(1) traction
1. Indications Cervical traction is often the first choice for nerve root type, cervical type and sympathetic cervical spondylosis. However, cervical spondylotic myelopathy with obvious spinal cord compression and obvious cervical segmental instability is not suitable for use.
2. The method of cervical traction generally uses cervical pillow traction belt for cervical traction.
(1) posture: The posture can be sitting or lying. For convenience, take a stable sitting posture, so that the neck tilts forward about 10-3o from the longitudinal axis of the trunk to avoid overstretching. Patients are required to fully relax the muscles of neck, shoulders and whole body. The traction posture should make the patient feel comfortable, and if there is discomfort, it should be adjusted as appropriate. Patients with vertebral artery type should lean forward at a small angle, and patients with cervical spondylotic myelopathy should take a nearly vertical posture to avoid flexion and traction.
(2) Traction weight and duration: The commonly used traction weight varies greatly, ranging from 65,438+0/65,438+00 to 65,438+0/5 of the patient's own weight, and most of them use 6-7kg. Use less weight at the beginning to facilitate the patient's adaptation. At the end of each traction, the patient should have obvious neck stretching feeling, but there is no special discomfort. If this feeling is not obvious, it is necessary to increase the weight appropriately. Each traction usually lasts 20-30 minutes. Traction weight and duration can be combined in different ways. Generally speaking, when the traction weight is large, the duration is short, and when the traction weight is small, the duration is long.
(3) Traction frequency and course of treatment: generally traction 1-2 times/day, or 3 times/day, 10-20 days is a course of treatment, which can last for several courses until the symptoms are basically eliminated.
(4) If traction in sitting position is ineffective, or if the patient has severe symptoms or is weak and cannot sit for a long time, traction in supine position can be adopted. Keep the correct posture with a pillow, and the traction weight is generally 2-3kg. After continuous traction for 2 hours, rest for 15 minutes before traction. The total daily traction time can reach 1O- 14 hours.
(5) Electric traction equipment can be used for intermittent traction, which is considered to be beneficial to relax muscles and improve local blood circulation. Generally tow for 2 minutes, relax or reduce the traction weight 1 minute, and repeat for about half an hour.
(2) Massage
1. Functions and indications Chinese medicine believes that cervical spondylosis is caused by long-term neck fatigue, disharmony between qi and blood, exogenous cold, and obstruction of meridians. Massage therapy can reconcile qi and blood, dispel cold, relax muscles and collaterals, thus achieving the effect of spasmolysis and pain relief. Massage is suitable for all types of cervical spondylosis except the spinal cord type with severe cervical spinal cord compression.
For cervical spondylotic myelopathy, massage therapy is not traditionally advocated, which may aggravate spinal cord injury. However, there are reports of safe and effective traction massage therapy in China. Therefore, for mild cervical spondylotic myelopathy, massage therapy is not necessarily taboo, but the technique should be gentle without pulling.
2. Methods The manipulation of cervical spondylosis should be both rigid and flexible, and not rude. Common operating procedures are as follows:
(1) Repeatedly do palm rubbing, probing and one-finger Zen massage on the neck and back, then click, press and hold some acupoints of the Du Meridian of the neck and shoulder and the Sanyang Meridian of the hand, such as Fengchi, Fengfu, Shounei Shu, Jianjing, Tianzong and Quepen, and then pull out the needles at the trapezius and levator scapulae. If it is nerve root type, manual therapy should include the main acupoints of shoulder, elbow and hand; If it is vertebral artery type, it should include Baihui and temples in the head and face. Then use the wrench method. Finally, it ends with wiping, patting and patting.
(2) When pulling, instruct the patient to rotate the neck to one side. The performer puts his hands under the patient's pillow and occipital back respectively, and slightly rotates the head and neck. At this time, be sure to pay attention to: 1) The rotation angle cannot be too large. 2) Don't unilaterally pursue the "click" sound that may be made when turning your neck. 3) Cervical spondylosis of spinal cord type and vertebral artery type should not be treated with wrench.
(3) Physical therapy
Physical therapy can improve local blood circulation, relax spasmodic muscles and relieve symptoms. Methods High frequency (microwave, ultrashort wave), low intermediate frequency electrotherapy (such as TENS, intermittent electrotherapy, computer intermediate frequency), ultrasound and magnetic therapy can be selected.
motortherapy
1. The effect of exercise therapy on cervical spondylosis is mainly to do medical gymnastics. There are two main purposes and functions of medical gymnastics for cervical spondylosis: (1) activating blood circulation in the neck, eliminating congestion and edema, stretching cervical ligaments and relaxing spasmodic muscles at the same time, thus relieving symptoms; (2) Strengthen the neck muscles, enhance their fatigue tolerance, and improve the stability of the cervical spine, thus consolidating the therapeutic effect and preventing recurrence.
2. Indications and contraindications When the symptoms of various cervical spondylosis are basically relieved or in a chronic state, medical gymnastics can be started to promote the further elimination of symptoms and consolidate the curative effect. When the symptoms are acute, it is necessary to rest locally, and it is not appropriate to increase exercise stimulation. Exercise should be prohibited when there are obvious or progressive symptoms of spinal cord compression, especially when the cervical vertebra moves backward. When cervical spondylosis of vertebral artery type occurs, the neck rotation should be gentle and slow, and the amplitude should be properly controlled.
(5) Nerve block therapy
Intervertebral foramen block (epidural block) and paraspinal sympathetic nerve block are effective treatment methods, and repeated single block or continuous injection of drugs can achieve good results. Block twice a week, 5 times as a course of treatment. Epidural catheter can be injected once a day, and every 5 times is a course of treatment.
Stellate ganglion block is very effective in the treatment of sympathetic cervical spondylosis (generally combined with intervertebral foramen and neck pain point block). The first blocking treatment can often achieve immediate results, but most of them can not maintain long-term curative effect, and it needs repeated surgery to consolidate the effect, at least 2 ~ 4 courses of treatment.
(6) drug therapy
When the symptoms of cervical spondylosis are obvious, drugs are often used as adjuvant treatment to promote the relief of symptoms. Commonly used drugs include antispasmodic analgesics, non-steroidal anti-inflammatory analgesics, neurotrophics and vasodilators. Chinese medicine is also often used.
(7) Psychotherapy
(eight) guidance of daily life activities
1. Pillow and sleep: the center of the pillow should be slightly concave, and the height is 12~ 16cm. Put your neck on the pillow so that your head can stay slightly backward. People who are used to lying on their side should have their pillows shoulder-high. Don't read while sleeping, and don't put your hands above your head for a long time.
2. Avoid neck hyperextension and flexion: Patients with cervical spondylotic myelopathy should avoid neck hyperextension and flexion when washing their faces, brushing their teeth, drinking water and writing.
3. Some daily activities should be stopped: during the illness, you should stop doing some activities that excessively move the cervical spine, such as wiping glass at a height.
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How to treat cervical hyperosteogeny based on syndrome differentiation in TCM?
Traditional Chinese medicine generally advocates that it can be divided into two categories: liver and kidney yin deficiency and qi and blood deficiency. Liver and kidney yin deficiency and qi and blood deficiency include the invasion of rheumatism and cold evil, phlegm-dampness internal resistance, qi stagnation and blood stasis.
(1) exogenous pathogenic block
After middle age, liver and kidney deficiency, qi and blood deficiency, external defense is not solid, rheumatism and cold evil invade deficiency, and qi and blood stagnate, leading to neck and bones obstruction, meridian obstruction, qi and blood loss of temperature and nutrition.
Symptoms: pain in the head and neck, shoulders, back and limbs, local pain, aversion to heat and cold, stiff neck, limited movement, cord-like tenderness point in the back neck, heavy and weak upper limbs, accompanied by heavy head, chest tightness, anorexia, normal or dull tongue, fat tongue or tooth marks, slow or slippery pulse and other symptoms.
Treatment: expelling wind and cold, relaxing meridians and dredging collaterals, and relieving arthralgia.
Prescription: Juanbi Decoction. Notopterygii Rhizoma 15g, Radix Saposhnikoviae 12g, Radix Angelicae Sinensis 12g, Radix Glycyrrhizae Preparata 6g, Radix Paeoniae Alba 12g, Radix Astragali Preparata 15g, Rhizoma Curcumae 12g, Rhizoma Zingiberis Recens 6g, and lignum sappan/kloc-0.
This prescription is designed for those who are more numb and have stronger wind evil than others. If the pain is severe and the cold pathogen is strong, Radix Aconiti Preparata, Radix Aconiti Lateralis Preparata, Asari and Ramulus Cinnamomi are added to dispel cold and relieve pain; If dampness is superior to the winner, Erythrina bark can be added. Weed Passepartout dispels wind and dehumidifies, dredging meridians.
(2) Phlegm-dampness block
After middle age, the kidney qi gradually weakens, the gasification is weak, and the water can't turn into qi, that is, stop hiding and drinking phlegm; Moreover, physical weakness is easy to attract evil wind invasion, wind and phlegm fight each other, blocking the neck meridians and getting sick.
Symptoms: severe pain in the head and neck, discomfort in the shoulders and arms, heavy limbs, head swelling and brain swelling, chest tightness, eating less and sleeping more, white and greasy fur, and heavy and slippery pulse.
Treatment: eliminating dampness and phlegm, regulating qi and dredging collaterals.
Prescription: it refers to the flavored Fuling pill. Poria cocos 12g, Scutellariae Radix 10g, Pericarpium Citri Reticulatae 12g, Schisandra chinensis 10g, Platycodon grandiflorum 6g, Jiang Banxia 9g, Semen Sinapis Albae 10g, Lumbricus 12g, Arisaema cum bile/kloc-0.
This recipe eliminates dampness and phlegm, and regulates qi and collaterals. If you see that meridians are blocked at the same time, you can add Notoginseng Radix, Squama Manis and Lumbricus to help them promote blood circulation, remove blood stasis, dredge collaterals and relieve pain. If you see cold at the same time, you can add cassia twig, notopterygium root, Lingxian, etc. Expelling wind and removing dampness, stopping arthralgia. If dizziness occurs at the same time, Rhizoma Gastrodiae and Atractylodis Macrocephalae are added; Radix Salviae Miltiorrhizae, Fructus Trichosanthis and Radix Curcumae are added for patients with thoracic obstruction.
(3) Qi stagnation and blood stasis
Due to trauma and strain, the gap between the tissues at the edge of the vertebral body bleeds, forming blood stasis, which blocks the meridians.
Symptoms: numbness, tingling, pain in the head, neck, shoulders, back and limbs, refusal to press, aggravated at night, accompanied by dizziness, blurred vision, insomnia, forgetfulness, anxiety, chest tightness, chest pain, irritability, dull complexion, purple tongue, or ecchymosis, thready and astringent pulse.
Treatment: promoting blood circulation, removing blood stasis and dredging meridians.
Prescription: Huayu Tongbi Decoction. Angelica sinensis 18g, Radix Salviae Miltiorrhizae 30g, Caulis Spatholobi 2 1g, Radix Salviae Miltiorrhizae 9g, Rhizoma Corydalis 12g, Radix Puerariae 18g, Caulis et Folium Gaultheriae Yunnanensis 2 1g, Curcuma longa 12g, Pangolin/kloc-.
This recipe promotes blood circulation, removes blood stasis, promotes qi circulation and relieves pain. Ramulus Cinnamomi, Radix Aconiti Kusnezoffii Preparata and Asari are added for common cold; Herba Patriniae and Cortex Moutan are added for those who are hot. Astragalus membranaceus is added for patients with qi deficiency; If phlegm-dampness is seen at the same time, white mustard seed and Arisaema cum bile are added; Bulbus Allii Macrostemon, Radix Curcumae, Fructus Trichosanthis and Rhizoma Pinelliae are added for patients with thoracic obstruction.
(4) Deficiency of both qi and blood
Old age and infirmity, deficiency of qi and blood, dense pathogenesis caused by deficiency of qi, invasion of cold and pathogenic factors, obstruction of meridians, poor circulation of qi and blood, and malnutrition of bones and muscles due to blood deficiency can all cause diseases.
Symptoms: headache and discomfort, numbness in shoulders and arms, less sleep and more dreams, spontaneous sweating and night sweats, dizziness, palpitation, shortness of breath, and pale complexion. Female patients have aggravated symptoms after each menstruation, or menstrual disorder, pale tongue with thin white fur and weak pulse.
Treatment: Yiqi Yangxue, Tongluo Huobi.
Prescription: Huangqi Guizhi Wuwu Decoction. Radix Astragali 1 5g, Radix Paeoniae Rubra 12g, Ramulus Cinnamomi 10g, cornu Cervi Pantotrichum 6g (points), Caulis Spatholobi 15g, Rhizoma Zingiberis Recens 6g, and 4 Chinese dates.
This recipe is beneficial to warming the meridians, harmonizing the camp and removing arthralgia. Patients with rheumatism can choose Lingxian, Caulis et Folium Gaultheriae Yunnanensis, Radix Puerariae, Notopterygii Rhizoma, and parched Fructus Xanthii. Expelling wind, removing dampness and stopping arthralgia should be added. Lumbricus, Semen Persicae, Carthami Flos, and angelica tail are added for blood stasis patients to help them promote blood circulation and remove blood stasis. Kidney deficiency, epimedium, dodder, cibotium, etc. It is advisable to strengthen kidney-yang and dredge the governor.
(5) Deficiency of liver and kidney
Kidney stores essence and governs marrow; Liver stores blood, main reinforcement. Old age and physical decline, liver and kidney essence and blood are getting less and less, and bones and muscles are losing light.
Symptoms: shoulder and neck discomfort, brain swelling and pain, dizziness and tinnitus, inability to turn sideways, accompanied by mental fatigue, forgetfulness and insomnia, soreness of waist and knees, pale tongue with little or no coating, and thready pulse.
Treatment: nourishing yin and tonifying kidney, nourishing yin and calming wind.
Prescription: Zuogui Pill. Radix Rehmanniae Preparata 15g, Rhizoma Dioscoreae 15g, Fructus Corni 12g, Fructus Lycii 15g, Semen Cuscutae 10g, Radix Paeoniae Alba 12g, Concha Haliotidis 15g, Radix Angelicae sinensis 9g, Radix Angelicae Sinensis.
This recipe can nourish liver and kidney and stop wind. If there is rheumatism, add the immortal. Weeds and Pyrola can dispel wind, remove dampness and stop arthralgia.
What Chinese patent medicines are there to treat cervical hyperosteogeny?
(1) Kanggu Zengsheng Pill
Pharmaceutical composition: 3 parts of Radix Rehmanniae Preparata, 2 parts of Cistanche deserticola, 2 parts of Pyrola, 2 parts of Rhizoma Drynariae, 2 parts of Herba Epimedii, 2 parts of Spatholobus Spatholobus, and 0/part of radish seed/kloc.
Efficacy: nourishing liver and kidney, dredging meridians, strengthening tendons and bones.
Indications: Degenerative cervical spondylosis.
Usage and dosage: 5g each time, 2 ~ 3 times a day.
(2) Guci Pill
Pharmaceutical composition: Radix Rehmanniae Preparata, Rhizoma Drynariae, Semen Strychni Preparata, Caulis Spatholobi and Herba Cistanches each 60g, Radix Notoginseng, Olibanum, Myrrha and Rhizoma Chuanxiong each 30g.
Efficacy: tonify liver and kidney, dredge channels and activate collaterals.
Indications: hyperosteogeny.
Administration and dosage: each time 1 capsule (9g), morning and evening 1 time.
(3) Tianma pill
The medicine comprises Rhizoma Gastrodiae, Radix Aucklandiae, Ginseng Radix, Poria, Notopterygii Rhizoma, Radix Angelicae Dahuricae, Polygoni Multiflori Radix, Rhizoma Chuanxiong, Radix Angelicae Sinensis, Herba Ephedrae, Zaocys, Rhizoma Typhonii, Borneolum Syntheticum, Colla cornus Cervi, Flos Chrysanthemi, Radix Rehmanniae, Asari, Calculus Bovis, and Moschus.
Efficacy: Yiqi Qufeng, Xu Anbi to relieve pain.
Indications: Deficiency of wind, weakness of hands and feet, dryness of limbs and numbness of wind.
Usage and dosage: Pills as big as buttonwood, each time 10 pills, three times a day, taken with warm wine.
(4) Liuwei Dihuang Pill
The medicine comprises Radix Rehmanniae Preparata, Corni Fructus, Rhizoma Dioscoreae, Alismatis Rhizoma, Cortex Moutan and Poria.
Efficacy: nourishing yin and essence, nourishing liver and kidney.
Indications: Yin deficiency of liver and kidney, soreness and weakness of waist and knees.
Administration and dosage: each time 1 capsule (9g), three times a day.
(5) Qian Hu Pills
Pharmaceutical composition: Carapax et Plastrum Testudinis, Radix Rehmanniae Preparata, Cortex Phellodendri, Rhizoma Anemarrhenae, Tiger Bone, Herba Cynomorii, Zingiberis Rhizoma, and Pericarpium Citri Tangerinae.
Efficacy: tonify liver and kidney.
Indications: deficiency of liver and kidney, weakness of bones and muscles.
Usage and dosage: wine or porridge paste is a pill, and Jatropha curcas is large, each time 10 pill, three times a day.
(6) Jin Shu Huoluo Pills
The pharmaceutical composition comprises Radix Angelicae Sinensis, Fructus Chaenomelis, Rhizoma Chuanxiong, Ramulus Cinnamomi, Herba Taxilli, Radix Gentianae Macrophyllae, Radix Clematidis, Lumbricus, Radix Angelicae Pubescentis, Radix Paeoniae Rubra, Radix Aconiti, Rhizoma Drynariae, Radix Saposhnikoviae, Rhizoma Gastrodiae, Tiger Bone Glue, Cortex Acanthopanacis, Arisaema cum bile, Olibanum, Myrrha and Radix Rehmanniae Preparata.
Efficacy: relax muscles and promote blood circulation, dispel wind and dredge collaterals.
Indications: rheumatism, cold joint pain, muscle pain, numbness and contracture.
Usage and dosage: 6g each time, 3 times a day.
Details can be found on the website:
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References:
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Prepare a mask, a hot water bottle (containing 500ml of water) and 300ml of Shanxi mature vinegar (the older the better). First, heat the aged vinegar, then soak the mask in the aged vinegar for 15 minutes, then take it out and wring it out slightly (with no dripping water as the degree), then apply the soaked mask on the most painful part of the cervical vertebra, and then cover the mask with a hot water bag filled with hot water at 70 ~ 80℃ for 30 ~ 40 minutes, so that the heat can reach the deep part of the neck through the mask. Do it once a day. If the patient has obvious cervical pain, limited neck movement and dizziness, do it twice a day, once in the morning and once in the evening. 10 day is a course of treatment. Insist on using it for 2 ~ 3 courses of treatment, which can have remarkable effect.
Clinical practice has proved that local wet and hot compress with aged vinegar has unique curative effect, short time, quick response, no adverse reactions and side effects, can delay the development of hyperosteogeny, can obviously improve the symptoms of patients with cervical hyperosteogeny in a short time, and has good analgesic effect.
Cervical spondylosis refers to a syndrome with complicated symptoms caused by hyperosteogeny of cervical vertebra, stimulation and compression of cervical nerve root, spinal cord, vertebral artery and cervical sympathetic nerve. The clinical manifestations are often pain in neck, shoulders, arms, upper scapula and chest area, numbness in arms and hands, muscle atrophy and even quadriplegia. It can occur at any age, especially in middle-aged and elderly people over 40 years old. Periarthritis of shoulder refers to the extensive chronic inflammatory reaction of soft tissues around shoulder joint, such as muscles, tendons, synovial bursa and joint capsule, caused by degenerative changes of shoulder joint and its surrounding soft tissues. Its main characteristics are shoulder pain and limited shoulder movement, which is a common and frequently-occurring disease. Cervical spondylosis and scapulohumeral periarthritis have the characteristics of high incidence, long treatment time and easy recurrence after treatment. At present, surgery, physical therapy and other treatment methods are widely used in China, and the effect is not ideal. Anti-inflammatory therapy is the main method in routine drug treatment, and the recurrence rate is extremely high after drug withdrawal.
After thousands of years of practice, Chinese medicine has left a lot of medical writings, including theories and treatment experiences related to the clinical manifestations of cervical spondylosis and scapulohumeral periarthritis. After a lot of practice and careful observation, the ancients recorded in detail the symptoms and treatment methods of cervical spondylosis and scapulohumeral periarthritis similar to those described today. Cervical spondylosis, scapulohumeral periarthritis, neck, shoulder and arm pain, etc. mostly belong to the category of arthralgia syndrome in traditional Chinese medicine. Traditional Chinese medicine believes that this disease is caused by exogenous pathogenic wind, cold and dampness, which blocks meridians and makes qi and blood impassable, which leads to pain. Qi and blood are blocked, leading to meridian dystrophy, dizziness and headache, and numbness of upper limbs.
Wudang neck-and-shoulder health pillow is based on the principles of benefiting qi and nourishing blood, promoting blood circulation and dredging collaterals, expelling wind and relieving pain, and is refined from precious Wudang Chinese herbal medicines. According to the compatibility of monarch, minister, assistant and envoy, the purpose of warming meridians and dredging collaterals, expelling wind and removing dampness, promoting blood circulation and relieving pain can be achieved.
First of all, the shoulder-neck Wudang health pillow absorbs drugs through the oral cavity, nasopharyngeal mucosa and skin, achieving the expected effect of dredging qi and blood and eliminating clinical symptoms, and playing the role of internal treatment.
Secondly, the medicated pillow, as a kind of neck medicated pad, plays a role in supporting the neck, which can naturally make the head lean back slightly, and the gravity of the head falls backwards and downwards, especially in the sleep state, the neck muscles relax and form a slight neck traction. Through the relief of symptoms, it is proved that it may widen the cervical intervertebral space, reduce the oppression of cervical lesions on local nerves, relieve the fatigue caused by neck imbalance caused by long-term work and study during the day, and play the role of external treatment.
Wudang health pillow can quickly improve local blood circulation, promote metabolism, eliminate local aseptic inflammation, help to relieve soft tissue adhesion of neck and shoulder, effectively restore the normal physiological function of cervical vertebra and related tissues, quickly relieve aseptic inflammation of diseased parts in the shortest time, and relieve pain, soreness and numbness of neck, shoulder, back and pillow. Effectively relieve the symptoms of cervical spondylosis such as neck stiffness, stiffness, pain, limited neck movement, heavy shoulders, stiff muscles, weakness of upper limbs, numbness of fingers, hypoesthesia of limb skin, involuntary falling of objects in hands, headache, dizziness, decreased vision, tinnitus, nausea, etc. It can also effectively relieve the symptoms of scapulohumeral periarthritis, such as shoulder pain, tenderness, inconvenient movement, inability to press the shoulder when sleeping, sometimes waking up at night, shoulder joint adhesion, obviously limited motor function, local muscle stiffness, tension or muscle atrophy. Finally, the cervical hyperosteogeny and cervical disc herniation were removed, and the disease was eradicated.
Wudang health pillow can solve all kinds of neck and shoulder patients for you, and we feel honored and proud to provide you with such high-quality health pillow.
How to prevent and treat cervical spondylosis correctly and effectively
Source: University Time 2005-11-2316: 08: 22 Reading 383
I don't know if you have noticed that when your legs are tired in the day's life and work, you can rest your legs by sitting or squatting for a while. When your arms are tired, stop moving your arms or rest on the armrest of the sofa for a while, and you will soon be tired.
You will be relieved. When you sit, stand, squat and walk, only your neck is working. Until I go to bed, I rarely have a chance to lie down and rest my neck during the day. That is to say, people's neck work much longer than other parts of the human body, especially with the development of modern industry, technology and civilization, indoor and mental work is increasing, while manual work and exercise are decreasing. However, you can't lack the activity of the neck. Even when you are sitting there listening to a class, having a meeting or even thinking quietly, the muscles of the cervical spine must try their best to keep the proper position of the head, so that you can concentrate on what you have done and what you have learned. If your work needs to turn left and right constantly and look up, then the workload of your neck is even greater. If you compare the musculoskeletal features of the neck with those of thighs and arms, you will find how weak the neck is! Such a weak cervical vertebra needs to work for a long time to keep the position of the head and ensure the needs of various activities of the human body. The above facts illustrate a problem: people's necks are really too "hard" in daily life and work, so they are too easy to strain and have problems. If you don't give it a good support (pillow and bed) and rest at night after a hard day's work, isn't it worse, and it will also aggravate its strain and degradation? It can be seen that the cervical vertebra is like some parts in a machine, which is key, dexterous and most easily worn.
The structure of human neck (cervical vertebra) is suitable for human needs. In order to ensure the flexibility of head movement and meet the needs of sitting and walking in daily life and work, the structure of cervical vertebrae is light and complicated, and the neck muscles are numerous but slender. This makes the cervical vertebra the part with the largest range of motion in the spine, which can not only bend back and forth, but also tilt and rotate left and right, and can also do various compound movements. At the same time, in order to protect the safety and smooth communication of the highest command organ of the human body (the brain in the skull), the cervical vertebra should not only bear the weight of the skull and cushion the impact on the brain when walking, jumping and other activities, but also ensure that the vertebral artery located at its transverse process is not oppressed, so that the brain can get sufficient blood oxygen supply, and at the same time ensure that the normal structure and function of the spinal cord and nerves leading to the whole body in its spinal canal are not affected. This in turn makes the cervical spine the most complex and functional part of the spine. The uppermost two parts of the cervical vertebra (atlantoaxial) have the largest rotational activity. There is a small hole in the transverse process of other cervical vertebrae, through which two vertebral arteries pass to supply nutrients (blood and oxygen) to the brain. As we all know, the brain is the highest command of the human body, and all activities of the whole body are subject to its command. The tissues that transmit brain instructions (spinal cord and nerves) must pass through the cervical spine. Therefore, cervical spine injury will not only cause neck pain, but also cause far-end symptoms such as urinary incontinence, limb paralysis and numbness due to the influence of brain center on limb sensation and movement. From these special anatomical structures, it is not difficult to understand how important the cervical spine is in people's lives, and it is not difficult to understand why the cervical spine not only has local symptoms, but also affects other parts of the body, including feet and hands far away from the cervical spine. Considering the complex structure of cervical spine, it is not difficult to understand the complexity and diversity of cervical lesions. For example, the spinous process of cervical spine grows relatively large behind the spinal canal, which may lead to tight legs and difficulty in walking, thus leading to cervical spondylotic myelopathy. If the bone spurs are on the lateral and posterior sides, it is easier to stimulate the cervical nerve roots, causing symptoms such as finger numbness, and forming cervical spondylotic radiculopathy. If there is a bone spur on the side of the cervical vertebra, it is easy to stimulate the vertebral artery next to it and cause dizziness, sudden collapse and other symptoms of cervical spondylosis of vertebral artery type. If cervical spondylosis affects sympathetic nerves, it will also cause symptoms of sympathetic cervical spondylosis such as headache, dizziness, visual impairment and palpitation. But simple cervical spondylosis is rare, and two types of mixed cervical spondylosis are the most common. We can also see how complicated cervical spondylosis is and how extensive its influence is. The impact on life and work is also obvious. It seems that cervical spine spurs alone can cause cervical spondylosis, but the actual situation is much more complicated than this. The formation of bone spur is a kind of compensatory self-protection under human aging. Almost everyone will have different degrees of hyperosteogeny after middle age, but most people don't feel any discomfort. Even if they see hyperosteogeny in photos, they can't be diagnosed as cervical spondylosis. Only when the cervical vertebra is unable to compensate, and a series of pathological changes appear in various parts of the cervical vertebra, such as dehydration and thinning of cervical intervertebral disc, hypertrophy, looseness and instability of cervical facet joints, hypertrophy and calcification of adjacent ligaments, and weakness of neck muscles, can hyperostosis play a certain role in the pathogenesis. The above lesions of cervical vertebrae, bones, joints, intervertebral discs, etc. They are all so-called internal balance disorders of cervical spine, and the changes of soft tissues such as cervical muscles and ligaments are so-called external balance disorders. Under normal circumstances, the internal and external balance, one hard and one soft, complement each other, * * * cooperate to maintain normal cervical function. The single or combined disorder of the two is the general cause of cervical spondylosis.
So, what factors caused this imbalance of cervical spine? In addition to the structure and function of cervical spine mentioned at the beginning of this paper, it is also related to the changes of people's living habits, work nature and diet structure. For example, the progress of science has greatly reduced people's physical labor, but when people sit in front of the computer in the office or work at their desks, the work of cervical vertebrae has not decreased (in fact, it has increased relatively). On the contrary, due to the decrease of whole body activity, the coordinated movement of cervical spine bones and muscles is affected, making it relatively weak and more prone to strain. First, it affects muscle strength. Because of working in a single posture for a long time, it is easy to strain and weaken, and it is impossible to maintain the stability of internal balance (normal arrangement, bearing and activity of cervical vertebrae), which will cause changes in the physiological curve of cervical vertebrae, disorder of cervical facet joints and changes in the load mechanics of cervical vertebrae. This bad mechanical change increases the burden of cervical muscles and aggravates the imbalance of cervical balance, and the two interact with each other to form a vicious circle. The decrease of people's exercise, unreasonable diet structure and drug abuse (especially hormone drugs) have led to the decrease of calcium and bone mineral density in the body. This has formed the internal basis of cervical vertebra bone degeneration. New research shows that the autoimmune changes of cervical intervertebral disc tissue also play an important role. These indicate that the etiology of cervical spondylosis is multifaceted and comprehensive.
Knowing this, it is not difficult to understand how to prevent and treat cervical spondylosis. In terms of treatment, it seems to be a doctor's business, but in fact, for most patients with cervical spondylosis, self-treatment and prevention of patients are more important. How to do it specifically?
1. First of all, if you have symptoms such as neck pain, numbness of fingers, dizziness, nausea, palpitation, tight legs, difficulty walking, or even sudden fall, you should see a doctor in time and ask a doctor to check whether you have cervical spondylosis. Early and timely treatment is very important. Delaying treatment is not only a difference in effect, but also brings irreparable losses. For example, early treatment of cervical spondylotic radiculopathy may avoid the formation of muscle atrophy; Timely treatment of cervical spondylosis of carotid type can prevent sudden onset, sudden collapse and terrible accidents. Early detection and treatment of cervical spondylotic myelopathy can avoid major surgical treatment through non-surgical treatment. What is emphasized here is the importance of early diagnosis and timely treatment.
2. Secondly, cervical spondylosis is a common and frequently-occurring disease. In the attitude towards diseases, we should prevent two situations. One is that some patients panic when they hear cervical spondylosis, fearing that it will cause paralysis. In fact, the proportion of cervical spondylotic myelopathy is very small (about 10%), and even fewer cases develop into paralysis. The key is early detection and early treatment. Another tendency is indifference, not paying attention to treatment, and stopping treatment when the condition improves slightly, leading to frequent attacks and gradually aggravating symptoms. To this end, we should especially emphasize the importance of persisting in treatment, not stopping treatment and giving up all efforts.
3. Because cervical spondylosis not only has pathological changes such as degeneration, hyperplasia, dislocation, inflammation and autoimmune reaction of internal balance (cervical vertebrae, joints, intervertebral discs, etc.). ), but also has the imbalance of external balance such as neck muscles and ligaments. At the same time, we should give consideration to both inside and outside. Specifically, it is necessary to take comprehensive treatment. Practice has proved that the effect of single treatment is poor. Commonly used treatment methods include physical therapy, massage, sealing, traction, medicine and surgery. Each treatment has a different effect on everyone, and the treatment that is effective for A is often ineffective for B, so we should pay attention to finding the most effective method for ourselves. A typical example is that some people have a good traction effect, while others are not only ineffective, but even more uncomfortable. The Institute of Orthopedics and Traumatology, Chinese Academy of Traditional Chinese Medicine (Beixincang, Dongzhimen, Beijing 18) has a special cervical spondylosis laboratory, which has been engaged in the research and treatment of cervical spondylosis for a long time, and has achieved many research results in the treatment of cervical spondylosis with integrated traditional Chinese and western medicine, greatly improving the treatment effect of cervical spondylosis.
On the surface, cervical spondylosis is a local lesion of the neck, but in fact it is a local reaction of systemic lesions. In prevention and treatment, we must start from the whole body. At ordinary times, it is necessary to increase certain physical activities and improve the overall physical fitness level. In terms of diet, we should pay attention to reasonable collocation and increase some foods rich in calcium, relaxing muscles and activating collaterals and nourishing liver and kidney. Such as yam, longan, black sesame, papaya, ribs and so on. From the viewpoint of traditional Chinese medicine and recent research results, nourishing liver and kidney, strengthening tendons and bones can delay degeneration, inhibit hyperplasia and prolong life.
5. Pay attention to the posture and movement of the cervical spine. For those who work long hours, such as accountants, secretaries, editors, writers, draftsmen, computer users, etc. First, we should pay attention to adjusting our sitting posture and the height of desks and chairs, and second, we should avoid cervical strain caused by long-term persistence in work. The effective method is to increase interval training. After every 60 minutes of work, stop for a moment, put your hands and fingers crossed behind your neck, and actively stretch your neck backwards while holding your neck forward, and work continuously for 30-50 times to exercise your neck muscles and increase the stability of external balance. Some people, including some "Qigong masters" and other non-professional medical personnel, make patients do a big head-turning exercise. Although some people feel comfortable temporarily after doing it, it is unreasonable and even harmful. Just like the bearing of a machine, after long-term operation, it has caused serious wear and tear. If excessive and large-scale cervical rotation and other improper exercise methods are adopted, it will only aggravate the wear and tear of the cervical spine, which will not pay off. The comfort after this kind of exercise is short-lived, but the harm it brings is lasting. For the complicated human cervical vertebra, it is more likely to cause the abrasion and instability of the cervical vertebra, and even cause serious complications such as dizziness and collapse. In the same way, not every case of cervical spondylosis is suitable for massage or repeated activities to rotate the neck to treat. Some patients may be addicted to it, or form a habitual dislocation of the cervical spine, which can get better quickly and get worse quickly. In addition, patients with cervical spondylotic myelopathy should be more cautious, and improper handling will cause serious consequences such as spinal cord compression and sprain. Such complications are reported from time to time, which should be paid great attention to.
6. Normal cervical spine has a physiological curvature that bends forward. A day's fatigue of cervical vertebra is not only the basic condition to ensure that cervical vertebra muscles can get full rest, but also one of the key factors to prevent cervical vertebra strain. Do the math, and you will be surprised. About one-third of a person's life is spent in sleep, which determines the importance of sleeping position and pillow suitability. More and more studies have proved this point, and a wide variety of medicinal pillows on the market have also indirectly proved this point. A suitable pillow is not only helpful to prevent cervical strain, but also one of the effective methods to treat cervical spondylosis.
With the development of science, people will have a deeper understanding of cervical spondylosis, and it is entirely possible to prevent or delay the occurrence of cervical spondylosis. Once you get cervical spondylosis, as long as you stick to the treatment correctly, the effect is satisfactory. But you should remember that a cheerful heart and firm belief are the first condition and the most effective treatment, and all other therapies should play a role on this premise. On the contrary, depression often inhibits muscle vitality, causing muscle tension and stiffness, resulting in increased burden on cervical spine and pain and discomfort. The purpose of this article is only one: I wish you health and happiness or get rid of the pain of cervical spondylosis as soon as possible and enjoy a better life on the earth.