There may be something wrong with the cervical spine. There is a way to protect the cervical spine. Cctv international August 2004 10 15:44 1. Tao Jin, deputy chief physician of Beijing Massage Hospital, has been engaged in Chinese massage for 13 years and has rich experience in conservative treatment of cervical spondylosis and lumbar disc herniation. (left) 2. The deputy chief physician of Wang Jintao Jingjing Massage Hospital has been engaged in TCM massage for more than 20 years and has rich experience in treating diseases in TCM. He has excellent medical skills in treating neck, shoulder, waist and leg pain with massage. (Right) Moderator: Hello, audience friends! This is CCTV's live program "The Road to Health". Today we are going to talk about cervical vertebrae. Moderator: Is cervical spondylosis related to occupational characteristics? Tao Jin: The relationship between cervical spondylosis and occupation is still very close. People who often bow their heads or need to maintain a certain posture for a long time are prone to cervical spondylosis. Moderator: What is the age structure of patients diagnosed daily? Tao Jin: Generally speaking, they are between 30 and 50 years old. In recent years, they are younger. Many young people in their twenties also suffer from cervical spondylosis. Wang Jintao: After the age of 20, the human body will undergo different degrees of transformation, such as hyperplasia, muscle tension and strain. By the age of 30-50, the factors of transformation will be greater, and some colds and posture errors will accelerate the occurrence of cervical spondylosis. Moderator: Why are so many young people suffering from cervical spondylosis now? Tao Jin: This is mainly related to their bad living habits or work. For example, many students need to bend their heads to read and write for a long time. In addition, with the wide application of network computers, if you keep a posture for a long time, the muscles of the neck and shoulders will be tense, and the flexion of the cervical spine will also change, leading to cervical spondylosis. Moderator: Who are the specific people who are prone to cervical spondylosis? Tao Jin: For example, accountants, computer operators and dentists. Moderator: Some netizens asked him (38 years old) that his neck was injured ten years ago, and now he feels stiff on cloudy days, and both sides of his cervical vertebra are sore. Is this cervical spondylosis? Wang Jintao: The patient suffered from trauma. Due to professional relationship, the muscles of the neck and back are often in a state of tension, which belongs to mild cervical spondylosis. Moderator: Is neck trauma the main cause of cervical spondylosis? Wang Jintao: Yes. For example, we often take a car, especially when braking, which can easily lead to a sudden head tilt back, leading to an acute attack of cervical spondylosis. Moderator: Why do people who often bow their heads at their desks easily get cervical spondylosis? Tao Jin: Because the cervical vertebra itself has a normal physiological flexion, long-term bowing will change this normal physiological flexion, and then it will cause many other changes of the cervical vertebra, such as relaxation, hyperplasia, neck muscle tension, stimulation of peripheral nerves or blood vessels, resulting in changes of cervical spondylosis. Moderator: Let's watch a film; Narrator: Aunt Yu is 62 years old. She doesn't want to stay at home after retirement. She found a job in an enterprise. She is very strong and confident about her health, and she is meticulous and hardworking in her work. Aunt Yu: This job itself is a desk job. I always write and draw all day. After a long time, I feel particularly uncomfortable with my neck. It is especially painful when the cervical spine is recurved. At that time, I didn't think it was cervical spondylosis. I thought it was something else, so I didn't care. One day, after my neighbor came, he talked with me for a long time, and kept a posture from eight to twelve. I found that I couldn't get up in the morning, and I was dizzy. I began to feel dizzy, nausea and vomiting, and finally I almost vomited everything in my stomach. Narrator: Aunt Yu, accompanied by her family, went to the hospital and was diagnosed with cervical spondylosis. Wang Jintao: According to the different pathogenesis, symptoms and signs, cervical spondylosis can be divided into six types. The first type is cervical spondylosis, which will cause pain in the neck and back, and there will be no symptoms of pain and numbness in the upper limbs. The second type is nerve root type, which is mainly the stiffness, tension and pain of neck and back muscles, accompanied by pain and numbness of upper limbs. The third type is cervical spondylosis of vertebral artery type. Auntie Yu's nausea and vomiting is caused by compression of vertebral artery. The fourth type is sympathetic cervical spondylosis, which means that Auntie was later flustered and chest tightness. The fifth type is cervical spondylotic myelopathy, which is also a more serious one. Compressing the spinal cord can cause numbness of limbs, weakness of walking and even paralysis of lower limbs. Moderator: What kind of cervical spondylosis did Aunt Yu get? Wang Jintao: Aunt Yu belongs to mixed cervical spondylosis. Mixed cervical spondylosis includes dizziness, nausea, tinnitus, vomiting and neck movement disorder in the symptoms of vertebral artery cervical spondylosis, as well as palpitation and chest tightness in the symptoms of sympathetic cervical spondylosis. Combined with clinical imaging examination, we diagnosed mixed cervical spondylosis. Moderator: I sometimes have some noises when my neck moves. Is this an early sign of cervical spondylosis? Wang Jintao: This may be an early reflection of cervical spondylosis, which may be caused by nervousness, long working hours and catching cold. Tao Jin: Among these types of cervical spondylosis, cervical spondylosis is relatively mild. Cervical spondylotic myelopathy (CSM) is a kind of serious cervical spondylosis, which may cause some symptoms of lower limbs, such as numbness, chills, clumsy walking and leg weakness. , and even lead to paralysis and incontinence. Moderator: Under what circumstances should patients go to the hospital to seek the help of doctors? Tao Jin: Generally speaking, if you often have neck and shoulder pain, or if you often have stiff neck, or if you sometimes have numbness and pain in your hands, you should seek the help of a doctor. Moderator: How do doctors diagnose patients with cervical spondylosis? Wang Jintao: TCM pays attention to syndrome differentiation and treatment. It looks, listens, asks questions, and then passes some tests such as image inspection and X-ray. Tao Jin: We can also make a definite diagnosis by combining some clinical examinations and imaging examinations with the symptoms of patients. Moderator: Let's see how Aunt Yu received treatment: Narrator: After analysis, Aunt Yu was caused by long-term bad posture. The doctor thinks that Aunt Yu is slightly ill and can be treated conservatively. Doctor: Our treatment is mainly manipulation, followed by physical therapy, and then traction, which is to relieve symptoms. Compere: Is there any other way to treat cervical spondylosis besides Chinese massage? Wang Jintao: Massage has been clinically proved to be the main method. Other methods include fumigation, acupuncture, cupping and scraping. Tao Jin: The treatment of cervical spondylosis is mainly conservative treatment and surgical treatment of western medicine. Whether the patient needs surgery or not requires certain indications, and it is not necessary to operate immediately if there is cervical spondylosis. Compere: Is massage the most effective method? Tao Jin: Massage should be said to be a better method in the conservative treatment of cervical spondylosis. Wang Jintao: Massage can not only relax muscles, but also accelerate blood circulation, thus relaxing muscles and promoting blood circulation. The most important thing is that it can regulate menstruation and abdomen and lubricate joints. Moderator: What kind of treatment should be adopted for some severe patients, such as lower limb paralysis? Tao Jin: This kind of patients are not suitable for conservative methods such as massage, and need western medicine surgery. Moderator: Let's take a look at the therapeutic effect of Aunt Yu. Narrator: After nearly three months of treatment and aftercare, Aunt Yu's condition has improved. When we visited her in the hospital again, we saw a fresh and light aunt Yu. Aunt Yu: I feel much better now, thanks to the treatment in the hospital. Now my head is not dizzy, my hands are not so numb, and now my head can move freely. Moderator: Ms. Wang from Xiamen, 62 years old. I used to have cervical discomfort. Now I sleep at night, my arms are numb, and I wake up occasionally. Is my cervical spondylosis worse than before? Is the earlier treatment, the better? Tao Jin: The patient's cervical spondylosis is getting more and more serious, which has developed from the initial cervical spondylosis to nerve root cervical spondylosis. If the treatment is carried out when the neck feels uncomfortable in the early stage, the treatment effect will definitely be better than now. Cervical spondylosis has a gradual process, and there are few sudden situations. Moderator: Is it possible for Aunt Yu to relapse after treatment? Wang Jintao: Recurrence is a common problem in the treatment of cervical spondylosis. Aunt Yu should pay attention not to pose for a long time, but also to keep warm. Moderator: Some netizens asked, sometimes I feel my neck hurts when I get up early, and I can't move. Is it a harbinger of cervical spondylosis? Wang Jintao: We should consider whether the height of the pillow is appropriate, whether the sleeping position is correct, whether we catch a cold on the first day, and so on. First consider whether you have a stiff neck. Tao Jin: If this kind of stiff neck happens frequently, it may be cervical spondylosis. Stiff neck usually heals itself in about a week. Moderator: Let's do a neck self-care exercise: self-care "Mizi exercise" When doing Mizi exercise, you should stand upright, your hands droop naturally, hold your chest out, look forward, bend your neck to the left, inhale, exhale when you recover, and then bend to the right. Bend your neck forward and put your chin on your chest. Stretch the back of the neck to the maximum. Swing your head obliquely to the left to the maximum, and cooperate with breathing. Swing obliquely upward again to the maximum. Swing your head diagonally downward to the left to the maximum, and then diagonally downward to the right to the maximum. Self-massage and health care of the neck Raise your right hand, bend your fingers, bend your index finger, middle finger, ring finger and little finger, from top to bottom, from light to heavy, and hold it in the neck for 3-5 times. Then raise your other hand and do it again in the same way. Hold the right neck and shoulder with your left hand for 3-5 times, and then hold the left neck and shoulder with your right hand for 3-5 times. Knead the Fengchi point with both hands and thumbs, and you will feel sore after half a minute. The neck bends forward and then stretches, bends left and right, and the head moves in a circular motion, and then rotates clockwise and counterclockwise. Compere: Is this kind of aerobics suitable for everyone? Wang Jintao: No. For example, people with dizziness, nausea, vomiting and other symptoms should use it with caution, and excessive activity will aggravate the condition. Tao Jin: Patients with cervical spondylosis of vertebral artery type and those with dizziness should use it with caution. Other people with cervical spondylosis and those without cervical spondylosis can practice this exercise. Moderator: Let's watch a video about choosing pillows: Dian 1. It is best to choose a pillow core made of buckwheat skin. 2. The shoulder width divided by the head width and then divided by two is equal to the appropriate pillow height. Don't let your neck hang in the air to avoid uneven stress.
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