding patients to do some rehabilitation exercises is even more important than the treatment by doctors, after all, rehabilitation exercises can be done every day, while going to the hospital for treatment is not possible for patients to follow you for the rest of their lives. So the doctor who does not teach patients the methods of disease prevention and rehabilitation must not be a good doctor. Fourth, long-term learning lifelong learning learning is not only to learn knowledge, but also to expand the horizons. It is not only learning books, but also the exchange between peers and the fierce debate of ideas collision of marginal disciplines. Not only to learn a medical art, but also to learn a medical way, the so-called road without art, art can still seek, with art without the road, stop at art (a netizen language). A doctor who does not love to learn must not be a good doctor, and a doctor who only pursues the learning of a certain technique must not be a good doctor.