【拉脖子不會好的膏肓痛-胸椎肋與橫突關節疼痛】

講到膏肓痛
有去西醫求診的過病人
常會得到是頸椎退化壓迫神經造成的答案
然後就去拉脖子說可以拉開 ㄏㄏ

但就是有一群拉脖子怎樣都拉不好的人
為什麼？
因為牽引拉太輕拉不夠開，多拉幾個月就會好(誤)✖️
因為他們的醫師不敢幫病人打類固醇(誤)✖️

因為這些人疼痛的根源根本不在頸椎
除了頸椎以外
會造成膏肓痛的結構還有
1️⃣胸椎肋與橫突關節(Costotransverse joint)
2️⃣胸椎小面關節(Thoracic facet)
3️⃣背肩胛神經纏套(Dorsal scapular nerve entrapment)
4️⃣菱形肌(Rhomboid muscle)緊繃或拉傷撕裂傷

今天主要就第一點來討論-胸椎肋與橫突關節
最常出問題的位置在第一、二節
⚠️長期低頭或頭部前傾⚠️的姿勢
會造成前、中、後角肌(scalene muscle)的緊繃
對第一、二肋骨產生持續上拉⬆️的力量
造成第一、二胸椎肋與橫突關節的受力異常、產生疼痛📉

這類型的病患
往往到處被安排拉脖子，但拉不好😫
各種傳統吃藥💊打針💉都好不久、甚至不會好

若經過非侵入性治療後療效不佳
可透過超音波導引注射至關節處
直接將關節鬆動並促進修復
搭配後續姿勢調整及前、中、後角肌伸展
可有效處理胸椎肋與橫突關節問題造成的膏肓痛與降低復發

https://drbao.org/rhomboid/

本圖取自：全身激痛點地圖 一書



[菱形肌激痛點]



中醫有所謂的「病入膏肓，神仙難救之說」。

病入膏肓釋意:意指病已危重到了無法救治的地步。



膏肓:古以膏為心尖脂肪，肓為心臟與膈膜之間，膏肓之間是 藥力不到之處。

現代醫學看來，膏肓痛依然不是兩三下就可以解決，但花點時間心力 還是可以得到很大的改善。



新聞上常見:膏肓痛而去針灸，造成氣胸的後遺症。因為膏肓 的肌肉很小很薄，若是針灸太深入，是有扎到肺臟造成氣胸的可能。



因此進行膏肓此處的侵入性治療，要非常的小心安全。

以解剖位置學來說，膏肓痛是指兩側肩胛骨與胸椎之間的位置。



菱形肌：負責穩定肩胛骨、胸椎之間的穩定性。若是你有頸椎骨刺、圓肩駝背、姿勢不良等問題，菱形肌就容易形成激痛點。



#激痛點
#菱形肌激痛點



學習好姿勢 從看書學起
博客來目前75折優惠中喔 剩沒幾天喔
https://www.books.com.tw/products/0010854568?sloc=main

หลังใน (Rhomboid) ไม่หนาแก้ด้วยท่านี้ Hero Cable Row !!

Here's a day in my life, workout edition! As hectic as life gets, I'm always trying to balance between being healthy and rewarding myself. In this video, I brought you guys around my full day of working out, feasting and meetings in my Lululemon gear! Hope you guys got some inspiration to stay healthy and fit! Hope you guys are doing well ?

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OATMEAL RECIPE
1/2 cup rolled oats
1/4 cup liquid of choice (water, milk up to you)
Toppings: almond butter, raw almonds, cranberries, granola

WORKOUT ROUTINE
- Single-leg lunges, 8 kg each x 2 - 16 reps
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- Shoulder press 3kg each, 15 reps
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Repeat 4 sets

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Hello! My name is Mong Chin and I'm from sunny Singapore. I am 1.63m and I am Singaporean Chinese. I speak English, Mandarin and am currently learning Korean in my free time. I love all things beauty and fashion, and I also like to share my life here. I hope you guys enjoy watching my videos!

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My first ever follow-along muscle workouts without gym equipment. This is a full workout session that trains the Back (including the Rear Shoulder), Biceps, and Abs.

Prepare a towel, workout mat, and 2 bottles of water, hit Play/Pause, GO! Your body will thank you!

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Physique Disclaimer: Throughout my fitness journey. I did not achieve this physique by doing these exercises alone. This video is specially made for those who can't go to the gym or do not have any gym equipment at home to get started in training and engaging their muscles. Some people may suggest Rowing under the table/chair to train their Back, unfortunately, I can't share this advice because I f***ed up before by almost flipping my table, not so safe. Another option you can train your muscle is resistance bands, they are light and easy to carry but heavy for the muscles! Once again, this video is for those who have completely no equipment at all to get started at home. Are these exercises still useful? For beginners, yes! Speaking about Muscle Hypertrophy, imo it is still better to train with Dumbbells and Barbells (soon I will be posting a series of follow-along dumbbell workouts so please subscribe). Bodyweight at home might not be the best for growth but hey, done is better than none. Get it done first! My coaching program: https://ironmastery.com

Video disclaimer:

The exercises and workouts provided in this video are for educational purposes only and are not to be interpreted as a recommendation for a specific treatment plan, product, or course of action.

Before beginning this or any exercise program, please consult a physician for appropriate exercise prescription and safety precautions.

The exercise instruction and advice presented are in no way intended as a substitute for medical consultation.

As with any exercise program, if at any point during your workout you begin to feel faint, dizzy, or have physical discomfort, you should stop immediately and consult a physician.

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