Damage to the ligamentous apparatus of the spine leads to the formation of pain sources, or more precisely, nociception sources, in various structures of the musculoskeletal system.
The decisive role in the treatment of osteochondrosis of the spine belongs to the cessation of loads along the axis of the spine and providing rest to the affected disk. The patient should lie on his back, with a small pillow under his head. In case of sciatic nerve neuralgia, it is recommended to lay the patient with legs bent at the hip and knee joints in order to relax the muscles of the limb as much as possible and relieve the tension of the nerve sheath.
It is recommended to introduce this methodical technique into the massage procedure immediately after preparing the corresponding muscle with massage techniques (stroking, rubbing, kneading and vibration).
Massage plan: impact on the paravertebral zones of the sacral, lumbar and lower thoracic spinal segments (S3-S1 L5-L4, Th12-Th11). Massage is performed in the area of the gluteal muscles, the sacrum, and the iliac crests.
When developing a private method of therapeutic gymnastics (TG) for various syndromes of cervical osteochondrosis, one should proceed from the following considerations. Treatment of cervical osteochondrosis should first of all be pathogenetic, i.e. aimed at eliminating the main cause of the disease, and not symptomatic.
Headaches caused by pathology of the cervical spine and neck muscles are united under the general term "cervicogenic" headache. It includes various cranialgic syndromes that differ in the mechanisms of occurrence and features of the clinical picture.
Acupressure is prescribed from the first days of the disease; starting with distant reflexogenic zones. Massage of painful zones is performed after the acute pain sensations have subsided.
Always start with working on the paravertebral zones, first massaging the caudal zones and only then eliminating the changes in the cranial ones. After working on the segmental roots, massage the zones located from the periphery to the spine, the limbs - from the distal to the proximal sections.
Massage of paravertebral tissues. The massage is performed with short movements from the medial edge of the muscle that straightens the spine, in the direction of the cranial parts; The massage is performed using subcutaneous or fascial techniques at the lateral edge of the muscle;
The muscle containing active trigger points (TP) is functionally shortened and weakened. When attempting to passively stretch it, pain occurs. The limit of passive stretching of the muscle, at which pain occurs, can be determined by differential tests.
