麻醉疼痛

订阅

MedSci主页 / 所有栏目 / 麻醉疼痛

手法治疗肘部疼痛

2023-04-16 疼痛指南 疼痛指南 发表于上海

疼痛肘部疼痛
关注

肘部问题往往会随着时间的推移缓慢发生。

一、肘关节骨性标志

 外桡内尺。尺骨位于小手指的一侧；桡骨位于大拇手指的一侧， 两者通过骨间膜相互连接。前臂屈伸出现疼痛症状或活动受限，一般是尺骨出现问题；前臂左右旋转出现疼痛或活动受限，一般是桡骨出现问题。
  手臂伸直，用食指摸，内上髁、外上髁、尺骨鹰嘴基本处于同一水平线上的为正常。

二、发病原因

1、慢性损伤
2、外伤引起

三、临床表现

    四、诊断及复位手法

  1、一般性肘关节疼痛

  一般性质疼痛，采用一拉，二抵，三曲伸的办法进行。首先让患者两臂伸直手心相对，患者哪侧不舒服即为肘关节错位。然后术者选择最疼痛一侧，让患者掌心向上，术者一手握住患者手腕，一手掌心抵住患者肘痛点托腕左右旋转，保持比较舒适的位置，让患者自主向心方向曲伸，术者保持牵拉力度，痛的不能自己动作的，术者可以辅助完成。
2、顽固性肘关节疼痛
   顽固性肘关节疼痛采取一抬压，二旋转，三屈伸的办法进行。首先确定错位肘关节，患者双臂伸展掌心向上自主屈伸，疼痛或不舒服为错位肘关节。术者手拉住患者手腕，上抬下压进行牵引即为一抬压。术者一手拉住患者手腕，一手旋转患者肘关节，固定患者舒服位置，即为二旋转；术者一手保持牵拉力度，让患者自主做曲伸运动即为三屈伸。患者因痛不能自己动作的，术者可以辅助完成。

  五、注意事项

1、手法操作要点  
2、调理周期及适应范围
  3、日常防护

版权声明：
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料，版权均属于梅斯医学所有。非经授权，任何媒体、网站或个人不得转载，授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章，或“梅斯号”自媒体发布的文章，仅系出于传递更多信息之目的，本站仅负责审核内容合规，其内容不代表本站立场，本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系，我们将立即进行删除处理。
在此留言
评论区 (5)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=2126615, encodeId=e0c32126615f4, content=网球肘高尔夫球肘这些问题，物理治疗真的很管用，最好还要加强肌肉力量的训练, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0e768282513, createdName=ms4000001525235212, createdTime=Mon Apr 17 23:02:34 CST 2023, time=2023-04-17, status=1, ipAttribution=四川省), GetPortalCommentsPageByObjectIdResponse(id=2126549, encodeId=64042126549cb, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6d322552799, createdName=ms3000000740036377, createdTime=Mon Apr 17 17:33:56 CST 2023, time=2023-04-17, status=1, ipAttribution=湖南省), GetPortalCommentsPageByObjectIdResponse(id=2126443, encodeId=fced212644359, content=签到学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211111/81c0b64745c644319545ec26d7ef0b34/9ddb2864d5df4dd9bf4305e380bffc96.jpg, createdBy=c7835705079, createdName=屋顶瞄爱赏月, createdTime=Mon Apr 17 09:36:08 CST 2023, time=2023-04-17, status=1, ipAttribution=贵州省), GetPortalCommentsPageByObjectIdResponse(id=2126403, encodeId=4a602126403ab, content=一拉，二抵，三屈伸，可以帮助诊断, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=65724176436, createdName=13d0179fm99暂无昵称, createdTime=Sun Apr 16 23:40:30 CST 2023, time=2023-04-16, status=1, ipAttribution=山西省), GetPortalCommentsPageByObjectIdResponse(id=2126344, encodeId=be1c21263447a, content=认真学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6EF3hKja8nER8RMzxQdria9eCYFhgLTLsDOeqnvIYdeLDz5eP6EnicLuE5gibiawgno4zUA0jAR7Nbtp2llQ9fs3Mk/0, createdBy=278f1986883, createdName=医鸣惊人, createdTime=Sun Apr 16 20:21:11 CST 2023, time=2023-04-16, status=1, ipAttribution=山西省)]
    2023-04-17 ms4000001525235212 来自四川省

    网球肘高尔夫球肘这些问题，物理治疗真的很管用，最好还要加强肌肉力量的训练

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=2126615, encodeId=e0c32126615f4, content=网球肘高尔夫球肘这些问题，物理治疗真的很管用，最好还要加强肌肉力量的训练, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0e768282513, createdName=ms4000001525235212, createdTime=Mon Apr 17 23:02:34 CST 2023, time=2023-04-17, status=1, ipAttribution=四川省), GetPortalCommentsPageByObjectIdResponse(id=2126549, encodeId=64042126549cb, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6d322552799, createdName=ms3000000740036377, createdTime=Mon Apr 17 17:33:56 CST 2023, time=2023-04-17, status=1, ipAttribution=湖南省), GetPortalCommentsPageByObjectIdResponse(id=2126443, encodeId=fced212644359, content=签到学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211111/81c0b64745c644319545ec26d7ef0b34/9ddb2864d5df4dd9bf4305e380bffc96.jpg, createdBy=c7835705079, createdName=屋顶瞄爱赏月, createdTime=Mon Apr 17 09:36:08 CST 2023, time=2023-04-17, status=1, ipAttribution=贵州省), GetPortalCommentsPageByObjectIdResponse(id=2126403, encodeId=4a602126403ab, content=一拉，二抵，三屈伸，可以帮助诊断, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=65724176436, createdName=13d0179fm99暂无昵称, createdTime=Sun Apr 16 23:40:30 CST 2023, time=2023-04-16, status=1, ipAttribution=山西省), GetPortalCommentsPageByObjectIdResponse(id=2126344, encodeId=be1c21263447a, content=认真学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6EF3hKja8nER8RMzxQdria9eCYFhgLTLsDOeqnvIYdeLDz5eP6EnicLuE5gibiawgno4zUA0jAR7Nbtp2llQ9fs3Mk/0, createdBy=278f1986883, createdName=医鸣惊人, createdTime=Sun Apr 16 20:21:11 CST 2023, time=2023-04-16, status=1, ipAttribution=山西省)]
    2023-04-17 ms3000000740036377 来自湖南省

    学习

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=2126615, encodeId=e0c32126615f4, content=网球肘高尔夫球肘这些问题，物理治疗真的很管用，最好还要加强肌肉力量的训练, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0e768282513, createdName=ms4000001525235212, createdTime=Mon Apr 17 23:02:34 CST 2023, time=2023-04-17, status=1, ipAttribution=四川省), GetPortalCommentsPageByObjectIdResponse(id=2126549, encodeId=64042126549cb, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6d322552799, createdName=ms3000000740036377, createdTime=Mon Apr 17 17:33:56 CST 2023, time=2023-04-17, status=1, ipAttribution=湖南省), GetPortalCommentsPageByObjectIdResponse(id=2126443, encodeId=fced212644359, content=签到学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211111/81c0b64745c644319545ec26d7ef0b34/9ddb2864d5df4dd9bf4305e380bffc96.jpg, createdBy=c7835705079, createdName=屋顶瞄爱赏月, createdTime=Mon Apr 17 09:36:08 CST 2023, time=2023-04-17, status=1, ipAttribution=贵州省), GetPortalCommentsPageByObjectIdResponse(id=2126403, encodeId=4a602126403ab, content=一拉，二抵，三屈伸，可以帮助诊断, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=65724176436, createdName=13d0179fm99暂无昵称, createdTime=Sun Apr 16 23:40:30 CST 2023, time=2023-04-16, status=1, ipAttribution=山西省), GetPortalCommentsPageByObjectIdResponse(id=2126344, encodeId=be1c21263447a, content=认真学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6EF3hKja8nER8RMzxQdria9eCYFhgLTLsDOeqnvIYdeLDz5eP6EnicLuE5gibiawgno4zUA0jAR7Nbtp2llQ9fs3Mk/0, createdBy=278f1986883, createdName=医鸣惊人, createdTime=Sun Apr 16 20:21:11 CST 2023, time=2023-04-16, status=1, ipAttribution=山西省)]
    2023-04-17 屋顶瞄爱赏月 来自贵州省

    签到学习

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=2126615, encodeId=e0c32126615f4, content=网球肘高尔夫球肘这些问题，物理治疗真的很管用，最好还要加强肌肉力量的训练, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0e768282513, createdName=ms4000001525235212, createdTime=Mon Apr 17 23:02:34 CST 2023, time=2023-04-17, status=1, ipAttribution=四川省), GetPortalCommentsPageByObjectIdResponse(id=2126549, encodeId=64042126549cb, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6d322552799, createdName=ms3000000740036377, createdTime=Mon Apr 17 17:33:56 CST 2023, time=2023-04-17, status=1, ipAttribution=湖南省), GetPortalCommentsPageByObjectIdResponse(id=2126443, encodeId=fced212644359, content=签到学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211111/81c0b64745c644319545ec26d7ef0b34/9ddb2864d5df4dd9bf4305e380bffc96.jpg, createdBy=c7835705079, createdName=屋顶瞄爱赏月, createdTime=Mon Apr 17 09:36:08 CST 2023, time=2023-04-17, status=1, ipAttribution=贵州省), GetPortalCommentsPageByObjectIdResponse(id=2126403, encodeId=4a602126403ab, content=一拉，二抵，三屈伸，可以帮助诊断, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=65724176436, createdName=13d0179fm99暂无昵称, createdTime=Sun Apr 16 23:40:30 CST 2023, time=2023-04-16, status=1, ipAttribution=山西省), GetPortalCommentsPageByObjectIdResponse(id=2126344, encodeId=be1c21263447a, content=认真学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6EF3hKja8nER8RMzxQdria9eCYFhgLTLsDOeqnvIYdeLDz5eP6EnicLuE5gibiawgno4zUA0jAR7Nbtp2llQ9fs3Mk/0, createdBy=278f1986883, createdName=医鸣惊人, createdTime=Sun Apr 16 20:21:11 CST 2023, time=2023-04-16, status=1, ipAttribution=山西省)]
    2023-04-16 13d0179fm99暂无昵称 来自山西省

    一拉，二抵，三屈伸，可以帮助诊断

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=2126615, encodeId=e0c32126615f4, content=网球肘高尔夫球肘这些问题，物理治疗真的很管用，最好还要加强肌肉力量的训练, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0e768282513, createdName=ms4000001525235212, createdTime=Mon Apr 17 23:02:34 CST 2023, time=2023-04-17, status=1, ipAttribution=四川省), GetPortalCommentsPageByObjectIdResponse(id=2126549, encodeId=64042126549cb, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6d322552799, createdName=ms3000000740036377, createdTime=Mon Apr 17 17:33:56 CST 2023, time=2023-04-17, status=1, ipAttribution=湖南省), GetPortalCommentsPageByObjectIdResponse(id=2126443, encodeId=fced212644359, content=签到学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211111/81c0b64745c644319545ec26d7ef0b34/9ddb2864d5df4dd9bf4305e380bffc96.jpg, createdBy=c7835705079, createdName=屋顶瞄爱赏月, createdTime=Mon Apr 17 09:36:08 CST 2023, time=2023-04-17, status=1, ipAttribution=贵州省), GetPortalCommentsPageByObjectIdResponse(id=2126403, encodeId=4a602126403ab, content=一拉，二抵，三屈伸，可以帮助诊断, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=65724176436, createdName=13d0179fm99暂无昵称, createdTime=Sun Apr 16 23:40:30 CST 2023, time=2023-04-16, status=1, ipAttribution=山西省), GetPortalCommentsPageByObjectIdResponse(id=2126344, encodeId=be1c21263447a, content=认真学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6EF3hKja8nER8RMzxQdria9eCYFhgLTLsDOeqnvIYdeLDz5eP6EnicLuE5gibiawgno4zUA0jAR7Nbtp2llQ9fs3Mk/0, createdBy=278f1986883, createdName=医鸣惊人, createdTime=Sun Apr 16 20:21:11 CST 2023, time=2023-04-16, status=1, ipAttribution=山西省)]
    2023-04-16 医鸣惊人 来自山西省

    认真学习了

    0

相关资讯

Pain and Therapy：星形神经节阻滞改善乳腺癌患者术后睡眠质量和疼痛

术后睡眠质量下降和疼痛与患者不良结局相关。星状神经节阻滞在提高睡眠质量和减轻神经性疼痛方面具有良好的效果。

Trials：一种改善全膝关节置换术患者睡眠和疼痛的新干预措施的开发

高达20%的患者在全膝关节置换术后经历了长期的疼痛和不满意，这对他们的生活质量有负面影响。需要新的方法来减少继续经历手术后慢性疼痛的人的比例。睡眠和疼痛是双向联系的，睡眠不好会导致更大的疼痛

Healthcare：每天玩手机超过3个小时的青少年胸椎越疼痛

如痴如醉的玩手机，对你的胸椎不好~

IJNS；疼痛对认知能力和痴呆的影响

疼痛增加了随后认知能力下降和痴呆的风险。

Quintessence Int：儿童牙科治疗前服用扑热息痛是否会缓解治疗后的疼痛和焦虑情况？

近日，发表于Quintessence Int的一项研究前瞻性、安慰剂对照的平行组试验比较了术前服用扑热息痛和安慰剂对减少儿童常规牙科治疗后的疼痛的效果。主要目的是比较两组之间的术后疼痛程度。

Clin Oral Investig：下颌牙齿牙科治疗时哪种麻醉效果更佳？

疼痛是影响牙科治疗患者依从性的一个主要因素。因此，局部麻醉成为各种牙科手术的必要和常规措施。下颌牙的局部麻醉主要有两种可供选择的术式：下牙槽神经阻滞（IANB）或治疗牙的局部韧带内麻醉（ILA）。