The method of using both hands or elbows to make instant, rapid, controlled force in the opposite direction along the direction of the joint movement axis to make the joint stretch or rotate is called wrenching. Trigger method has the functions of loosening adhesions, stretching tendons and bones, slipping joints, rectifying misalignments, and regulating joints to eliminate fatigue. It is mainly used clinically for diseases such as small joint misalignment of spinal joints and joint dysfunction of limbs.
Cervical spine toggle method
1.Cervical spine inclined trigger method
【Movement essentials】The patient is sitting, head slightly bent forward about 15 degrees, the operator holds the chin or the opposite cheek with one hand, one hand holds the back of the pillow, first shake the cervical spine, wait for its relaxation, then rotate to reach the “trigger point” after the operator’s hands then reverse the force to do instant, fast, controlled tugging.
Application】Cervical spondylosis, cervical instability, cervical small joint disorder, synovial entrapment, cervical degenerative disease, intervertebral disc atrophy, drop pillow, muscular squint, collar ligament hypertrophy, collar muscle tension, etc.
【Role】It has the effect of rectifying the narrowing of the intervertebral joint space of the cervical spine, the disorder of alignment and the spasm of the soft tissue around the cervical spine, so as to balance the internal and external stress of the cervical spine.
2.Cervical spine side trigger method
【Essentials】The patient is sitting, the operator stands behind him, presses the thumb of one hand against the transverse process of the convex side of the cervical vertebrae of the lateral bend, and presses the palm of the other hand against the temporal part of the opposite side, the two hands exert force in the opposite direction, and when the resistance position is reached, the cervical vertebrae are wrenched by 5-10 degrees.
【Role】It has the function of loosening adhesions, stretching tendons and bones, slipping joints and eliminating fatigue.
Application】Cervical scoliosis, such as cervical spondylosis, myotonic squint, drop pillow, small joint disorder.
3.Cervical spine positioning rotation trigger method
【Movement essentials】The patient is sitting, head down 15 degrees, the doctor stands behind his side, one hand elbow joint flexion with elbow fossa to hold his chin, and use the forearm and upper arm (outside the chest wall above) to clamp his head, the other hand with the thumb surface top press the patient cervical spinous process skew side of the rear lateral edge. First pull and stretch, then shake it from side to side, and after it relaxes, rotate the head to the resistance position, then make a sudden wrench and push the spinous process with the thumb to bring it back into position.
【Application】Cervical spondylosis, intervertebral disc atrophy, cervical instability, cervical small joint disorder, etc.
【Role】It can orient and locate various diseases in which torsion of a single cervical vertebra occurs.
4.Supine cervical spine rotation trigger method
【Movement essentials】The patient is supine, the doctor is sitting, located on the side of the patient’s head, first relax the neck muscles, then hold the occiput with one hand and the chin with the other hand, make the cervical vertebrae bend forward 15 degrees, rotate the head to the resistance position, and then make a sudden wrench of 5 to 10 degrees.
【Application】It is used for cervical spondylosis, intervertebral disc atrophy, cervical instability, cervical small joint disorder and other diseases, especially for patients who are not suitable for sitting position such as old and weak, cervical vertigo.
Role】It has the function of loosening adhesions, stretching tendons and bones, slipping joints, rectifying misalignment, regulating joints and eliminating fatigue.
5.Atlantoaxial joint trigger method
【Essentials】The patient is sitting, the neck is slightly tilted forward, the doctor stands behind his side, one hand thumb on the patient’s second cervical spine, the other elbow joint flexion with the elbow fossa to hold the chin, the palm of the hand around the opposite side behind the ear to hold the occipital area. The cervical vertebrae are gradually extracted and extended, and on the basis of extraction and extension, the cervical vertebrae are rotated to the affected side at the same time, and when there is a resistance, a sudden and slightly increased trigger is made, and the thumb holding the spinous process is also exerted at the same time, at which time a popping sound can often be heard, and the spinous process is also felt to be throbbing under the thumb.
Application】Atlantoaxial joint subluxation, vertebral artery type cervical spondylosis.
【Role】correcting atlantoaxial joint disorder
Thoracic spine trigger method
1.Thoracic expansion trigger method
【Movement essentials】The patient is sitting, the two hands crossed fingers clasped and held in the back of the pillow, the operator stands behind it. With one knee against the back of the thoracic spine lesion, the two hands are holding the two elbows. The patient is instructed to do forward and backward movement with deep breathing.
That is, exhale when leaning forward and inhale when leaning back. After several times of such activities, when the body is backward to the maximum, the two elbows are suddenly pulled backward with “Qiao Li inching force”, while the knees are suddenly forward against the top, and a popping sound of “Ka” can often be heard.
Application】Usually used for the treatment of back stagnation, soreness and limited movement caused by misalignment of the small joints of the thoracic spine.
【Role】To rectify small joint misalignment, loosen soft tissue adhesions, relieve muscle spasm, unblock meridians, activate blood and relieve pain.
2.Thoracic spine confrontation reset trigger method
Action points】The recipient is seated, both hands are clasped at the back of the pillow and crossed, and the operator stands behind him. The two arms are stretched out from the armpit and hold the lower part of the two forearms, and the knee of one side is held against the spine of the lesioned thoracic vertebra. The two hands holding the forearms are then pressed downward with force.
The two forearms are lifted upward with force, so that the cervical vertebrae are flexed forward and the spine is tractored upward and backward, while the knee against the top of the diseased thoracic vertebrae is also pushed forward and downward at the same time, forming a counter-traction with the lifting of the forearms. After a few moments of continuous traction, the two hands, the two arms and the knee in concert with the force, with a “tricky force inch strength” to do a sudden controlled rapid wrenching, you can often hear the “click” sound.
Application】Usually used in the treatment of back pain and stagnation, movement disorders and internal organs due to thoracic vertebral misalignment and involvement pain or other plant nerve dysfunction.
【Role】same as above.
3.Wrenching shoulder lift type wrenching method
The operator stands on the affected side of the patient in a prone position with the whole body relaxed. One hand with the palm root against the lesion of the thoracic vertebrae next to the spinous process, the other hand wrenching the upper part of the opposite shoulder, the shoulder wrenching to the upper back, the two hands coordinated, for the opposing force, do the opposite direction of movement, do a rapid controlled wrenching, often can be heard the “click” sound.
Application】For the small joint dislocation of the segment above the chest eight.
【Role】same as above.
4, lifting the pelvis trigger chest method
The operator stands on the affected side of the patient in a prone position with the whole body relaxed. One hand with the palm root against the lesion of the thoracic spine next to the spinous process, the other hand to grasp the opposite side of the anterior iliac spine, gradually lift, so that the spine twisted to the maximum, the two hands coordinate, make a confrontational force, do the opposite direction of movement, do a rapid controlled wrenching, often heard the “click” sound.
Application】Used for small joint dislocation of the segment below chest eight.
【Role】same as above.
Lumbar trigger method
1, lumbar spine oblique trigger method
The main points of the action] lumbar lateral oblique tug method: the patient lies on his side, the lower limb below is relaxed and straight, and the upper lower limb is naturally flexed. Doctor one hand or elbow against the front of the patient’s shoulder, the other hand or elbow against the hip, the two hands opposite direction force, first shake the waist, shake to have obvious resistance, and then apply a sudden tug of increasing amplitude. At this time can often Xin to “clucking” sound, show the success of the technique, in order to achieve the purpose of oblique trigger reset
Application】Used in the treatment of acute and chronic lumbago, acute lumbar sprain, lumbar posterior joint dislocation, lumbar intervertebral disc herniation, and lumbar pain, unfavorable activities, etc.
[Application scope]: The oblique wrenching method in the lateral position can rotate the lumbar spine along the longitudinal axis, reset the displaced posterior joints, enlarge the nerve root canal and change the relationship between the nucleus pulposus and the nerve root. The oblique tug plays the role of loosening the nerve root adhesion and releasing the nerve compression.
2.Rotary wrenching method of straight back
The patient sits, the doctor holds the patient’s lower limb with his leg, one hand against the patient’s posterior shoulder, the other hand from the other side of the patient’s armpit to reach against the anterior shoulder, both hands simultaneously force to trigger in the opposite direction.
Application】Used in the treatment of acute lumbar sprain, posterior joint dysfunction, lumbar hypertrophic spondylitis, lumbar intervertebral disc herniation, etc.
【Role】It has the function of moving the small joints of lumbar vertebrae, rectifying the disorder of lumbosacral joints, relieving the spasm of soft tissues around lumbar vertebrae, loosening the nerve root adhesions and releasing the nerve compression.
3.Bending and rotating trigger method
【Essentials】The patient sits, the waist is bent forward to a certain angle, the doctor uses one thumb to press the spinal spinous process that needs to be triggered, the other hand hooks the patient’s back, so that the waist in the forward bending position and then rotate to the affected side, to the maximum when the trigger method.
【Application】It has the effect of positioning the spinal joint more accurately. Applicable to lumbar posterior joint misalignment, lumbar intervertebral disc herniation, etc., can restore the normal anatomical position of the lumbar spine.
【Role】The same as the lumbar spine oblique trigger method.
4.Lumbar posterior extension wrenching method
【Movement essentials】Patient prone position, bend elbow, both hands placed under the jaw or in front of the head, both lower limbs naturally straight. Han Sheng with one hand tightly press the lumbar Chung, the other hand will slowly lower limbs (above the knee joint), so that the lumbar posterior extension, when the posterior extension to the maximum, both hands simultaneously force to do the opposite direction of the wrench, in order to play the role of lumbar posterior extension. Posterior extension trigger method is divided into two kinds of double lower limbs posterior extension trigger and unilateral lower limbs posterior extension trigger.
Application】Commonly used in the treatment of lumbar stiffness, lumbar physiological convexity is reduced or disappeared, lumbar scoliosis, posterior joint misalignment, synovial inlay, lumbar intervertebral disc herniation, lumbar degenerative spondylitis, etc.
【Role】It can directly correct the misalignment of the posterior joints of the lumbar spine, and often has an immediate effect.
Trigger method precautions
1, before performing the technique to first loosen, after wrenching;
2, in the resistance position to trigger, the action should be decisive, instant, fast, controlled;
3, do the trigger method when the fixed point, moving point to distinguish, the direction of the trigger towards the affected side;
4, the trigger method to do “in place effective” and “effective with sound”;
5, the end of the wrenching technique to line relaxation.