Doctor Song, are you married?

Chapter 302 302. Try it and see if it doesn’t hurt anymore?
He actually thought of this diagnosis just now, but Lobelin was not confident enough and never dared to say it.

Hearing that Dongfang Wenyan also concluded this, he mustered up the courage to speak.

"What? Lumbar joint disorder? I've heard of endocrine disorders, but I've never heard of lumbar joint disorders." The patient was stunned for a moment.

"Lumbar facet joint disorder is a kind of micro-movement dislocation of the lumbar facet joints due to improper activities or weight-bearing, which manifests as a group of clinical symptoms mainly low back pain and limited waist movement. This is very common in clinical practice "Lobelin opened his mouth and came.

Lobelin has also been working very hard recently. In addition to flipping through professional textbooks, he also read a lot of literature.

"Yes, this situation is mainly related to our human anatomy, because the human lumbar spine and subsequent joints are composed of the lower articular process of the upper vertebra and the upper articular process of the lower vertebra. When the waist suddenly twists, bends forward, and During rotational movement, the space of the facet joint opens, the negative pressure in the joint increases, and the synovium can enter the joint space. If the synovium of the joint is caught in the joint space during extension and flexion, it will cause synovial incarceration or incarceration of the facet joint. Facet joint subluxation, the synovium can cause serious damage due to joint extrusion, and the synovium and joint capsule have rich sensory and motor nerve fibers, thus causing severe pain and firing spasms. If the incarceration is not relieved in time , will cause chronic back pain and arthritis.”

Wang Xiaosong was a little ashamed. He had heard of lumbar facet joint disorders, but after being at 120 for a long time, except for some necessary rescue skills that he still clearly remembered, he had almost forgotten other clinical knowledge.

Now listening to Lobelin and Dongfang Wenyan's explanations, he actually felt as if he was back in a university classroom listening to a surgical teacher's lecture.

"I don't understand the joints and synovial membranes you're talking about. I just want to ask, do I really have this problem? If so, can there be other treatments?"

This patient was not very nervous at first. Although his back pain was severe, he always felt that it was a sprain. If he went to the hospital and applied a plaster on it, he should be fine. But now after listening to Dongfang Wenyan talk so much, he felt that it was just a sprain. Suddenly he became nervous.

"What kind of disorder is this? It doesn't sound like a good disease!"

"Am I going to be disabled?"

The patient asked nervously.

"You just seem to have a lumbar facet joint disorder. If you want to confirm the diagnosis, you must check it out. You won't let me touch it, so I can't give you a clear answer." Dongfang Wenyan said.

"Then, then, otherwise, otherwise, you can check it out for me, but you must be careful, I am really hurting."

The patient didn't understand what Dongfang Wenyan said, but it sounded like the doctor was very powerful. He thought that he would have to be checked by the doctor anyway when he went to the hospital, so he might as well let her check him now.

"Okay, don't worry, I will be very careful."

After receiving the promise, Dongfang Wenyan quickly acted.

She carefully and gently kneaded the patient's lumbar spine. While massaging, she exerted force on her hands. She gradually explored the patient's lumbar spine from shallow to deep.

Dongfang Wenyan is very proficient in the anatomy of the human body. It seems like she is kneading the patient's waist. In fact, her mind is constantly showing the condition of the patient's lumbar facet joints at this moment.

After some touching and kneading, Dongfang Wenyan stopped.

"I can confirm that you have a disorder in the fourth and fifth joints of your lumbar spine."

Wang Xiaosong originally felt that Dongfang Wenyan was being mysterious when he saw her kneading the patient's body.

If there is a problem with the lumbar spine, the gold standard for diagnosis must be to take a radiograph. If the diagnosis can be made by just touching it with your hands, then the imaging department will no longer be open.You really think this is a martial arts novel.

"Dongfang, let him go to the hospital to take an X-ray before making a diagnosis," Wang Xiaosong reminded quickly.This Dongfang just likes to talk nonsense, so just talk nonsense in front of him. Don't talk nonsense in front of the patient, otherwise they will cause trouble for you.

I can't help but trouble you!
I don’t want to get hurt along the way!

"This disease cannot be detected by ordinary radiographs. It requires CT or magnetic resonance to detect it. It will cost a lot of money." Dongfang Wenyan curled his lips and thought to himself, I am saving money for the patient.

"Then wait until you go to the hospital for CT or magnetic resonance imaging," Wang Xiaosong said again.

No matter how talented you are, even if you have clairvoyance, you still have to rely on the test results.

Dongfang Wenyan shrugged his shoulders and said no more.

The patient is not stupid either. It can be seen that Dongfang Wenyan is not talking nonsense. Based on the pile of theoretical knowledge she just talked about, she must be at least a graduate student!
"Girl, let me ask you, is my disease serious?" What the patient is most concerned about is whether his disease can be cured.

"Actually, this is not a serious disease. It only requires manual repositioning. However, this disease is easy to form inertia. You should pay more attention when exercising in the future."

As long as one is proficient in the anatomy of the human body, this disease is really not a difficult disease. As long as the manipulation is performed according to the anatomy, the effect will be immediate.

"What? Manual reduction? No need for surgery?" When the patient heard what Dongfang Wenyan said, he immediately became energetic, and even his waist no longer felt so painful.

"Yes, no surgery is needed, just manual reduction is enough." Dongfang Wenyan said, making a manual reduction movement.

"Girl, do you know how to perform this reset technique?" The patient looked at Dongfang Wenyan and asked suddenly.

"Yes!" Dongfang Wenyan blurted out.

"Then, can you help me perform a manual repositioning?" The patient looked at Dongfang Wenyan eagerly.

"Manipulative reset? Here?" Song Qi pointed to the ambulance and remembered Wang Xiaosong's words: "You can't mess around in the ambulance."

The patient nodded, "You are also a doctor anyway, and you know how to perform repositioning techniques. Where can you do it?"

The patient seemed to have nothing wrong with him.

Dongfang Wenyan raised his head and glanced at Wang Xiaosong.

Wang Xiaosong felt a little guilty when she saw him, "Look what I'm doing. Didn't you tell me that there are still many things that doctors can do in the ambulance, such as manual repositioning and so on?"

While Wang Xiaosong was talking, he was complaining in his heart that each of these graduate students was more of a monster than the last.

Can't be bothered, can't be bothered!
After hearing Wang Xiaosong's words, Dongfang Wenyan no longer had any scruples.Ask the patient to get into a good position, and through the pronation of the pelvis and the supination of the upper body, when it reaches a point, then exert a strong force. When he heard the "click" sound, Dongfang Fumiyan stopped. .

"Try it and see if it doesn't hurt anymore?"

(End of this chapter)