Massage methods for pediatric oblique neck

  Pediatric myotonic squint is also known as “congenital squint” and “sternocleidomastoid contracture squint”, commonly known as “crooked neck”. Modern medicine believes that this disease is mostly related to fetal malposition or the position of the fetal head in the uterus in a skewed state. The above-mentioned reasons cause the sternocleidomastoid muscle on one side to be compressed and the blood circulation to be obstructed, causing ischemic changes and eventually leading to contracture of the sternocleidomastoid muscle and the appearance of a crooked neck. In Chinese medicine, it is believed that poor blood circulation and blood stagnation is the mechanism for the occurrence of sternocleidomastoid.  The common symptom is that the child’s head is tilted to one side and the face is rotated to the other side a few days after birth, if the child is forced to turn and correct, it will cause the child to cry and turn back to the original position soon. During examination, a mass can be felt in the sternocleidomastoid muscle on one side, which is pike shaped or irregular in shape and can move with the muscle. If the mass is not palpable, the muscle on one side can also be felt as a striated hardness, and the sternocleidomastoid muscle on the affected side is contracted and shortened when compared to the two sides. If the disease is prolonged, the face and eyes of the affected side may be smaller than those of the healthy side. In severe cases, secondary scoliosis of the thoracic spine may occur.  Young mothers and fathers must keep an eye on their little one after birth and must see if there is a mass in his neck if his head is always tilted to one side. Once it is a scoliosis, do not panic and go to the doctor as soon as possible. One day earlier treatment increases the hope of successful treatment. With proper and effective non-surgical treatment in the early stages of the disease, most children can be completely cured without the pain of surgery. Massage should be carried out by a professional doctor or under the guidance of a doctor.  Massage method 1 1, the child to take the supine position, head to the parents, with talcum powder as a medium. Parents sit in front of the bed, one hand to hold the child’s neck occipital, with the other thumb to press the affected side of the sternocleidomastoid muscle for 5 minutes.  2. Hold and pinch the lump of the sternocleidomastoid muscle on the affected side, using the thumb, middle and index fingers to hold it carefully. Slightly increase the force, especially if the lump is pinched apart, but alternate with light kneading to avoid violent crying of the child. Time is 2 minutes.  3.One hand holds the affected shoulder, the other hand holds the top of the child’s head, so that the child’s head gradually tilts toward the healthy shoulder, so that the sternocleidomastoid muscle elongates, and repeat the operation 5 times.  4, and then relax the local 5 minutes by pressing and kneading method.  Massage method 2 1, the child supine, parents with one hand to support its neck, one hand with the index, middle and ring finger in the affected side of the sternocleidomastoid muscle at 10 minutes of pressure.  2, parents with one hand to support their head and neck, a hand to support the jaw body, the two hands relative to gently force along the longitudinal axis of the cervical vertebrae dial stretch rocking, and gently rotate to the affected side, repeat twice.