Massage technique for traumatic spinal injuries

The vertebrae, like the entire skeletal system of the human body, ideally have sufficient stability to withstand numerous external loads. But in a number of cases, such as, for example, mechanical modification of the structure, the spinal frame cannot always withstand the load. As a result, the specialist is forced to diagnose a spinal fracture. In middle-aged people, fractures occur most often due to an overly active lifestyle, due to excessive exposure to external factors. The endurance threshold of the vertebrae is exaggerated, and a fracture is evident. Often, such a disappointing diagnosis is caused by car or other accidents where there is a sharp impact. In addition, such injuries are often sustained by persons engaged in physically hazardous activities. A vertebral fracture can also be caused by a blow or a fall from a high point.

There are a number of reasons why a compression fracture of the spine is possible. One of them is physical weakness. In this case, only slight pressure on the spine is enough for a fracture to form in the vertebra. A spine with a healthy structure, like most human bones, can withstand significant pressure and has the natural ability to even “absorb” the entire force of an impact. But there are times when the vertebrae cannot withstand and break precisely from sudden loads.

Massage for compression fracture of the spine

One of the main methods of recovery is massage for a compression fracture of the spine. For a compression fracture in the thoracic or lumbar spine, massage is prescribed to strengthen and restore the muscles along the surface of the back. Massage is also prescribed to prevent bedsores, thrombosis and improve digestive processes in the victim’s body.

Anatomical structure of the spine

The spinal column consists of the sacrum, coccyx, and the vertebrae themselves, which are connected to each other by intervertebral discs. The spine makes the human torso flexible and ensures unhindered movement of the body in all directions. In addition, the spine is the basis for the formation of the thoracic, abdominal and pelvic regions of the body. Thanks to it, the human body has the ability to bend and unbend (frontal line), tilt left and right (sagittal line), and also twist in different directions (vertical line).

The cervical and lumbar regions are characterized by the highest mobility function. Each spinal segment belongs to a true or false group. The true group includes the vertebrae of the cervical, lumbar and thoracic regions, and the false group includes the sacrum and coccyx. A true group of vertebrae is characterized by their connection with the help of cartilage, the so-called intervertebral discs. This natural anatomy of the spinal skeleton gives natural flexibility and range of motion.

The most mobile areas of the spine are the cervical and lumbar regions

The spinal cord is localized in a special canal of the spinal column, which is formed by the body and arch of the vertebra. The end part of its arch is directly attached to the sides of the vertebral body, at the ends of which there are special “slots”. They form intervertebral spaces, inside which the entire length of the spinal cord, with all its nerves and vessels, passes. There are seven processes on the vertebral arch, one of which is unpaired, and the rest are pairs of superior, inferior and perpendicular spinous processes.

The vertebrae located in the thoracic region differ from those in the lower back in that they are connected to the ribs, and the size of their bodies is smaller. The body of the lumbar vertebrae, on the contrary, is wider and has an oval shape. The branches of the lumbar vertebrae are located in a straight line with a vector directed backwards, while the thoracic branches are located somewhere in the middle between the horizontal and vertical angle of departure from the base.

Classic back massage

Classic back massage is of particular importance for the human body, since the back is a kind of shield for all internal organs. A modern sedentary lifestyle leads to the fact that undesirable processes begin to occur in the muscle tissue of the back, including a deterioration in the psycho-emotional state and the development of chronic diseases.

Classic back massage is designed to relax the body, provide physiological healing to the body, and also prevent spinal diseases. Within its framework, the muscles of the neck and muscles of the shoulders, the thoracic region, the area of ​​the shoulder blades and the lumbosacral region are affected. The essence of this procedure is to work out the huge amount of muscle mass that is present in the back.

Important: Classic massage involves a direct impact on the spinal column, so the procedure must be performed by special medical personnel who can reduce the risks of causing irreparable damage to a minimum.

The procedure is carried out in four steps:

1. Preparatory step: the specialist warms up the muscles, improves blood supply and prepares the back for subsequent manipulations;
2. Medium-depth treatment: muscles are exposed to an average depth of their location, which ensures normalization of the motor function of the limbs.
3. Deep study: at this stage you have to get to the lower layer of muscle tissue, which is responsible for maintaining the spinal column; most of the time and effort is spent on it;
4. The final step: after the manipulations have been performed, the back must be relaxed so that the muscles can rest from toning exercises.

In total, the classic massage procedure takes about 20 minutes. At the same time, the procedure should be done comprehensively and undergo a course of 10-15 sessions - this approach will ensure the proper result.

Causes of spinal fractures

The backbone of the human body by nature has a high degree of resistance and often resists considerable external pressure. But when the impact of external factors exceeds the impact resistance of its body, a fracture occurs. When the height of the vertebral body becomes smaller, this is the first sign of injury from increased compression. Experts note that this type of fracture occurs most often.

Often the root cause of fractures, including vertebral fractures, is reduced bone density. This pathology leads to a disease called osteoporosis. Based on this disease, fractures of various types often occur, which sometimes go unnoticed. And treatment measures not taken in time lead to curvature of the spinal trunk. The natural conclusion of this process is systematic back pain and the appearance of a “senile hump”. With osteoporosis, it is enough to unsuccessfully apply only a little force, and the bone tissue will be injured. Thus, in people whose age has crossed the line of eighty years, compression fractures can occur as a result of a simple fall while walking or even if the person simply stumbled.

A fracture can occur due to osteoporosis, as well as due to strong external pressure

A high percentage of spinal compression injuries occur when the spine is metastatically affected. They arise due to the appearance of aggressive malignant tumors, which begin the process of “capturing” the patient’s numerous internal organs. The spinal ridge is also no exception. When the vertebrae are affected by metastases, they are massively destroyed - as a result, the victim is given a diagnosis of a “fracture.” A characteristic feature in this case is the presence of minimal pressure from the external environment. To confirm the nature of the fracture formation, it is necessary to carry out diagnostics using the radioisotope method. Often the location of vertebral fractures is at the level of the thoracic region, in its lower part, which corresponds to the eleventh and twelfth vertebrae.

Thanks to many years of studying the anatomical features of the spinal ridge, experts have come to understand the factors causing injury. At the same time, they learned how to significantly heal compression fractures of the spine. When the height of the anterior part of the vertebra decreases, it penetrates into the spinal canal, resulting in strong pressure on the spinal cord. This, of course, entails a number of complications, and it is extremely difficult to get rid of them. However, it should be noted that injuries that damage the spinal cord occur less frequently than “standard” compression fractures.

Pain resulting from a fracture can be felt both in the affected area and in the limbs

When exposed to external factors when a fracture occurs, affected people usually feel severe back pain. Despite the “dorsal” localization of the pain syndrome, sometimes patients may experience pain in the extremities, both upper and lower. A symptom of nerve damage (which can also occur with a compression fracture) is weakness in the limbs, as well as a feeling of numbness. With minor vertebral injuries, the pain is quite moderate.

There is a classification of vertebral fractures according to the mechanism of injury.

Table No. 1. Classification of vertebral fractures.

The most common type of injury is a compression fracture. There are several degrees of this pathology depending on the severity of the damage.

Table No. 2. Classification of compression fractures.

Classification

Compression of the spine resulting from a fracture has several types of classification: according to the degree of compression of the vertebral bodies, according to complications and symptoms, and according to the characteristic features of the injury.

Also in traumatology, pathology is classified according to the location of damage to the vertebrae, according to the parts of the spinal column:

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• cervical or chest;
• lumbar;
• sacral or coccygeal.

The most common injuries to the thoracic and lumbar vertebral bodies are detected, since they bear the greatest load during human movements.

By degree of compression

The spinal column is a connection of 33 vertebral bodies. When a fracture occurs, two or more bodies are sharply pressed together, resulting in compression.

Traumatologists distinguish three degrees of compression, characterizing the force of pressure leading to a decrease in the height of the vertebrae:

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• first – from 20 to 40%;
• second – from 50 to 60%;
• the third – from 60% or more.

A grade 1 compression fracture is considered the least traumatic. Treatment is faster, but even with the first degree of pathology, serious complications may arise due to changes in the body and the presence of associated complications.

According to the modification of the vertebra

With a compression fracture of the spine, the consequences largely depend on what changes the vertebral body has undergone after the injury.

There are three types of fractures.

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1. Wedge-shaped. Under the influence of injury, the vertebra is compressed on the right or left side and takes on a wedge-shaped shape. In this case, the narrow part of the body becomes facing the internal organs.
2. Compression-tear. A complex type of injury characterized by avulsion of the anterior superior part of the vertebral body. The torn part of the bone, which has uneven edges, can move and damage the longitudinal ligaments. The separation of several bone parts cannot be ruled out.
3. Fragmentation. A severe type of disease, observed more often with the third degree of compression. The vertebral body is broken into pieces of different sizes. Parts of the vertebra extend from the intervertebral disc in different directions. The intervertebral canal may be damaged by the posterior side of the affected vertebra.

With a splinter compression fracture of the vertebrae, the prognosis is unfavorable. In 60% of cases, the spinal cord is injured, which leads to serious impairment of the functionality of the nervous system.

By complications

Rehabilitation after a compression fracture depends on the presence of complications subsequent to the injury. A fracture of this nature is classified into two types.

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1. Uncomplicated. Occurs more often with progressive radiculitis or osteochondrosis. The patient experiences discomfort and pain, but may not be aware of the diagnosis. Gradually, if there is no treatment, severe forms of musculoskeletal diseases develop.
2. Complicated. Observed when the nervous system is damaged (for example, pinched nerve fibers). May cause paralysis. Symptoms are usually severe.

An uncomplicated compression fracture is no less dangerous, since the patient may delay visiting a doctor. The pathology will continue to progress, causing associated complications. As a result, the first type will turn into the second.

Diagnostics

In anticipation of a full diagnosis, specialists make a tentative diagnosis, and subsequently develop a step-by-step plan for examining the patient. Palpation occurs in those areas where the patient experiences pain. The condition of the muscles and sensitivity of the limbs is assessed. The examination also includes checking tendon reflexes, tension of nerve endings and other highly specialized tests. This allows for an analysis of the patient's condition.

In order to confirm the diagnosis or obtain its refutation, radiography is mandatory. This examination helps specialists see the nature of the injury. It is performed using an X-ray machine, and the results of the study are displayed on a special film. The image clearly shows the bone structures.

In many cases, for a more in-depth examination, the patient is prescribed another diagnostic study - CT. This diagnosis reveals not only the transformation and changes in the bones of the spine, but also determines injuries to other organs. The result of a CT scan is a final image that combines a number of x-ray images from different angles.

A thorough diagnosis is necessary to accurately determine the pathology.

In cases where the integrity of the spinal cord is suspected, MRI becomes appropriate. This is the latest type of examination, which allows you to thoroughly examine any structure in the patient’s body, be it ligaments, muscle tissue, spinal cord or nerve fibers. The operation of such a device is based on electrical and magnetic pulses, which act together and produce a detailed analytical result of the study. With their help, measures to diagnose the structure of soft tissues in the human body are carried out absolutely painlessly. The main advantage of magnetic resonance imaging is its proven safety. And qualitative research significantly helps many specialists.

What to do if your back hurts after a therapeutic massage

If after a massage the pain in the back is quite strong, you can use urgent pain relief options - medicinal ointments and gels. They act quickly and relieve pain for a while. Some for a couple of hours, others for a longer period.

Based on their effect, ointments are divided into anti-inflammatory, chondroprotective (regenerate affected tissue), irritating ointments (warming effect), combined and homeopathic remedies.

The most effective drugs for back pain:

1. Fastum-gel . The main component is ketoprofen.

The gel is used for back pain, problems with the spine, and injuries to the back muscles. Contraindications: the presence of cuts or fresh scratches on the back, eczema, pregnancy and allergies to the main component.

2. Finalgon is an irritating drug.

It contains two main components – nonivamide and nicoboxil. Indications for use: muscle pain, neuritis, sciatica, back injuries. Contraindications: pregnancy, children under 12 years of age, individual intolerance to the main components of the ointment.

3. Dolobene . A combined product that contains several active substances - dexpanthenol, sodium heparin and dimethyl sulfoxide.

Indications for use: inflammation, sprains, muscle and tendon injuries, neuralgia and bruises. Contraindications: pregnancy, children under 5 years of age, asthma, heart, kidney and liver diseases.

The causes of pain in the back after a massage are different. In certain cases this is normal, but sometimes pain indicates an incorrect procedure.

Causes of back pain after therapeutic massage:

1. Incorrectly performed procedure. Let's say a patient is prescribed relaxation, and he is given a stimulating acupressure massage. This mistake will definitely cause back pain.
2. Exacerbation. Conducting a massage session during an exacerbation is contraindicated.
3. Massage therapist qualification. Pain caused by the unprofessionalism of the specialist appears one to two hours after the procedure.
4. Contraindications. A patient may be prohibited from massage due to the presence of any chronic diseases. Each course must be supervised by a physician. You should follow all his instructions on the technique of performing a therapeutic back massage.

Therefore, it is very important to know the individual indications and contraindications for a course of therapeutic massage.

Such therapy is contraindicated in the case of:

• Acute infections that are accompanied by high body temperature.
• Skin diseases at the massage site.
• The presence of open wounds on the back.
• Purulent lymphadenitis.
• The presence of specific oncological diseases.
• Severe pathologies of the heart and blood vessels.
• State of intoxication, mental illness.

Sometimes the cost of a therapeutic back massage forces many people to carry out massage wellness treatments on their own in order to save money. However, it is extremely important to know the correct technique for performing them. To do this, just type into a search engine “therapeutic back massage, watch video lessons,” and you will get a lot of available information.

Read material on the topic: Deep atraumatic back cleansing

Specifics of damage

Various spinal injuries can occur in any part. Injuries are divided according to the state of the nervous system. In this case, the fracture is either accompanied or not accompanied by damage to the spinal cord.

Vertebral injuries are divided into multiple (when several vertebrae are damaged at once) and combined (when a fracture combines injury to the vertebrae along with a violation of the structure of other bones and tissues).

If the fracture is accompanied by disruption of the spinal cord, the situation becomes more complicated.

The largest percentage of dislocations are diagnosed in the neck, since it is considered the most mobile part. Fractures of the spinous processes can be found in the chest, neck and lower back. Any type of spinal deformity entails severe pain when the damaged area moves.

Complications

Compression damage to the spine causes the following complications:

1. Kyphotic deformity of the cervical spine. This is a deformation of the spine in the neck area in the form of a strong deflection. Under such conditions, the anatomical structure of the back is disrupted. The changes that occur cause increased blood pressure, pain and discomfort in the back, impaired sensitivity and motor activity. Also, kyphosis of the cervical spine is caused by auditory and visual disturbances and oxygen starvation of the brain.
2. Spinal instability. This is excessive mobility of the elements of which it consists. The phenomenon causes frequent pain, covering a separate segment of the spinal column or spreading along its entire length, heaviness in the legs, dizziness, stiffness of movement and impaired mobility. Instability causes the development of osteochondrosis, radiculitis and other degenerative pathologies of the spine.
3. Compression or rupture of the spinal cord roots. This is a dangerous condition that can lead to spinal cord infarction, paravertebral abscess, and purulent meningitis.
4. Paralysis of the limbs, which can be either reversible or irreversible.
5. Spinal stenosis. This is a pathological phenomenon that is expressed in partial occlusion of the spinal canal. Stenosis causes increased epidural pressure, impaired circulation in the abdominal cavity and pelvic organs. Progressive pathology causes disability of the patient due to paralysis of the limbs.

A timely course of treatment can prevent dangerous complications.

Treatment

Immediately after the patient enters a medical facility, he is given anesthesia - a one percent solution of novocaine (for each damaged vertebra), and then he is immobilized, placed on a hard bed for one and a half to two weeks. If the fracture occurs in the neck, then a cotton-gauze bandage is applied to the affected area for 3-4 weeks. Anesthesia should be repeated for 6-7 days.

If the fracture is not severe, then it can heal on its own during the time spent in the hospital. However, you can start physical labor at least after 3-6 weeks - if you do this earlier, there is a high probability of a relapse of the disease.

Regardless of which treatment method the doctor chooses, massage is an integral part of the therapy.

Treatment of a compression fracture is carried out differently, depending on the complexity of the injury: for example, the doctor may recommend a single or gradual reclination with the application of a brace; a combined method, including traction of the ridge and subsequent immobilization of the affected area using a plaster corset; surgical method when surgery is performed. However, whatever method is chosen, the use of physical force is mandatory - this is, for example, exercise therapy, physiotherapy or massage. This will prevent the consequences of physical inactivity, strengthen the muscle corset, and maintain natural mobility. Also, when treatment comes to an end, physical exercise is necessary to adapt the patient to the usual stresses that may be necessary in everyday life.

Let's talk in more detail about massage - its advantages, techniques and techniques.

What to do in case of compression injury

A person with a fracture is brought out of a depressed state with the help of massage, blood circulation is improved, and metabolic processes are normalized. More detailed information about compression fractures can be found by watching the video in this article.

First period of the disease

In case of compression injury, you can massage the muscles on the second day after the incident, but only taking into account the type of injury and the individual characteristics of the patient’s body. Traction of the parietal tuberosities is not a contraindication to the procedure. The massage therapist's actions should be smooth and relaxing.

Second period of illness

A month later, you can do a massage after a compression-type spinal fracture. First, massage the chest, then the entire back and abdomen, as with other types of injuries. With paresis, the muscles are in good shape, so stroking and rubbing in circular, plane movements will be needed.

Prevention of bedsores

During the period of immobilization of the patient, massage is required to prevent bedsores. For the procedure you will need camphor alcohol. Stroking and rubbing movements are performed on the sacrum, buttocks, and back using rubber circles under problem areas.

An important period after a severe back injury is the patient’s rehabilitation. If you begin professional restoration of the damaged area in time, the patient has every chance to restore his health. Proper massage relieves pain, speeds up metabolic processes, and improves a person’s well-being.

Massage for recovery after compression fractures

For different phases of the body’s recovery after compression-type spinal fractures, massage manipulations with different properties are performed. In different situations, acupressure, classical and reflex types of massages are used. The goal of the massage therapist at the initial stage is to remove the victim from a state of apathy, improve blood circulation in the affected area and restore impaired metabolism. Massage procedures begin from the second day of the victim’s stay in the hospital and coincide with the stage of spinal traction.

Passive movements are of no small importance - they reduce reflex excitability and activate the mobility of the corresponding centers. The method of massage prescribed directly depends on the number of broken vertebrae and the classification of the fracture. Massage sessions must be “dosed”, because strong muscle stimulation should not be allowed. If the vertebrae of the cervical part of the spinal column are deformed, the patient is massaged in a lying position. In this case, the Glisson loop is not removed.

Symptoms and signs of spinal compression fracture in a child

In children, the clinical manifestations of vertebral fractures do not correspond to the severity of the injury. This is especially true for uncomplicated compression fractures. With them, at the time of injury, the child notices severe back pain, which quickly disappears. Then she appears again after some time, stronger than she was at the time of injury. Symptoms of a compression fracture resemble those of a regular back injury. It is difficult for a non-specialist to recognize spinal injury in such a situation. Signs of a compression fracture of the spine in children with a complicated form appear some time after the injury, and their intensity increases. The child complains of numbness in various parts of the body, he experiences a burning sensation and tingling. Then comes weakness in the limbs. Sudden surges in blood pressure and changes in heart rate may occur.

Signs of cervical injury

The cervical region is considered the most delicate of all parts of the spine. Any even not very strong impact, combined with muscle tension, leads to compression injuries to the vertebrae of the child’s neck during a fracture.

Symptoms of a spinal fracture in children in the cervical region are the following:

• pain in the neck, worsens when tilting the head forward;
• with a compression fracture of the first vertebrae, pain in the occipital region occurs;
• muscle tension in the neck area;
• rotational movements of the head are difficult;
• there is swelling of the neck at the site of damaged vertebrae;
• vomiting and nausea;
• smoothing the surface of the cervical spine;
• forced head position;
• limited range of possible movements;
• with complicated displaced fractures, paralysis of the upper and lower extremities is observed.

A compression fracture with displacement of the 7th cervical vertebra in children is visible to the naked eye even to a non-specialist. Damage to the cervical spine most often occurs in road accidents, unsuccessful diving, heavy objects falling on the head, and somersaults.

Signs of thoracic injury

Immediately after an injury to the thoracic spine, a child experiences short-term breathing difficulties and panic. Most often this occurs with a compression fracture of the 6th thoracic vertebra. Damage to this section occurs when falling from a height and hitting the back.

The main signs of injury to a compression fracture of the thoracic vertebra in a child are:

• pain, tissue swelling, muscle tension at the fracture site;
• pain increases with movement;
• there is tension and muscle soreness at the site of injury;
• movements in the thoracic region are constrained;
• with a compression fracture of the lower thoracic vertebrae, acute abdominal pain is noted;
• bruises and abrasions on the skin at the site of impact;
• in case of complicated fractures, limb movements are absent or impaired;
• Sensitivity disturbances are noted (numbness, pins and needles sensation, burning sensation).

In the absence of treatment, a patient develops a kyphoscoliotic deformity of the spinal column at the site of injury to the thoracic vertebra.

Signs of lumbar injury

Compression fractures in the lumbar spine in children often occur when they fall on their buttocks. After a fall, the victim is in a characteristic forced position. He lies on his back, bends his knees as much as possible and clasps them with his hands.

To the study of Schmorl's hernia of the thoracic spine

The patient develops the following symptoms:

• the patient's back is bent;
• there is pronounced tension in the lumbar muscles;
• there is severe pain in the area of ​​injury;
• severe fatigue that occurs quickly when standing;
• pain in the lumbar region intensifies when tapping on the heels;
• acute pain in the abdomen of a girdling nature (false peritonitis), intensifies when bending forward;
• increased discomfort in the lower back when bending forward.

With complicated fractures, the patient develops signs of compression myelopathy. He experiences paresis of the limbs and dysfunction of the pelvic organs (impaired urination, fecal incontinence or constipation). There are sensory disturbances in the extremities (cold sensations, decreased sensitivity, goosebumps). Neurotrophic disorders in tissues are noted. They manifest themselves in the development of bedsores.

Massage treatment

First stage of treatment

During the rehabilitation period, various types of massages can be used. The main thing is that the massaging process should be performed without sudden, jerky movements. It is important not to disrupt the traction process. The massage should be carried out strictly in stages and affect different parts of the victim’s body.

1. The massage starts from the chest. At this stage, a gentle stroking movement is made along and across the chest. Next, the main muscle mass of the sternum is squeezed and rubbed. Such manipulations are performed up to five times.
2. The spaces between the ribs are rubbed in a circular motion in a straight line. Each intercostal space is massaged at least three times. After a week of such muscle warm-up, double circular movement of a given area is added.
3. To rehabilitate the intestines and strengthen its muscles, massage manipulations are performed in the abdominal area.
4. The thigh massage is done in a certain sequence: stroking, squeezing, double circular kneading and then light stroking again. The set of measures must be repeated up to five times.
5. Massage the lower leg is done by first bending the knee and pelvic joint. The calf muscle is massaged. The procedure includes stroking, squeezing and rubbing. The tibia part of the lower leg is massaged in the same way as with the edge of a massage therapist’s hand. A massage technique using fingertips is also used. The procedure ends with light kneading.
6. Similar techniques are used to massage the hands and forearms.

There is a certain sequence when performing a massage

Second stage of treatment

The full massage procedure takes no more than 15 minutes twice a day. During the 2nd week of the massage course, the victim is allowed to sit and stand up. The patient must perform these actions while wearing a semi-corset. Around the twentieth day of hospital stay, the injured person is allowed to walk carefully. During this period, it is time for a longer and more functionally complicated massage.

1. Begin the massage from the back, lying on your stomach. This involves exercises of stroking and squeezing the muscle mass of the back. The massage is performed using the palms and fingertips, and the phalanges of the massage therapist’s fingers are also used in a bent form. Rubbing continues in the intercostal areas between the patient's shoulder blades.
2. The hip part of the body is massaged using all known methods.
3. The procedure continues after the victim is laid on his back. At this stage, chest massage occurs. In the area of ​​large muscles, stroking, squeezing and double circular massages are carried out using shaking movements. This process must be repeated at least three times. The spaces between the ribs are massaged using all available methods.
4. The shoulders and forearms are also subjected to various known massage techniques.
5. The legs are massaged in the same way as the first massage procedures.
6. Finally, lighter movements are performed to strengthen the joints.

Third stage

The third stage of massage procedures begins after the plaster corset is removed from the patient. From this moment on, the main function of massage is to restore the mobility of the vertebrae in the cervical region to the victim. The main emphasis during the massage procedure is on the collar area, where the main areas for massage are the shoulders and the neck itself.

Depending on the stage of treatment, massage techniques and its intensity may vary.

The massage process occurs with the victim lying down or sitting. The entire procedure is now performed with two palms. Squeezing, rubbing and stroking the chest occurs. Later, using the same technique, by analogy with the chest area, a massage of the cervical area is performed. In this area, the massage specialist can add more pinching and circular rubbing. Before the procedure for performing passive movements, you need to consult your doctor.

In the case where the victim has another type of injury, the massage is performed using similar techniques and only by a highly specialized specialist.

Massage sessions for compression fractures are prescribed during the patient’s rehabilitation. It is used in parallel with other treatment methods. The main thing during the massage process is the accuracy and caution of the specialist who conducts the session. It is also necessary to emphasize that the effect of massage occurs only with regular, step-by-step sessions.

Procedure for carrying out the procedure at the initial stage

The restorative procedure should begin with smooth movements that cannot disrupt the contraction system. At each individual section, certain movements are performed:

The chest is the beginning of the massage, and movements such as:

1. stroking,
2. squeezing;
3. kneading;

• The next section is the intercostal spaces, where straight and spiral rubbing is carried out.
• Performing a massage on the abdomen helps normalize intestinal motility and strengthen muscle fibers.
• On the hips, the massage is carried out in the form of stroking, slight squeezing, circular double kneading and stroking again.
• Massage of the lower leg is carried out with the limb bent at the hip and knee joint. The main emphasis is on the calf muscle, stroking, squeezing, kneading techniques are used, and massage of the anterior tibial muscles is carried out using both the edge of the palm and the pad of the large finger.
• The final stage of the procedure is performed on the hands and forearm using well-known techniques.

The duration of the entire session does not exceed 10-15 minutes and must be performed twice a day. When performing a massage between 10 and 20 days after its start, the patient is allowed to sit down, stand up and walk, while he must be in a semi-corset at all times. It is from this time that they move on to a massage that is more complex in structure, the duration of which increases to 25 minutes.

They begin to perform rubbing movements from the back of the patient, who at this time lies on his stomach. Stroking and squeezing are used, and a double bar is made on the widest muscles. After kneading the long muscles, they move on to the paravertebral zones, intercostal spaces in the area of ​​the shoulder blades and the pelvic region. After the patient turns over onto his back, massage begins in the chest area, which is carried out using stroking, squeezing, single and double circular kneading and shaking. Various methods are used to knead the hypochondrium, sternum and intercostal spaces, without forgetting the shoulders and upper arm girdle.

Contraindications for spinal massage

Despite the fact that massage is an integral part of the treatment of a compression fracture of the ridge, it still has some contraindications, which, if ignored, can create even greater problems. Contraindications include:

• blood diseases, bleeding, hemorrhages;
• acute inflammatory process, accompanied by severe malaise and elevated body temperature;
• skin diseases;
• thrombosis, varicose veins;
• various skin lesions, wounds, scratches, as well as warts and rashes;
• aneurysm of the heart, aorta;
• Quincke's edema;
• unstable blood pressure;
• pain in the abdomen, nausea, vomiting.

There are some contraindications for massage

What type of massage can harm the spine?

The spine should be handled with extreme care. If the injury is serious, an incorrectly performed procedure will not only bring no benefit, but will greatly harm

The method is contraindicated if the spine is severely damaged, for all patients during the acute phase of chronic diseases, if they have a severe inflammatory process, skin diseases, or tumors.

Massage is useful for any problem with the spinal column; it is also used to treat fractures. For minor injuries, treatment with this method alone and physical therapy is often sufficient so that the vertebrae can fully restore their functions.

Your back should be massaged by a specialist who has special knowledge and practical experience in performing such manipulations.

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Kudryakov Stepan Anatolievich

Moscow, st. Azovskaya, 24, building 2 POM VI/KOM 5,6,7/ET 1 (Scoliosis Treatment Center named after K. Schroth)
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