What is Tuina and Bone Setting?

Using professional massage techniques in conjunction with bone-setting techniques, the human body's tendons, bones, joints, and muscles are adjusted by hand. Through relaxation techniques, muscle tension is relieved; bone-setting techniques adjust joint positions; and soft tissue adhesions are released by tissue-setting techniques, which helps to relax tendons and meridians, correct joints, and relieve discomfort.

Applicable Population and Common Symptoms

  • Cervical discomfort: Stiffness and pain in the neck, limited movement, numbness in fingers
  • Shoulder and back discomfort: Pain in the scapular area, tightness in the upper back, difficulty in shoulder joint movement
  • Lumbar discomfort: Lower back pain, difficulty in bending over, increased pain after prolonged sitting or standing
  • Sports-related injuries: Functional recovery after muscle strains, tendinitis, and joint sprains
  • Posture and body shape issues: Rounded shoulders, hunched back, pelvic anterior tilt, etc.
  • Chronic overuse: Degenerative changes in the cervical and lumbar spine due to long-term desk work and heavy physical labor

Mechanism of Action

Tui Na, through the application of mechanical stimulation by hand techniques, acts on the body surface to promote local blood and lymphatic circulation, relieve muscle spasms and fascial adhesions, and improve joint mobility. Orthopedic techniques restore the normal anatomical position and function of joints through precise mechanical adjustments, relieving the compressed state of nerve roots or soft tissues.

Treatment Method

A practicing physician formulates a plan based on physical examination and imaging data (if available), and the specific adjustment time is determined by a practicing TCM physician according to individual circumstances. Techniques include: Relaxation techniques (Kneading, Rolling, Pressing), Orthopedic techniques (Twisting, Stretching), Tendon and muscle techniques (Tapping, Separating tendons). The specific plan is formulated by a practicing TCM physician according to individual circumstances.

Precautions

Moxa Box Moxibustion: Moxa box or moxa jar is used to fix the moxibustion, suitable for large acupoints on the trunk.

The content above is for reference only, the specific treatment plan needs to be formulated after the TCM practitioner makes a diagnosis

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Common Questions

Compiled based on real medical consultation scenarios, please take the face-to-face diagnosis of a practicing Chinese medicine physician as the standard.

Orthopedic adjustment sounds terrifying, could it break the bones? What's the difference from regular massage?

Professional orthopedic adjustment and regular massage have a fundamental difference: orthopedic adjustment is performed by a practicing physician after a detailed physical examination (with imaging examinations if necessary), using precise point-to-point techniques to adjust joint positions. The movements are small in amplitude and concentrated in force, not the "more force, more miracle" as commonly imagined. Regular massage mainly focuses on relaxing muscles and alleviating fatigue, without involving bone and joint adjustment. Orthopedic adjustment requires professional diagnosis and skill, not all massage therapists can perform it - Kozhen Tang is conducted within the scope of TCM by practicing TCM physicians.

I have been sitting in an office for a long time, my neck makes a cracking sound when I turn it, and my head often hurts. Do I need orthopedic adjustment?

This indicates that your cervical spine small joint function has become disordered - the cracking sound is a signal of incorrect joint position and unbalanced soft tissue tension. Long-term neglect can lead to straightening or even reversing of the cervical curvature. It is recommended to have a physical examination by a practicing physician first, and decide whether to undergo orthopedic adjustment after confirming the problem with imaging data if necessary. At the same time,Cooperation core muscle stability training (the physician will teach you simple rehabilitation exercises) to consolidate the effect and prevent recurrence.

Is it normal to have a bit of soreness after orthopedic adjustment? How long will it take to recover? Can I go to the gym immediately?

Mild muscle soreness after orthopedic adjustment is normal, as it is the body's response to the adjustment of joint position. It is recommended to avoid high-intensity exercise or weight-bearing immediately after orthopedic adjustment, giving the joints and surrounding soft tissues time to adapt. The physician will give you specific activity recommendations and teach some core muscle stability training exercises to consolidate the effect of the adjustment.

I have lumbar disc herniation, could orthopedic adjustment make the herniated disc worse?

This is the biggest concern for many people with lumbar disc herniation - the answer depends on the type, location, and severity of the herniation. For mild prolapse or central herniation, appropriate traction-type orthopedic techniques can help alleviate the compression; however, for free herniation or severe spinal canal stenosis, inappropriate orthopedic adjustment can indeed worsen the condition. Therefore, it is necessary to clearly diagnose before massage and orthopedic adjustment - the practicing TCM physicians at Kozhen Tang will comprehensively evaluate your specific situation based on your lumbar MRI or CT imaging data + detailed physical examination, determining whether orthopedic adjustment is suitable for you, and will not operate blindly.

What's the difference between orthopedic adjustment and massage at a massage parlor? Why is the price so different?

The fundamental difference lies in medical qualifications and professional diagnostic ability: ① Orthopedic adjustment belongs to the medical treatment within the scope of TCM department approval, performed by a licensed practicing TCM physician, who has undergone systematic medical education + clinical skill training + licensing examination; ② Massage parlors provide health care services, and massage therapists do not require a medical background. The difference between the two is like a nurse giving an injection versus an aesthetician giving an injection - the actions may look similar, but there is a huge gap in diagnostic ability, anatomical knowledge, and safety boundaries. Especially for orthopedic adjustment, if the direction and angle of force are incorrect, it can lead to serious consequences, so it must be performed in a qualified TCM clinic.

The above Q&A is compiled based on common medical consultation scenarios.