1, biceps brachii massage
Operation: First, touch the tender point with your hand, and touch the intertubercular groove with asarum, sometimes groping, and gently straighten it along its tendon, repeating 3-5 times from top to bottom. At this time, the patient feels that the script is relaxed, which can increase the range of motion of the patient's shoulder.
Objective: To dredge the channels and collaterals and release adhesion, which is suitable for patients with tenosynovitis of long head of biceps brachii.
Note: when applying manipulation, the force should not be too strong, so as not to break the script capillary, cause tissue bleeding and aggravate the stenosis of tendon sheath lumen.
Take the patient with upper arm rubbing therapy to sit, and the performer will sit on the affected side and gently take the fleshy upper arm from the shoulder for about 5 minutes. The performer's thumb and four other fingers are pincers and exert clamping force. Use the force generated by flexion and extension of metacarpophalangeal joint to pinch the affected part from top to bottom, and the force is from small to large.
Objective: This method is suitable for tenosynovitis of upper arm and shoulder.
Patients with shoulder massage therapy take a sitting position. The operator stands on the affected side, and treats the front and back of the shoulder with both hands. At the same time, after clamping the shoulder with relatively small force, the hands alternately rub the shoulder joint counterclockwise until the head is partially covered. The operator needs to fix his hand on the treatment site, and the strength is appropriate for the patient to feel comfortable.
Objective: This method has certain curative effect on tenosynovitis of shoulder joint.
2. Wrist massage
1. The patient sits up straight, and the performer puts his thumb on Quchi point on the radial side of the elbow and pushes the meridians to Yangxi point from top to bottom. 1-2 minutes.
2. The patient sits up straight, and the performer places his thumb and forefinger on the abduction side of Neiguan point on the flexion side of forearm and presses them together for 3-5 minutes.
The patient sat up straight. The performer holds the first metacarpal bone with one thumb and forefinger, the thumb near the joint with the other thumb, and leans the middle finger against the distal palmar side of the patient's first metacarpal bone to bend the metacarpophalangeal joint vigorously. The patient was forced to push the narrow part of his tendon sheath to the ulnar side for 2-3 minutes.
The patient sat up straight. The performer holds the patient's fingers with his thumb and forefinger and rubs them one by one for 1-2 minutes.
5. The patient sat up straight. The performer puts one thumb at Xiaohai point on the elbow and presses Quchi point with other fingers. Then hold the patient's fingers with your hands, press the palm of your hand to bend his wrist backwards several times, then stretch it backwards and repeat the operation for 3-5 minutes.
Objective: This method can dredge channels and collaterals and is suitable for patients with tenosynovitis of wrist joint.
3, flexor tendon stenosis massage
1, the patient moves, the whole finger becomes soft, and the pain is hard.
2. Rub the whole finger and repeat 1-2 minutes.
3. The performer pulls the fingertip of the affected finger with one hand, and rubs and pokes the raised nodule with the thumb with the other hand.
4. The performer holds the wrist with one hand and pushes and stretches the affected finger with the other hand.
5, jitter refers to ten times.
Objective: This method can dredge meridians and promote blood circulation, and is suitable for patients with stenosing tenosynovitis of flexor tendon.
4. Causes of tenosynovitis
1, the basic cause of tenosynovitis
Tendon sheath refers to the closed sliding membrane tube sleeved outside the tendon. It is a synovial sheath that protects tendons and has the function of maintaining normal flexion and extension of joints and tendon sliding. Tenosynovitis is a strain inflammation caused by repeated and excessive activities when the joint is fixed in a certain position for a long time, which often leads to friction, edema and fibrosis between the tendon and the sheath, resulting in stenosis of the lumen and repeated twitching and abrasion of the tendon in the tendon sheath.
2, the amount of hand activity is large.
Tenosynovitis often occurs in people with a large amount of hand activity, especially manual workers. This kind of people often engage in tedious and repetitive sports, which easily leads to repeated use of fingers, strain and trauma, so they are more likely to suffer from this disease than other workers.
3. Tenosynovitis of toe flexion caused by high heels
Often wearing high-heeled shoes will cause excessive pressure on the toes, and the soft tissue of the foot will be stimulated by the outside world for a long time, which can swell into a ball and cause severe pain, which is called tenosynovitis of toe flexor tendon.
4. Etiology of tenosynovitis in the elderly
Tenosynovitis is also common in the elderly. With the increase of age and the appearance of hyperosteogeny, the contraction of sheath fibers gradually shrinks and narrows, resulting in poor tendon movement and tenosynovitis.
5. Lactating women
Due to the influence of endocrine during lactation, edema of synovium and aponeurosis will lead to relatively narrow tendon sheath, which will also lead to poor sliding in tendon sheath, and finally tenosynovitis will easily form.
6. Etiology of tenosynovitis in children
Tenosynovitis in children may be mainly caused by abnormal development and contracture of sesamoid ligament near metacarpophalangeal joint of thumb, resulting in tendon sheath stenosis and poor tendon sliding.