The Cyriax Method: Lumbar Traction-Manipulation (腰椎牽引式關節操作手法) The Cyriax Method 的主要原則是： 1. 每個疼痛都有一個來源。(鑑別診斷的重要) 2. 治療一定要針對到其疼痛來源。(再次強調鑑別診斷的重要) 3. 為了減低疼痛，治療一定要對其疼痛來源有療效。 大多肌肉骨骼系統的疼痛來源是可以被局部化在特定的組織上，我們小心且有系統性地隔離其導致疼痛的原因並明確地治它。 一個明確地診斷或鑑別診斷是引導有效治療的主要因素。 | Cyriax Physio ＆ Rehab Centre
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MILL'S MANIPULATION FOR LATERAL EPICONDYLALGIA Nagrale et al. (2009) compared Cyriax physiotherapy versus phonophoresis with supervised exercise in 60 patients with diagnosed LE with symptoms of >1 month in an RCT. The Cyriax treatment group (n=30) received 10 minutes of deep transverse friction massage with a single application of Mill's manipulation. The control group received 5 minutes of phonophoresis with diclofenac followed by static stretching according to patient tolerance for 3 x 30-45
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