What should cervical vertebra patients pay attention to?

The basic principle of cervical spondylosis treatment is to restore the normal and stable biomechanical structure of cervical vertebra, and the most important thing is to restore the normal physiological curvature (flexion) of cervical vertebra. Most patients with cervical spondylosis can recover through posture adjustment, proper rest and correct neck, shoulder and back muscle exercise. Drugs have analgesic and anti-inflammatory effects. Acupuncture, massage and physical therapy can relieve cervical muscle spasm and promote blood lymphatic circulation, all of which have certain curative effects, but these methods have no effect on promoting the normal biomechanical structure of cervical spine. Of course, more important than treatment is daily health care, such as posture adjustment. Traction does not help to restore the normal biomechanical structure of cervical spine, and even has the disadvantage of straightening the physiological curvature (flexion) of cervical spine, so it should be used with caution.

medicine

The treatment of this disease by western medicine can play an auxiliary role in symptomatic treatment. Painkillers, sedatives and vitamins (such as B 1 and B 12) can be selected, and vasodilators and Chinese herbal medicines can be selected in hospitals, which have certain effects 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.

massotherapy

Massage 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 fractures, bone and joint structural disorders, osteoarthritis, and severe osteoporosis in the elderly. Massage can destroy bones and spread infections, so this therapy should be banned.

Significance of magnetic therapy in the treatment of cervical spondylosis

Magnetic field therapy is a kind of treatment method using the physical properties of magnetic field, which is the product of the combination of traditional Chinese medicine and modern medicine. It is simple, safe and has no side effects. Years of clinical practice have proved that magnetic field therapy has the functions of analgesia, anti-inflammation, blood pressure reduction, sleep, diarrhea and itching relief. It is of great value for the prevention and treatment of various clinical diseases, and also has special curative effect on some chronic diseases. China has used magnetic fields to treat diseases for more than 2000 years. Shennong's Classic of Materia Medica in the Eastern Han Dynasty clearly recorded the characteristics of magnets and the diseases they treated: "arthralgia, rheumatism, swelling and pain of limbs". Sun Simiao, a medical scientist in the Tang Dynasty, pointed out in his "Thousand Golden Prescriptions" that a magnet should be tied at the end to stop pain and stop bleeding. At that time, magnets were used to treat various diseases. By 1970s, magnetotherapy developed rapidly in China. Especially since the 1980s, China has developed NdFeB permanent magnet with high magnetic energy, which has significantly improved the medical effect of strong magnetic field, and achieved unprecedented effects in analgesia, sleeping, promoting blood circulation, dredging collaterals, lowering blood pressure and stopping diarrhea. The magnetic field acts on human acupoints, and through the bioelectric magnetic energy enhanced by meridians, it promotes the circulation of qi and blood in meridians, thus effectively dredging meridians and relieving pain; Magnetic field can reduce the excitability of peripheral nerves, reduce capillary permeability, improve local blood circulation and produce analgesic effect; Charged ions such as potassium, sodium and calcium are enhanced by magnetic fields. The magnetic field acts on the nervous system, inhibiting the excitability of cerebral cortex, sensory nerve and sympathetic nerve, thus producing sedative and analgesic effects. Cervical spondylosis is a common clinical disease, which is edema and adhesion caused by traumatic and degenerative changes of vertebral body and its surrounding cartilage and intervertebral disc, which further stimulates nerve tissue to produce clinical symptoms, among which inflammatory stimulation is an important reason. Giving local magnetic field to cervical vertebra can improve blood circulation and tissue nutrition, and correct and alleviate the pain caused by ischemia, hypoxia, edema and accumulation of pain-causing substances. Magnetic field can reduce the excitability of nerve endings, accelerate the dissipation of inflammatory exudates and eliminate the mechanical pressure on nerve endings. At the same time, the magnetic field can improve the activity of hydrolase, and make bradykinin, histamine, 5- hydroxytryptamine, potassium ion and other pain-causing substances hydrolyze or transform, thus achieving the effect of eliminating pain.

Self-exercise therapy

1, neck movement: 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 get cervical spondylosis by stretching your arms horizontally and flexing your hands and fingers for 50 times.

. 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.

motortherapy

1. the role of exercise therapy: the exercise therapy of 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 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

In the past, "traction" was one of the first choice methods to treat cervical spondylosis, 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.

Matters needing attention in surgical treatment

Before operation: 1. The preoperative practice is to remove the pillow and lie flat 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 severe head and neck jitter 9, regular review according to the doctor's advice.

Daily treatment

Handling methods that can be mastered at home and in the workplace: strengthen muscle exercise: sit or lie prone, straighten your upper limbs behind your back, cross your hands and fingers (if it is difficult to cross, you don't have to cross them), stretch your arms backwards, and at the same time try to raise your head (slowly), try to tighten the muscles between the back neck and scapula, and stop to return to normal posture after 10 seconds, and try to relax tight muscles. 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".

dietotherapy

Because cervical spondylosis is caused by spinal hyperplasia and osteoporosis, patients with cervical spondylosis should eat a diet rich in calcium, protein, vitamin B, vitamin C and vitamin E ... Among them, calcium is the main component of bones, with milk, fish, pigtail bone, soybeans and black beans as 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.

How can this early cervical spondylosis be effectively treated?

Early cervical spondylosis is mainly manifested as pain and tightness in neck, shoulders and back, headache, dizziness and numbness of upper limbs. At this time, you can not do special treatment first, and pay attention to the following adjustments: First, pay attention to proper rest to avoid lack of sleep. Lack of sleep, overwork and keeping a fixed posture for a long time will lead to excessive neuromuscular tension and strengthen the symptoms of cervical spondylosis. Secondly, it is of great significance for the prevention and treatment of cervical spondylosis to change the habit of using pillows and correctly use pain-relieving sleeping pillows. Third, active exercise, especially the exercise of neck, shoulder and back muscles, can be found in the "Health Care Method 2" of the above-mentioned "Daily Health Care for Cervical Spondylosis". Correct exercise can enhance muscle strength, normal cervical curvature, increase the stability of cervical biomechanical structure, promote the circulation of blood lymph, and be beneficial to the recovery of cervical spondylosis. Fourth, hot compress can be used, which has a certain effect on relieving local neuromuscular tension.

Edit this paragraph to prevent

preventive measure

To prevent cervical spondylosis, measures should be taken from both etiology and inducement to effectively reduce the incidence and prevent the recurrence of cured patients. cervical spondylopathy

[1] The cervical vertebra is a part of the spine, and it should be prevented from the whole spine. Prevention is one of the important contents of preventing cervical spondylosis. It is generally believed that the intervertebral disc of the spine begins to degenerate after it develops into an adult. In fact, the degree of degeneration of each intervertebral disc varies greatly from person to person. X-ray photos of asymptomatic cervical vertebrae in 100 were analyzed from the age observation. The results showed that intervertebral disc degeneration and hyperosteogeny increased with age: 2/20 people in the group under 20 years old; 20~29 years old group, 2/20 people; 30~39 years old group, 4/20 people; 40~49 years old group, over 50 years old group, 16/20 people. Infants and adolescents are most likely to suffer from spinal trauma. Therefore, the prevention of cervical spondylosis should start from childhood. Strengthening physical exercise makes the soft tissue around the spine strong, which helps to enhance the stability of the spine. Pay more attention to preventing trauma and correcting bad posture in work and life. In addition to trauma, the common inducing factors of cervical spondylosis include stiff neck, cold, excessive fatigue, forced posture work, bad posture and other diseases. The pathogenic factors of cervical spondylosis are complex, but they can generally be divided into internal causes (internal causes) and external causes (acute and chronic trauma), which can be mutually causal. Internal cause is the foundation of disease. What we are talking about here is external cause prevention. 1. Strictly prevent acute head, neck and shoulder injuries: head and neck falls, bumps and whiplash injuries are prone to cervical vertebra and its surrounding soft tissue injuries, which directly or indirectly cause cervical spondylosis, and should be actively prevented. Once it happens, it should be checked and thoroughly treated. Are some injuries easy to attract people's attention, such as falling asleep in the car, encountering sudden braking and suddenly leaning back, all of which will cause whiplash injury to the cervical spine; When someone is angry, twist the child's ear at will, and the child will twist his neck to defend himself, or pat the child on the back of the head. , can cause neck muscle and its surrounding soft tissue injury; Infants and young children have underdeveloped neck muscles and soft necks. If they hold their children too early or in an inappropriate posture, it is easy to cause hyperextension cervical spine injury. Some teenagers' sports activities fail to get to the point or do not pay attention to the warm-up activities before sports, such as pushing cattle, handstand, forward rolling, neck riding and so on, which may cause sports injuries. Prevention of trauma is a powerful measure to prevent spinal degeneration. Once trauma happens, besides soft tissue injury, it is necessary to treat the dislocation of cervical facet joint in time to prevent the development of cervical spondylosis. 2. Correct bad posture in life and prevent chronic injury: Chronic strain of neck and shoulder soft tissue is the pathological basis of cervical spondylosis, and bad posture in life is one of the main reasons for chronic strain, so correcting bad posture in daily life is of great significance to prevent cervical spondylosis. For example, some people like to lie prone and can only twist their heads to one side in order to breathe, which will cause 1~4 cervical sprain. Lateral curvature of the neck axis will lead to dizziness, headache, eyes, ears, nose and throat when decompensated. Because it destroys the normal mechanical imbalance of cervical vertebrae, it will accelerate the intervertebral disc degeneration of each cervical vertebra; Some people usually have a good posture, but when reading novels and watching TV, they are used to leaning their heads against the railing of the bed or the armrest of the sofa, causing neck flexion, back flexion and waist torsion, which will lead to instability of this section of the spine due to the injury of the intervertebral ligament of the spine; When a woman takes her child to sleep, she often lies on her side facing the child. If the pillow is out of height, the cervical and thoracic vertebrae will be in a stressed position, forming lateral curvature, which may lead to spinal diseases. Good sleeping posture is very important for the health care of the spine. The trunk, shoulders and pelvis of the human body have large transverse diameters. When lying on your side, your spine bends due to the influence of the mattress. If you lie on your side for a long time, your spine will gradually bend sideways. If you wake up lightly, your back will be stiff and uncomfortable, and you need to get up and exercise to return to normal. In severe cases, you may suffer from spinal diseases. Sleep should be mainly supine, supplemented by lateral lying, alternating left and right, and the left and right knee joints are slightly flexed when lying on the side. Prone, half-lying, half-lying, or twisting up and down to sleep are all bad sleeping positions, which should be corrected in time. Put your head in the center of the pillow to prevent stiff neck. Patients with spinal diseases should use wooden beds, and spring beds are not conducive to the physiological balance of the spine. 4. Prevention of chronic strain: Due to work needs, some types of work need special posture or work in forced posture for a long time. If we don't pay attention to it, it is prone to chronic strain and gradually develop into spinal diseases. For example, people who look at microscopes for a long time, tunnel workers, accountants, sewing and embroiderers, dentists, airplane mechanics, typists, telegraphers and other workers who bend their necks, twist their necks and shrug their shoulders, and people who study at their desks for a long time, if they do not pay attention to the height of desks and chairs to adapt to their bodies, and they do not pay attention to the balanced movement after work (posture opposite to the working posture, such as stretching at their desks) to prevent chronic strain, except for Sleeping in the car and braking suddenly are easy to cause cervical spine injury, so try to prevent it. Swimming in shallow water often causes serious cervical injuries, so diving should be in deep water. 5, prevention of the elderly: the elderly over 50 years old, the spine has degenerative changes, but also pay attention to the prevention of spinal diseases. When the weather is cold, pay attention to the warmth of the neck and waist, and reduce bad postures such as necking, shrugging and bending. In winter, we should pay attention to prevent the neck and shoulders from catching cold, especially when sleeping, to avoid stiff neck, cervical spondylosis and scapulohumeral periarthritis caused by cold stimulation. When talking to people, watching TV, watching movies or reading newspapers, you should try to look at them positively and don't bend your neck too much. In short, it is necessary to maintain the normal physiological curvature and integrity of the spine and prevent cervical spondylosis caused by poor posture. In recent years, studies at home and abroad have proved that cardiovascular and cerebrovascular diseases and chronic diseases that endanger the lives of middle-aged and elderly people are related to the spine. Therefore, as an elderly person, it can also prevent hypertension, coronary heart disease, arrhythmia and cerebrovascular diseases. The most active way to treat diseases is to nip in the bud, especially in the era of increasing therapeutic drugs, and it is particularly important to attach importance to preventive medical education. Cervical spondylosis will lead to insufficient blood supply to the brain, and hyperosteogeny of cervical vertebra will compress the pyramidal basilar artery, resulting in ischemic symptoms. The basilar artery partly branches off the posterior cerebral artery on the brain stem, and the internal auditory artery, which supplies blood to the ear, comes from the posterior cerebral artery, thus causing tinnitus symptoms. Tinnitus caused by cervical spondylosis is generally easy to occur in people who work at their desks. From the beginning, local inflammation and edema form hydrops, which makes the metabolism of the affected body disordered, and then accumulates to form hyperplasia. This process is called arthralgia in Chinese medicine, which means obstruction. Tinnitus is a complication of cervical spondylosis. Cervical spondylosis can cause tinnitus. Many patients are often at a loss after being told that they have cervical tinnitus, but is cervical tinnitus really so difficult to treat? Actually, it is not. The most fundamental cause of tinnitus in cervical spondylosis is the compression of nerve roots and vertebral arteries by cervical degeneration. Knowing this, there is a way to treat cervical spondylosis and tinnitus.

Matters needing attention in treatment

Random, blind and wrong massage is harmful. Cervical spondylosis can be divided into four types: nerve root type, spinal cord type, vertebral artery type and sympathetic nerve type. Correct massage can relieve local muscle spasm, improve local blood lymphatic circulation and increase the stability of cervical spine, which is one of the commonly used treatment methods. However, if gravity massage is repeatedly used in the same part, especially the rubbing method with damaging nature, even if the operation is not strong, it will cause damage to the corresponding muscle tissue or aggravate the inflammatory reaction, leading to aggravated symptoms. Patients usually get worse neck pain and limited activities from the next morning. Techniques should also be used with caution, especially for people with low professional level. If you don't know the contraindications, struggling to operate may cause paraplegia or even death, and patients with vertebral artery type may faint on the spot if they misoperate. Before massage, we should also pay attention to identify whether the patient has other complications. Patients with osteoporosis should be forbidden to use pulling method. If there are diseases such as cervical fracture, bone tuberculosis and bone tumor, massage operation is absolutely forbidden. For example, patients with hypertension and severe cardiovascular and cerebrovascular diseases should also pay attention to manual operation.

Treatment misunderstanding

1, improper repeated traction. Cervical traction is one of the commonly used methods to treat cervical spondylosis at present, but improper repeated traction will lead to the relaxation of ligaments attached to cervical vertebra, accelerate degenerative diseases and reduce the stability of cervical vertebra. 2. Repeated blind massage and reset. The pathogenesis of cervical spondylosis is complicated. Before massage reduction treatment, spinal stenosis, severe disc herniation and cervical instability must be ruled out. Cervical spondylotic myelopathy is absolutely prohibited from gravity massage reduction, otherwise it will easily aggravate symptoms and even lead to paraplegia. 3. Do not pay attention to the recovery of cervical physiological curvature during treatment. Blind traction will make the muscles and ligaments of the neck in a non-physiological state for a long time, resulting in chronic injury, so we should pay attention to the recovery and maintenance of the physiological curvature of the cervical spine during the treatment. It is suggested to use medicine pillow and medicine bag for comprehensive treatment, so that most physiological curvature can be restored and symptoms disappear. 4. Exaggerate the effect of non-surgical treatment. Not everyone will get better after conservative treatment of cervical spondylosis, and sometimes surgery may be the only choice. 5, despise the prevention of cervical spondylosis. Fixing a posture for a long time is easy to cause neck soft tissue strain and gradually develop into cervical spondylosis.

Prevention of complications

1. Dysphagia: When swallowing, there is obstruction and foreign body sensation in the esophagus, and a few people have symptoms such as nausea, vomiting, hoarseness, dry cough and chest tightness. This is due to the direct compression of the posterior esophageal wall by the anterior cervical vertebra, or it may be due to the rapid formation of bone spurs to stimulate the soft tissue around the esophagus. 2. Visual impairment: manifested as decreased vision, swollen eyes, fear of light, tears, unequal pupil sizes, and even reduced vision and sharp decline in vision, some patients are blind. This is related to autonomic nervous disorder caused by cervical spondylosis and ischemic damage of occipital visual center caused by vertebrobasilar artery insufficiency. 3. Neck-heart syndrome: it is characterized by precordial pain, chest tightness, arrhythmia (such as heartbeat) and st-segment changes in electrocardiogram, which is easily misdiagnosed as coronary heart disease. This is caused by the stimulation and oppression of cervical spine spurs on cervical dorsal nerve roots. 4. Hypertensive cervical spondylosis: It can cause the blood pressure to rise or fall, especially the blood pressure to rise, which is called "cervical congestion cervical spondylosis".

Press ". Because cervical spondylosis and hypertension are common diseases in middle-aged and elderly people, they often coexist. 5. Chest pain: manifested as intractable unilateral pectoralis major and breast pain, with slow onset, and tenderness of pectoralis major during examination. This is related to the compression of nerve roots of neck 6 and neck 7 by cervical spine spurs. 6. Paralysis of lower limbs: The early manifestations are numbness, pain and limping of lower limbs. Some patients feel like stepping on cotton when walking, and some patients may be accompanied by defecation and dysuria, such as frequent urination, urgency, dysuria or urinary incontinence. This is because the cervical spine spurs stimulate or compress the lateral bundle of vertebral body, which leads to motor and sensory disorders of lower limbs. 7. Sudden fall: When standing or walking, you often fall down because you suddenly turn your head and lose support. I can wake up quickly after falling to the ground without any disturbance of consciousness or sequelae. Such patients may be accompanied by symptoms of autonomic nervous dysfunction such as dizziness, nausea, vomiting and sweating. This is due to vertebral artery compression caused by cervical proliferative changes, which leads to blood supply disorder of basilar artery and short-term cerebral blood supply deficiency. 8. Numbness of hands and feet caused by cervical spondylosis due to hypertrophy and hyperplasia of cervical vertebra or degeneration of cervical intervertebral disc and prominent compression of cervical nerve root or cervical spinal cord can cause numbness of one or both fingers, and gradually develop to upper arm, forearm and even upper limb movement disorder. Generally, cervical spondylosis can cause headache and dizziness. Don't worry, numbness and pain in limbs can still be relieved by active and effective methods. The effect of western medicine in treating such diseases is not very satisfactory. In addition to oral medication, there is only surgery, and cervical surgery is generally not recommended because there are dense nerve lines in the neck. It's very risky. Massage and traction can't relieve pain. If you find a doctor with low skills, it will aggravate your condition. It is suggested that acupoint therapy will have a better effect.

Disease risk

1, Stroke: According to incomplete statistics, more than 90% of stroke patients have cervical spondylosis, but many people don't pay attention to it, and they don't know it after stroke, especially many doctors don't understand it; 2. Refractory insomnia and neurasthenia: According to clinical observation, more than 70% of patients with this disease suffer from cervical spondylosis. But many patients and doctors just blindly treat insomnia; 3. Recurrent dizziness: mainly caused by vertebral artery compression. If you suddenly faint while working at height, walking by the river, driving or operating the machine, it will bring serious consequences; 4. Severe amnesia; 5, the neck is stiff and cannot rotate; 6. Autonomic nerve dysfunction; 7. Upper limb pain and weakness; 8. High paraplegia; 9. Deafness.

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Health care method

65438+ Personnel engaged in computer operation, such as the neck is fixed in one posture for a long time, are also prone to strain the neck muscle ligament. They should also have regular rest and proper activities at work, so as to enhance the blood supply and elasticity of the neck muscle ligament and avoid accumulated strain. 2. Strengthen the neck muscles and ligaments. Actively exercising neck muscles can effectively enhance the stability of cervical biomechanical structure, enhance the normal physiological curvature of cervical spine, promote blood and lymphatic circulation, and effectively prevent and relieve cervical spondylosis. According to the survey, the probability of cervical spondylosis is reduced by 80% in people with well-developed neck muscles. However, not all exercises are beneficial, and blind and wrong exercises may even bring irreparable fatal consequences, especially for patients who have already suffered from biomechanical structural instability of cervical spine, such as shaking their heads, stretching their necks forward, shaking from side to side, and lowering their heads. The correct exercise method is: sitting or prone position, with both upper limbs straight, put behind your back, cross your hands with your fingers (if crossing is difficult, you don't have to cross them), stretch your arms backwards, and try to raise your head (slowly), try to tighten the muscles between the back neck muscles and the shoulder blades, 10 second later, stop to return to normal posture, relax the tightened muscles as much as possible, and rest 10 second. When you feel tired or slightly sweaty, repetitive exercise can stop. It is not advisable to exercise too much at one time. You can exercise 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, strengthen the strength of related muscles and enhance the stability of cervical spine. Patients with cervical tuberculosis, bone tumors, fractures and other special diseases are prohibited from neck exercise. In addition, you must look up when you breaststroke, which is also conducive to maintaining the physiological curvature of the cervical spine, so it is often recommended by clinicians. However, patients with cervical spine should also pay attention to avoid the cold, so you should make full preparations for exercise before entering the pool, breaststroke immediately after entering the pool, and get dressed immediately after stopping breaststroke to avoid staying in the pool for too long and feeling cold and wet. 3, choose the right pillow 4, prevent trauma and stiff neck trauma (such as "whiplash injury" caused by a car accident) may damage the neck muscles and ligaments, further undermine the stability of the cervical spine, and then induce or aggravate cervical spondylosis. Stiff neck is also a kind of injury, which is caused by improper use of pillows, so it always happens after sleep. You should refer to "3" to adjust the pillow. 5. Avoiding cold can lead to increased muscle tension, loss of elasticity and easy injury. Increased tension will also increase disc pressure, compress intervertebral space, aggravate the symptoms of nerve root compression, and cold may also lead to increased inflammation around nerve roots. 6. Foot acupoints are good for treating diseases. The first segment on the inside of the thumb root of both feet is the neck reflex area of the foot point. Pressing this part by hand every day has a certain effect on cervical spondylosis. 7, careful use of cervical traction For the cervical spine, the most important thing is to maintain a normal and stable biomechanical structure, and the basis of the normal biomechanical structure of the cervical spine is physiological curvature (also known as physiological flexion and extension). Traction will lead to the physiological curvature of the cervical spine straightening rather than recovery, so frequent traction is not appropriate.

Rehabilitation movement

Preparation posture: feet are shoulder width apart, arms droop naturally, the whole body is relaxed, eyes look straight, breathing evenly, standing and sitting. Rub the neck with both hands: stick your fingers on the back of the neck with your fingers crossed, and rub back and forth from left to right 100 times. Look left and right: turn your head left first, then turn right, with a large range, and it is best to consciously swell up for 30 times. Nod back and forth: head forward and back, neck forward, and try to stretch it 30 times when leaning forward. Turn your shoulders and relax your neck: put your hands on your shoulders, palms down, and rotate your arms from back to front for 20~30 times, and then from front to back for 20~30 times. Looking up at the moon: turn your head to the left and lean back as far as possible, and look at the upper left for 5 seconds. After recovery, turn right and look at the top right for 5 seconds. Hold the sky with both hands: put your hands above your head, palms up, and look up at the back of your hand for 5 seconds. Look at the scenery: put your hands on your chest, your right hand outside, Laogong points overlap, press the center of the point, look forward, for 5 seconds, and close the exercise.

nurse

(1) Let patients know about cervical spondylosis, improve their awareness of disease prevention, enhance their confidence in treatment, and master rehabilitation methods. Observe the psychological and emotional changes of patients in the process of treatment, adjust psychological and emotional, and maintain mental health. (2) Correct and effective traction to relieve mechanical compression. Pay attention to the posture, position and weight of traction, and find out the reactions during traction in time, such as dizziness, nausea and palpitation. Because the patient's neck is braked, it is relieving local irritation. Correct application of physical therapy, massage, drugs and other comprehensive therapies to relieve pain. Correctly guide the patient's head and neck function exercise, adhere to the neck exercise, and the methods include forward, backward, left and right activities and left and right rotation activities, guide the patient's hands to do rubber ball or towel kneading training, and various finger movements. (3) Pay attention to the changes of pain parts and numbness and weakness of limbs during non-surgical treatment. Measure temperature, pulse, respiration and blood pressure on time. Long-term bedridden patients should pay attention to the prevention and observation of bedridden complications. Patients' bony processes, such as sacrum, coccyx, heel, medial ankle and lateral ankle, are often massaged with 50% safflower alcohol. Massage upper and lower limb muscles to encourage patients to actively strengthen joint activities.