Photography 1 scratching the soles of feet

If the human cervical vertebra is seriously congested and compresses the spinal cord, then the distance from paralysis may be only "1mm", and a casual action will make people unconscious. Yang Jincai, deputy director of the Department of Orthopaedics, Beichao Hospital affiliated to Capital Medical University, reminded that cervical spondylotic myelopathy belongs to senile degeneration, with no obvious symptoms and great harm, so more attention should be paid to it. What detection methods can be found early at home?

Cervical spondylosis is a degenerative disease of the elderly, such as aging and protrusion of intervertebral disc, hyperosteogeny and ligament hypertrophy. These structural changes will narrow the spinal canal and cause various types of cervical spondylosis.

Cervical spondylotic myelopathy is the most serious type of cervical spondylosis, which narrows the spinal canal and compresses the spinal cord. In addition, there is less cerebrospinal fluid to protect the spinal cord and buffer the spinal cord movement. Under the sudden external force, the cervical spinal cord is easily injured.

Spinal cord belongs to the central nervous system and is in charge of motor, sensory and respiratory functions.

After the spinal cord is compressed, sudden flexion (arching) or excessive stretching (lifting) at ordinary times and slight bump may cause cervical spinal cord injury, leading to serious consequences such as limb paralysis, high paraplegia and even death.

Cervical spondylotic myelopathy is very dangerous, but the patient has no obvious pain, so it is often ignored. At the scene of the program, Director Yang brought three self-test methods to help find problems as soon as possible.

Normal people's cerebral cortex (that is, consciousness) will send out electrical signals, which will be transmitted to the limbs through the spinal cord, making them walk and take things.

When the spinal cord is compressed, the conduction path will slow down or be blocked, and the movement will also be hindered. Displayed as:

Numbness of upper limbs, weakness and inflexibility of hands;

Numbness of lower limbs, unsteady pace.

1 Self-test Method 1: Finger flick

When our upper limbs are numb and we can't finish the fine movements such as buttoning and grasping chopsticks, we can "snap our fingers" to test it.

Methods: Let the patient's hand relax completely. Another person picks up the patient's middle finger with his middle finger, and then taps the patient's middle finger with his thumb.

Observe the changes of other fingers. If other fingers shake obviously, it means that there is something wrong with the cervical spine and MRI screening is needed.

2 self-test method 2: knee jerk reflex

If it is only a single numbness and pain in the lower limbs, it is more likely to be a lumbar problem; But if you walk unsteadily and don't listen to instructions, it feels like stepping on cotton, which may be a problem above the waist. You can do a "knee jump" test.

Methods: The patient sat on a stool, crossed his legs to relax, and another person could tap the patellar ligament of the patient with his mobile phone.

Observe the toe reflex of the patient. It is normal for toes to bounce slightly with tapping, but if toes bounce too much, it seems to jump out, which means there is something wrong and you need to see a doctor for screening.

3 Self-test Method 3: Scratch the soles of your feet

Method: You can draw a circle from the outside of your foot to the middle with your home key. Under normal circumstances, patients' toes will curl up when they feel scratched; When something goes wrong, the soles of the feet and toes will open.

The above three self-test methods are preliminary judgments, and the specific diagnosis needs to consult a professional doctor.

Director Yang said that the distance of paralysis is only 1 mm, which is an image metaphor. Cervical spondylotic myelopathy has great potential risk, and careless collision and sprain may lead to paralysis and other serious situations. Therefore, once diagnosed, it is recommended to operate immediately.

Case: Uncle Xu, 77 years old, usually walks unsteadily, thinking that he didn't care when he was old. 165438+ Last year1On the morning of October 30th, when I was on the bus, I suddenly braked and fell down, and I fell to my cervical vertebra. At that time, the limbs could not move, only a little feeling. I had an emergency operation and was successfully rescued. Now, Uncle Xu can move his fingers flexibly and walk a few steps with crutches through rehabilitation exercise.

Prevention should start from the early stage, especially for people who sit in offices for a long time. Director Yang shared a good method to prevent cervical spondylotic myelopathy, which can exercise our back muscles and maintain a good sitting posture ~

Practice: Lift elastic belt over his head and then pull him back; Then lift it up and put it down.

In addition, chest expansion and stretching in broadcast gymnastics is also a good way for us to maintain a good and healthy spine ~