The lumbosacral joint after a triple therapy approach in about 120 cases of disease change. Xiaxue Ming from Wuhan, Hubei Province, reports that after the triple therapy approach for sacroiliac joint dysfunction, there were satisfactory clinical results for 120 patients with lumbosacral joint lesions. Common issues included lumbosacral joint dislocation, synovial entrapment in the sacroiliac joint, and low back pain, which limited lower back activity. The use of single manual therapy often yielded unsatisfactory results. In recent years, the author has used a combination of three tactics to diagnose and treat these 120 patients, achieving satisfactory outcomes. The details are as follows:
### 1. Clinical Data
Out of 120 patients, 88 were male and 32 were female, aged between 25 and 72 years. After lumbar spine X-rays and CT scans, 63 cases were identified, while 55 cases were diagnosed using X-ray imaging history and other methods. There were 22 cases transferred directly from the hospital after joint dislocation, 35 cases of post-synovial entrapment, 63 cases of joint disorder, and 12 cases with bilateral paraspinal tenderness. Among them, 87 cases had unilateral tenderness, and one case had no obvious tenderness. The duration of symptoms ranged from 3 hours to 5 months.
### 2. Treatment Methods
#### 2.1 Point Connection:
Using the thumb to slide along the tender points on the line, continuous strong pressure shock compression is applied. The pressure starts light and becomes heavier over 2 to 5 minutes. This method is particularly effective for patients diagnosed with synovial entrapment.
#### 2.2 Hip Pressure Push Shoulder Method:
The patient lies on their side, with the affected side up. The hip is straightened, and the drawer Ca on the hip flexor is stiff, positioned in front of the patient. One hand pushes the patient's hips backward, while the other hand pushes the shoulder forward, causing the spine to rotate. This method is performed 1 to 2 times. If there is bilateral tenderness, bilateral lower limbs may be involved.
#### 2.3 Traction Method:
The patient lies on their side, tightening the bed with fixed objects. The upper body is set, and the assistant presses the tender points when defecating. Dayton ankle surgery patients hold the pull. This method is performed 1 to 2 times, and a good joint sound can be heard. The point connection method is selectively constructed outside.
### 3. Triple Therapy Approach
One round of treatment per day, rest one day every two treatments, and continue for 15 days. Patients can then participate in normal work and manual labor.
### 4. Evaluation Criteria
- **Effective**: Symptoms and signs disappeared. Spinal function was restored, able to participate in general work but not weight-bearing.
- **Cured**: Complete recovery of symptoms and signs (Code: 57).
- **Improved**: Symptoms and signs improved.
- **Ineffective**: No change in symptoms and signs before and after treatment.
### 5. Treatment Results
After 3 months of treatment, the total effective rate was more than 95.2% (96.5%, 97%, 95.2%). Statistical comparisons showed:
- No significant difference between ① and ② (x² = O.10, P > 0.05), indicating similar efficacy.
- Significant differences between ① and ③ (x² = 7.18, P < 0.01) and between ② and ③ (x² = 10.3, P < 0.01).
This approach is relatively more suitable for triple therapy compared to single or double therapy.
### 6. Discussion
Acute injury and chronic fatigue are major factors leading to degenerative changes around the joints, resulting in joint lesions. Acute injuries disrupt the balance around the joint, combined with soft tissue fatigue, leading to joint dislocation and other disorders such as excessive lumbar flexion, extension, and rotation. Joint space can open significantly, leading to synovial entrapment. Muscle spasm or contracture causes inflammation and pain through nerve endings stimulation and aseptic inflammation. Strong stimulation indirectly relieves nerve damage and eliminates amidine groups, alleviating early pathological changes and blocking pain transmission, relieving muscle spasms.
Pressure pushing through the hip and lower limb traction restores balance around the joint, reopens the synovial joint cavity, and satisfies the synovial return, resulting in more obvious effects. This triple therapy approach is especially suitable for grassroots-level diseases that are difficult to identify.
### Author Background
From Shantou, Guangdong Province, at the People’s Hospital, graduated from Imperial College, Zhongshan Medical rehabilitation professional degree. Fully responsible for physical therapy and various rehabilitation techniques, experienced in treating neck pain, cerebral malaria, paralysis, bone and joint disorders, embolism therapy + rehabilitation therapy. Willing to learn and share experience with peers.