1.Tilt head shaking correction method: Applicable to rotational dislocation of occipito-atlanto-axial and atlanto-axial joints. The patient lies on his back with low pillow. The operator holds the patient’s occiput with one hand and the patient’s jaw with the other hand, so that the patient’s head is tilted up (tilting the head can make the posterior joints of C2-7 cervical vertebrae occlude into a “fixed point”), turn sideways, ask the patient to relax the cervical muscles (slowly move 2-3 times), wait for the head to turn to the maximum angle, slightly add a limited “flash power When the head is turned to the maximum angle, a limited amount of “flashing power” can be applied to reset the dislocated joint, and a popping “clucking” sound can sometimes be heard during this operation. Can also be operated in a sitting position. 2, low head shaking positive method: suitable for cervical spine 2-6 after joint rotation type dislocation. The patient lies on his side, flat pillow, and low head (about 20 degrees of flexion in the middle cervical spine misalignment. (The anterior flexion of the lower cervical vertebra must be more than 30 degrees.) The operator gently holds his back neck with one hand, presses his thumb under the posterior bulge of the misaligned transverse process as the “fixed point”, holds his cheek with the other hand as the “moving point”, takes the occipital part as the fulcrum, turns the head, and when shaking the head to the maximum angle, the hand of the moving point is used as the fulcrum. When shaking the head to the maximum angle, the hand of the moving point uses limited “flashing power” and the thumb of the “fixed point” is pressed into resistance, so that the joint is reset in motion due to the resistance of the “fixed point”. Slow reset method can be repeated 2-3 times as needed. 3.Side head shaking method: suitable for cervical spine 2-6 hook joint rotational misalignment and side-bending, side-swinging misalignment. The patient lies on his side, with low pillow and head flexed forward, the operator holds his head in the ear area with one hand, lightly holds his neck with the other hand and “fixes” the thumb below the misaligned transverse process, lifts the head in a lateral flexion for head shaking activities, the action is the same as the low head shaking method. 4.Shake the shoulder prone method: It is applicable to the rotational dislocation between the 5th cervical vertebra and the 2nd thoracic vertebra. The patient lies on his side, flat pillow, upper limbs vertical, hands on the hips, the operator stands behind him, clamps the thumb and index finger on the front and back of the transverse process of the misaligned joint, and holds the other hand on the shoulder for pushing forward and pulling backward, “fixed point” for resistance, so that the rotational misalignment is restored in the shaking, this method and low head shaking method reset the same principle and indications, only The “moving point” is under, instead of shaking the shoulder, so that the force can easily reach the cervicothoracic junction. Especially for patients with cervical instability in the upper position, it can avoid damaging the upper cervical segment due to the excessive angle of low head shaking. Note that when shaking the shoulder, push the shoulder downward first to avoid joint atresia affecting the reset. 5.Lateral moving correction method: It is suitable for cervical spine 2-6 lateral bending and lateral swinging misalignment of the hook joint dislocation. The patient lies on his back, the operator stands at the head of the bed, takes his back neck with one hand and presses the lateral side of the transverse process of the affected vertebra with his thumb and presses it towards the bulge (only a little for the lateral pendulum, and from the bottom to the top for the lateral bend). The other hand holds the lower jaw and presses the forearm against the cheek, and the two hands cooperate in pulling the patient’s head upward and flexing it to the healthy side and then to the affected side (let the misaligned joint open first and then close), and when the neck is flexed to the affected side to the maximum angle, the “fixed point” of the thumb is not relaxed, and the “moving point” hand Sometimes the patient can switch to lateral recumbency, remove the pillow, and use the head lift to make the lateral trigger and press action, same as the lateral head shaking method, with the head lift angle increased. “This method must make the misaligned intervertebral lateral flexion activity increase in order to be successful. 6.Saturn angle moving and pressing method: suitable for C2-6 posterior joint misalignment, or joint synovial imbrication, and joint swelling. Patients take the healthy side of lying, low pillow, the head to the healthy side of forward flexion, fully expand the affected vertebral joints, the operator’s two thumbs lightly flick its cervical tension tendons (scapular muscle, pinch muscle is common) for the induction of synovial embedding release, so that the embedded synovial membrane out, and knead the cervical muscle to relax. Then one hand thumb “fixed point” in the swollen bulge of the lower side, the other hand to support the opposite side of the head and face, move the head flexion to the healthy side of the front outside 45 degrees, and then move the head to the affected side of the back outside 45 degrees, so oblique wrenching pressure on the bulge joint, repeated 2-3 times can be leveled. 7, prone press method (rotational partial pressure method): suitable for the cervicothoracic junction area (C6-T3) joint dislocation. In the case of left deviation of C7 spinous process and right deviation of T1 spinous process with pressure pain, the patient lies prone on a soft pillow with the head suspended on the side of the bed and relaxed facing the neck. The operator stands at the head of the bed and presses the palm root of the right hand on the left side of the C7 spinous process, with the force point falling on the vertebral plate (spinous root), while the palm root of the left hand presses the right side of the T1-T3 spinous process as a fixed point, causing the patient to breathe deeply, and when he exhales, the operator presses down with a limited impulse pressure with both hands, and the “dynamic point force” of the right hand is slightly increased, which can be repeated 2-3 times. Because of the different direction of force of both hands, it is easier to correct the rotational dislocation. For slippery dislocation, can be changed to double thumbs pressed on both sides of the vertebral side of the posterior eminence, double thumbs pressed pressure when the head and neck in the double palm hold position, in order to achieve the purpose of traction pushing positive. This method is also commonly used in the thoracic vertebral segment dislocation. 8, lateral pushing method: applicable to a variety of front and rear slippage type dislocation, the cervical axis straightening, anti-tensor effective, the patient lying on his side, flat pillow, low head, the operator with the thumb, two fingers to hold both sides of the posterior eminence spinous process vertebral plate for “fixed point”, the other hand to its jaw, so that the head for forward bending backward activities. When tilting the head, the hand of “fixed point” is pushed forward with a slight increase in force, so that the reversible vertebral body is pushed in the movement. Slip heavier, with traction under the pushing is more successful, or take supine is located in the pushing plus traction, can also be correct. 9, traction under the orthopedic method Method: QY-6 traction chair. Traction weight, 16-20kg, time 5-15 minutes. Technique: choose to push the correct method (slip type), shake the correct method: shake the head, shake the shoulder (rotation type), move the correct method (side swing type), comprehensive method (tilt and tilt type, mixed type), reverse movement method (oblique angle muscle) for cervical disc herniation (bulge), disc degeneration and concurrent misalignment (unarmed reset difficult) multi-joint multi-type misalignment, tilt and tilt type misalignment and osteophytes combined with misalignment. The use of traction to widen the vertebral space accordingly and increase the tension pressure of the three longitudinal ligaments is conducive to the reset of anterior and posterior slipped dislocations. After traction, the shaking method, the pushing method and the lateral lifting and pressing method are used to reset, which is safer and more suitable for people with interlocked and slipped inclusions in small joints. The study proves that for the elderly people with disc degeneration complicated by subluxation, the restoration by the orthopedic method under traction is safer, more comfortable (painless) and more effective. For patients with severe cervical spondylosis, this method can reduce the side injury of manual repositioning or eliminate the pain of surgery. For C1 and C2 subluxation with vertigo, it should be repositioned manually in the prone position first, and then this method should be used to treat the subluxation of the middle and lower cervical vertebrae to avoid aggravation of vertigo due to traction irritation of the vertebral artery. The principle of traction under orthopedic method is the same as that of freehand orthopedic method mentioned above. The patient sits on the QY-4 traction chair (traction force and angle are the same as traction therapy). The operator stands behind him, holds the patient’s shoulders with both hands and slowly pulls them backward to a certain angle, then slowly pushes them forward back to the neutral position, and asks the patient to swing his hands back and forth with his body and relax his neck muscles, this is the preparatory (relaxation) technique. (1) Traction under the pushing method: suitable for anterior-posterior slippage, tilting, supination and left-right rotation dislocation. The operator’s thumbs are “positioned” at the vertebral plate next to the spinous process of the posterior eminence (slipped, tilted “positioned” next to the same spinous process, rotated “positioned” at the spinous deviation of the left and right different spinous process). Both hands pull their shoulders to the maximum angle, and push forward with both thumbs to push it right. If the cervical spine is anteriorly slipped (violent injury), it is changed to pushing from front to back, with the thumb “fixed” on the anterior side of the transverse process of the anteriorly slipped vertebrae, left and right side respectively, with the operator standing on the patient’s side. (2) Traction under the shaking method: applicable to C2-T2 rotational misalignment, or as a routine adjustment method for cervical joint disorders. The technique is the same as the freehand low head shaking method and shoulder shaking method. After selecting the reset angle, let the patient grasp the back of the chair with both hands to maintain the forward flexion of the neck, the operator presses the thumb of one hand on the posterior side of the selected “fixed point” bulge transverse process, and the other hand completes the orthosis by shaking the head or shoulder. Take C4 and C5 intervertebral rotational misalignment as an example, palpate the right posterior process of C4 and the left posterior process of C5, take 30 degrees of traction angle, the left hand cam finger “fixed point” in the right posterior process of C4, the right hand holds the jaw for head shaking action, when the head turns right to reach the maximum activity, the left hand thumb adds resistance to force C3 and C4 intervertebral repositioning. This can be repeated 2-3 times (slow repositioning method) or with flashing power (rapid repositioning method). The operator uses the right thumb to “fixate” the posterior side of the right bulge of the transverse process of C5, and the left hand to support the jaw for head shaking activities, when the left head turns to the maximum angle, the right thumb adds resistance to force C4, C5 intervertebral joint reset, can add “flashing power” or repeat 2-3 times The “flashing power” can be added or repeated 2-3 times. If the misalignment is at the cervicothoracic junction (C6-T2), use the shoulder shaking method instead, pressing the thumb on the posterior side of the transverse process or the sphenoid process as the “fixed point”, pushing the shoulder from the front to the back with the palm of the other hand (unilateral shoulder backward rotation to make the upper body move), repeat 3-5 times, then do the other side as in the method. (3) Traction under the moving and pressing method: Applicable to lateral bending and lateral pendulum dislocation (hook joint dislocation). The operator’s tiger mouth in one hand to support the lateral side of the transverse process of the misaligned vertebral bulge (force point at the second metacarpophalangeal joint) for the “fixed point”, the other hand to hold the patient’s elbow or wrist on the opposite side, pull down slowly and forcefully, so that the patient’s neck lateral flexion of about 20 degrees, at this time the “fixed point” hand Push and press harder, then restore, repeat 3-5 times, the cervical joint lateral swing is completed. If it is a series of “C”-shaped scoliosis or “S”-shaped scoliosis, each press should be reset according to the sequence, first for the healthy side (asymptomatic side), and then for the affected side (symptomatic side). 10.Reverse movement method: used to release muscle spasm, myalgic involvement pain and muscle contracture. If the person still feels the pulling pain at the neck and back when flexing the neck after cervical spondylosis orthopedic treatment. The patient sits on the stool, the operator stands behind him, presses the painful point of the patient’s back (slightly above) with the ipsilateral thumb or flexed elbow, holds his shoulder with the other hand, asks the patient to tilt his head first, then bends forward with force, and when the patient bends his head forward, the operator presses the painful point with force in the direction opposite to that of the bent head, so that the muscle at the painful point can be loosened because of the opposite force of the two people, and repeats 1-3 times, which can often make the stubborn painful point disappear. For example, if there is tension in the posterior oblique muscles during palpation in the case of hook joint dislocation, and there is still muscle tension during palpation after orthopedic repositioning under traction, the method of reverse movement under traction can also be applied to loosen it.