Tui na diagnosis method: palpation

Touch diagnosis, also known as palpation, is an important examination method in orthopaedic clinical practice. Superficial lesions should not be too hard when palpating, deep muscles must be used with more than medium strength to find pain points, bone injuries are often found only with heavy force.

Touch the pain point

Touch the painful point and pressure area. Patients complaining of pain in a particular area, it is difficult to reflect the specifics of the lesion site, must rely on palpation, and to repeatedly touch, in order to understand clearly. The primary and secondary pain points should be distinguished during palpation, and the primary and secondary pain points will be transformed into each other during the treatment process, so the key should be repeatedly touched to grasp the key in time to correctly guide the clinical treatment.

The scope, location and degree of pressure pain can be used to identify whether it is an injury to tendon or bone. If the pressure pain is obvious and sharp, it is mostly a fracture; if the pressure pain is light and extensive, it is mostly an injury to the tendon.

Feel the swelling

If the swelling is hard and the skin color is blue, it is a fresh injury; if the injury is prolonged and the blood stagnation does not dissolve, it can be swollen and hard. If the swelling is soft and bruised with yellowish color, it is an old injury; if the blood overflows outside the vein and stagnates under the skin or from the inside to the surface in a fresh injury, it can be swollen and soft. The diagnosis should be made based on the medical history combined with the depth and evolution of the injury.

Touch deformity

The nature, location and displacement of the fracture and dislocation can be determined by touching the high convexity, depression and other deformities in the affected area, as well as whether the fracture reset is flat.

Touch abnormal activity

Long tubular bone injury of the extremities, which cannot be moved but has abnormal activity, indicates the presence of fracture. In patients with established fractures, abnormal activity at the severed end still indicates that the fracture is not yet connected. The abnormal activity of each joint indicates the complete rupture of the corresponding ligament.

Feel the elasticity of fixation

If the bones protruding from old dislocations have elastic movement when pulled, they can generally be reset. If adhesions occur after joint injury and there is elastic movement when pulled, the adhesions can be loosened by manipulation.

Knock on the distal end

Knock on the surface of the body to measure the depth and degree of pain of the patient. Or tap on the distal end of the limb longitudinally to determine whether the fracture is fractured and the degree of healing.