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丁香园

急性腰扭伤推拿论治，鉴别小关节紊乱与肌肉拉伤

Location of cavities

Effects of Governance

急性腰扭伤|推拿治疗|腰椎斜扳法|理筋手法|小关节紊乱

Cave details

急性腰扭伤推拿论治急性腰扭伤是腰部肌肉、筋膜、韧带等软组织因外力作用突然受到过度牵拉而引起的急性撕裂伤，常发生于搬抬重物、腰部肌肉强力收缩时。一、鉴别诊断 1. 腰椎小关节紊乱：多因腰部突然扭转引起，疼痛剧烈，腰部活动明显受限，尤其旋转活动受限明显。压痛点多在棘突旁，可伴棘突偏歪。 2. 肌肉拉伤：多因搬抬重物或突然弯腰引起，疼痛部位多在腰骶部两侧肌肉，压痛点较广泛，肌肉紧张明显，旋转活动受限相对较轻。 3. 韧带损伤：多因腰部过度前屈或后伸引起，压痛点多在棘突间或棘突上。二、治疗原则松...