How to treat myelopathy?

The first reason is nervousness. Keep your head and neck in a single posture for a long time, and work with your head down for a long time is easy to get cervical spondylosis. Second, head and neck trauma. 50% of cervical spondylotic myelopathy is related to neck trauma. In some patients, the cervical spinal canal is in a critical state of stenosis due to cervical hyperosteogeny, cervical disc herniation and soft tissue lesions in the spinal canal, and neck trauma often induces symptoms. Third, bad posture. Such as lying in bed watching TV, reading books, raising pillows, sitting and sleeping, etc. When sleeping in the car, the muscle protection is poor, and neck injury is easy to occur when braking. Fourth, chronic infection. Mainly pharyngitis, followed by dental caries, periodontitis and otitis media. Five, cold and wet factors. Wind, cold and humidity in the external environment can reduce the body's tolerance to pain, which can cause muscle spasm, small blood vessel contraction, slow lymphatic reflux, blood circulation disorder in soft tissues, and then produce aseptic inflammation. Sixth, cervical dysplasia. Congenital spinal stenosis and cervical degeneration are the etiological basis of some cervical spondylosis. Western medicine can play an auxiliary role in the symptomatic treatment of this disease, including analgesics, sedatives and vitamins (such as B 1, B 12). Vasodilators and Chinese herbal medicines can be used in hospitals, which has a certain effect on relieving symptoms. Traditional Chinese medicine can treat the disease, but it has great side effects and great damage to liver, kidney and gastrointestinal tract. Therefore, it is best to choose Huang's external Chinese medicine powder package, which permeates from the epidermis and the medicine into the bones, without side effects, and has a thorough cure effect on cervical spondylosis. Massage therapy is an important part of Chinese medicine. During treatment, there is no need to take medicine or injection, only doctors' hands and simple instruments are used to massage some parts of the body or acupoints along the route of meridian circulation and the direction of qi and blood circulation, so as to achieve the purpose of treatment. However, it is forbidden to massage in acute phase or acute attack period, otherwise it will aggravate the inflammation and edema of nerve roots and aggravate the pain. Cervical spondylosis is accompanied by fracture, bone and joint structural disorder, osteoarthritis and severe senile osteoporosis. Massage can destroy bones and spread infections, so this therapy should be banned. Compared with the external traditional Chinese medicine powder bag for treating cervical spondylosis, the external traditional Chinese medicine powder bag for treating cervical spondylosis has the greatest advantage that it relies on external direct infiltration, does not need to be taken orally and is not absorbed through the stomach, so it does not harm the liver, gallbladder, spleen and kidney. And there are no side effects. The disadvantage is that the effect is slow. The Chinese medicinal powder bag for external use of yellow follows the painless principle of the general principles of traditional Chinese medicine, with ideal effect, no side effects and definite curative effect on cervical spondylosis. Self-exercise therapy 1, neck exercise: head forward ten times, back ten times, left ten times and right ten times. Then shake your head slowly, turn left ten times and turn right ten times. 2. Shake the upper limb: shake the left arm 20 times, and then shake the right arm 20 times. 3. Grab an empty finger; You can do cervical spondylosis 50 times by stretching your arms horizontally and flexing your hands and fingers. 4. Local massage: You can find tenderness points, induration points or muscle tightness near the neck, Dazhui point and Fengchi point, and massage and pinch at these reaction points. 5, far point: look for the tender points on the back of the hand, the back of the foot, the anterolateral side of the small buttock and the lateral side of the calf. Acupoint massage at this reaction point. 6, rubbing the waist: two palms combined with rubbing heat, and then rubbing the waist with both hands, you can rub up and down 50 times. 7. Pinch the ankle tendon: replace the ankle tendon with both hands. 8. Pinch the middle point with your thumb and forefinger. 9. Ear up; Pull your ear with your hand, and then rub it until it gets hot. You can operate on your own once a day. The technique is from light to heavy, and patience is the measure. According to the law, the operation can take effect in 1-2 months. Exercise therapy 1. The role of exercise therapy: the exercise therapy of cervical spondylosis is mainly to do medical gymnastics. The purpose and function of medical gymnastics for cervical spondylosis are mainly in two aspects: (1) through relaxation exercises in all directions of the neck, the blood circulation in the neck area is activated to eliminate congestion and edema, and at the same time, the cervical ligament is pulled to relax the spasmodic muscles, thus alleviating the 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 further eliminate the 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. Traction therapy "traction" was one of the first choice methods to treat cervical spondylosis in the past, but in recent years, it has been found that many patients with cervical spondylosis, especially those who have used "traction" for a long time, have not alleviated cervical spondylosis, but have aggravated it. The expected effect of using "traction" is: 1. Increase intervertebral space. 2. Relax the muscles at the back of the neck. 3. Release nerve root compression. However, the actual clinical application found that these effects are not obvious. Precautions for preoperative surgical treatment: 1. Practice lying flat before operation to meet the requirements of postoperative lying position. 2. Use the urinal on the training bed to avoid being unaccustomed to defecation in supine position after operation. 3, complete the relevant inspection items, understand the purpose, effect and possible situation of the operation, as well as the cooperation between treatment and nursing. Postoperative: 1. Turn over every 2 hours after operation (assisted by medical staff in the early stage). Turn over should keep the head, neck and spine in a straight line, alternately supine and left and right lateral positions. 2. The height of the pillow should be appropriate after the operation, and it should not be too high when lying on your back. When you lie on your side, the pillow can be slightly higher, so that your neck and trunk can be kept in a straight line and will not be biased to one side. 3, postoperative limb numbness, pain symptoms aggravated or loss of sensation, incontinence, timely report to the medical staff. 4. 1~2 weeks later, the muscle strength of limbs relaxes and contracts, and all joints move, such as fist-clenching, ankle pump movement, quadriceps femoris movement, etc. 5. The neck should be fixed when leaving the bed to avoid violent rotation of the neck. 6. Fix the neck circumference for 2~4 weeks or follow the doctor's advice. Take out the neck circumference when resting in bed. 7, strengthen the neck function exercise, such as flexion and extension, left and right lateral flexion, left and right rotation and other sports, in order to enhance the neck muscle strength. 8, to prevent the occurrence of accidental injuries, such as excessive neck flexion, excessive rotation, neck overload backlog and violent shaking of the head and neck 9, regular review according to the doctor's advice. Daily therapy can be mastered by yourself at home and in the workplace: strengthen muscle exercise: sitting or prone position, put both upper limbs straight behind your back, cross your hands and fingers (if crossing is difficult, don't cross them), stretch your arms backwards, raise your head as hard as possible (it should be slow), tighten the muscles between the back neck and scapula as much as possible, and stop to return to normal posture after 10 seconds, and relax the tightened muscles as much as possible. After resting 10 seconds, do the above exercise again and stop when you feel tired or slightly sweaty. It is not advisable to exercise too much at a time, just 3-5 times a day. This exercise should not be carried out in a standing position to avoid falling down due to dizziness. Regular exercise can effectively promote the recovery of physiological curvature of cervical spine, enhance related muscle strength and enhance the stability of cervical spine. Patients with cervical tuberculosis, bone tumors, fractures and other special diseases are prohibited from doing neck exercises. Absorb the essence of nature, and the sunshine in spring is abundant and pleasant. Sunbathing can make the human body fully absorb vitamin D. Vitamin D can promote the absorption of calcium and strengthen bones, which is very helpful for maintaining the stability and health of cervical vertebrae. Sunbathing can also dispel cold and promote blood circulation, and has a certain regulatory effect on cervical spondylosis with wind-cold-dampness blocking meridians. In line with the trend of the times, when spring blossoms, people go out of the air-conditioned room and exercise their muscles outdoors, which is very beneficial to patients with cervical spondylosis. Flying kites, the most suitable activity for patients with cervical spondylosis, has also become popular in spring. Flying a kite can not only exercise the neck muscles, keep the physiological curvature of the cervical vertebra, but also exercise the shoulder muscles. For patients with early cervical spondylosis, flying kites in spring can even completely avoid neck and shoulder pain. High-quality sleep is the guarantee, and spring night is a natural nursery. Without the irritability of Leng Xia in winter, with high-quality bedding, the "spring sleep" of patients with cervical spondylosis can be "oblivious". Diet therapy Because cervical spondylosis is caused by vertebral hyperplasia and osteoporosis, patients with cervical spondylosis should take a diet rich in calcium, protein, vitamin B, vitamin C and vitamin E, in which calcium is the main component of bones, and milk, fish, pigtail bone, soybeans, black beans and other contents are the majority. Protein is also an indispensable nutrient for forming ligaments, bones and muscles. Vitamins B and E can relieve pain. Relieve fatigue. In addition, if cervical spondylosis belongs to damp-heat obstruction, you should eat more fruits and vegetables such as pueraria lobata, bitter gourd and loofah. If it is cold and dampness blocking collaterals, eat more dog meat and mutton to warm the meridians and dispel the cold; In the case of blood deficiency and qi stagnation, you should eat more cock, carp, black beans and other foods. Actively seek health. In spring, human cells are active and metabolized vigorously, and they can absorb a lot of nutrients. Patients can make full use of this to supplement nutrition and regulate body function. Eating more "braised chicken with mulberry branches", "stewed pork spine with pueraria lobata" and "stewed fish head with gastrodia elata" has a good effect on treating cervical spondylosis. Drink more bone soup and eat more soy products and dairy products to supplement calcium.