Because of this hobby, a 31-year-old female white-collar worker almost suffered a stroke! How many people are still in the wrong massage?

What to do if you get drained by work?

Someone chooses a good meal

Someone too

Choose Wellness

cupping, foot bath, neck and shoulder massage

Long-term desk, sedentary

Back pain and neck stiffness

The sourness of the massage is addicting

The boss is endlessly changing the plan and adding demand

The noise and chatter of the elderly and children at home

When the massage master was out of his dantian, he squeezed it violently like a nuclear pulse thruster

The world seems to be back Peace&Love

Let you be fascinated by this exquisite craftsmanship

Stop!

Don’t be in a hurry

Also Don’t make massage a “must have” in life

Phase I of the First Affiliated Hospital of Zhejiang University School of Medicine

Someone pays too much for this “hobby”

Inappropriate massage

Cerebral infarction

What the hell is going on here?

A health hobby nearly caused a stroke

The 31-year-old Dandan (pseudonym) works in an Internet company in the west of the city. The work rhythm of “996” coincides with the launch of a new project. She has to face the computer and dense numbers every day, although I am young, but my neck and shoulders have been sore for many years. But Dandan has a set of self-adjustment methods. During the noon break, he goes to the health center near the company for massage and massage, and then takes a nap, and in the afternoon, he is full of “combat power”.

With the accelerated pace of work, Dandan’s neck and shoulder soreness is unbearable, and the frequency of neck and shoulder massage in the health center is getting higher and higher.

“When I massage, I feel that the soreness will be relieved, which is very comfortable!” Dandan said. I don’t know if the massage was too strong or what was the reason. There was unbearable pain in the temples on both sides and the back of the head. In recent days, she has also experienced symptoms of dizziness and headache, and she can’t sleep well at night.

At work on June 16, Dandan suddenly felt that something was wrong, not only with severe neck pain, but also headache and nausea, although her symptoms later Things got better, but she still followed the advice of her colleagues that afternoon and went to the first phase of the headquarters of Zhejiang University to check.

Because of constant headaches, shoulder and neck pain, and hearing that Chief Physician Feng Zhiying, the director of the Pain Department, is quite accomplished in the treatment of various chronic pains, Dandan hangs up with Chief Feng’s expert outpatient clinic.

After carefully listening to Dandan’s description of symptoms, Director Feng Zhiying thought that her headache and dizziness may be related to cervical spondylosis, but after further questioning, she learned that Dandan I often do massage, Dandan said: “At that time, I felt that the technique was a bit rough and the strength was quite strong.” Director Feng worried that inappropriate massage and massage would bring adverse reactions, and immediately arranged an ultrasound of the neck blood vessels . Unexpectedly, the ultrasound showed carotid lumen dissection. Director Feng immediately referred Dandan to the Department of Neurology for further specialist diagnosis and treatment.

Deputy Chief Physician Yuan Huaiwu of the Department of Neurology prescribes urgent CT and MRI examinations for Dandan. The results show that Dandan’s left V1-V2 segment of the lateral vertebral artery is at risk of vascular occlusion and cerebral infarction at any time.

“The massager used improper force to tear the intima of the vertebral artery vessel wall, blood flowed between the intima and the media, and the blood flowed up the ruptured intima. The membrane will narrow the blood vessel wall, cause insufficient blood supply to the brain, and eventually lead to stroke, which is cerebral apoplexy.” Yuan Huaiwu’s remarks made Dandan’s heart skip a beat. big hazard.

Then Deputy Chief Physician Yuan Huaiwu prescribed anticoagulant drugs for Dandan, “One step later, if the patient suffers from severe vascular dissection, interventional surgery or surgery is required to repair the blood vessels and restore the brain. blood supply.”

Several of the symptoms below may be carotid dissection

Experts introduce that the vertebral artery and carotid artery are two important blood vessels in the human neck that supply blood to the brain, but they lack the protection of bony structures and are easily damaged by external forces. Improper neck massage can cause carotid arteries (including the internal carotid and vertebral arteries) the intima torn, allowing blood to enter the arterial wall, resulting in an intramural hematoma , causing arterial stenosis, occlusion and aneurysm-like changes, rapid thrombosis and cerebral apoplexy.

Fortunately, it was discovered in time. After antithrombotic and brain cell nutrition treatment, Dandan did not suffer from hemiplegia, coma and other more serious conditions, and her condition has also turned a corner. Currently, her symptoms have disappeared.

The American Heart Association (AHA) and the American Stroke Association (ASA) have issued a joint statement on neck manipulation and stroke risk. Among young and middle-aged strokes, 8%-25% of young and middle-aged strokes It is caused by dissection of carotid artery (including internal carotid artery and vertebral artery), which is closely related to neck massage. In addition to massage, special head positions such as prolonged head bowing, coughing, blowing your nose, neck massage, or engaging in certain sports activities such as weightlifting, badminton, golf, tennis and yoga, and emergency braking Inertial anteversion, etc., may lead to carotid dissection. Without proper and timely treatment, there is a very high chance of rupture and a very high mortality rate.

How to spot the clues of carotid dissection? Expert introduction

1

Specific parts

50-70% of patients with carotid dissection experience pain behind the ear, which is pain in the occiput and neck of the head. These pains in the head and neck are the earliest symptoms and are mostly progressive, manifesting as persistent dull or dull pain, or sudden bursting pain;

2

cervical sympathetic paralysis syndrome

Cleft eyes and small pupils, little or no sweat on one side of the face;

3

Symptoms of Cerebral and Retinal Ischemia:

Monoocular blindness and other symptoms, and some transient ischemic attacks and cerebral infarction.

Clinically less than 1/3 of the above three symptoms appear at the same time, but as long as any two symptoms appear, the possibility of carotid artery dissection should be highly suspected , seek medical attention as soon as possible.

How to tell if there is a “stroke”? Then keep in mind the “120 stroke” formula: “1” means “see an asymmetrical face”, “2” means “check whether there is unilateral weakness in both arms”, “0” Represents “whether listening (zero) listening to the speech is clear”.

What other diseases can be caused by improper massage

Experts stress that the location of the neck is special and has many important neurovascular physiological structures, including internal carotid artery, vertebral artery, cervical spinal nerve tissue, and brachial plexus. etc. Rough and improper massage can have disastrous consequences. For neck discomfort and pain, you can choose hot compress, cold compress or pain relief to relieve discomfort.

In addition, the purpose of shoulder and neck massage is to relax the muscles and improve the blood circulation of the muscles, so even if you choose a massage, you should choose the place where the massage is thick, and try to avoid the parts with rich blood vessels and nerves. . Especially the upper neck, try to avoid it.

The following types of people should not be massaged casually:

1

Three highs

This population has inherent atherosclerotic changes and is more susceptible to damage to blood vessels. Improper massage techniques can cause atherosclerotic plaques to rupture or thrombus to fall off. These time bombs run around along the bloodstream and get stuck in the brain to induce a stroke.

2

Cervical spondylosis population

Patients with obvious cervical segmental instability, lumbar disc herniation and cervical spondylosis with severe osteoporosis, etc., must go to a regular hospital for traction physiotherapy. Standard massage may damage the blood vessels in the neck, or aggravate the compression of the intervertebral disc, leading to the occurrence of acute cerebrovascular disease in the anterior and posterior circulation.

3

Skin lesions, etc.

If the local skin is broken, ulcers, fractures, tuberculosis, tumors, bleeding, etc., massage cannot be done here.

4

Other groups

Patients with cervical dislocation, cerebrovascular disease risk factors such as oral contraceptives, migraine, fibromyalgia and other risk factors should not blindly massage.