When the head is low, the pain is mainly waist pain, and it hurts more when the head is low.

Hello, my friend, this is the performance of cervical spondylosis. Cervical spondylosis, also known as cervical syndrome, is a general term for cervical osteoarthritis, hyperplastic cervicitis, cervical nerve root syndrome and cervical disc herniation. It is a disease based on degenerative diseases. It is mainly due to long-term strain of cervical vertebra, hyperosteogeny, or disc herniation, ligament thickening, compression of cervical spinal cord, nerve root or vertebral artery, leading to a series of clinical syndromes of dysfunction. It is characterized by degeneration of cervical intervertebral disc itself and a series of secondary lesions, such as instability and looseness of vertebral body segments. Protrusion or prolapse of nucleus pulposus; Bone spur formation; Ligament hypertrophy and secondary spinal stenosis stimulate or compress adjacent nerve roots, spinal cord, vertebral artery and cervical sympathetic nerve, causing various symptoms and signs of syndrome. Dizziness is a common symptom in patients with cervical spondylosis of vertebral artery type. The patient's posture changes due to neck stretching or rotation, which induces dizziness. Vertigo caused by ischemic lesions of vestibular nucleus usually lasts for a short time and disappears after a few seconds to a few minutes. At the time of onset, patients may have mild absences and dyskinesia, which is characterized by unstable walking or leaning to one side; Vertigo caused by ischemic labyrinthine lesions with unconscious disorder. Vertigo caused by vestibular neuropathy belongs to central vertigo; Labyrinthine ischemic lesions belong to peripheral vertigo. Some patients feel sick and can't look up when they have an acute attack. A few patients have diplopia, nystagmus, tinnitus and deafness. In terms of physical signs, the patient's neck movement is limited at the time of onset, and neck rotation or movement can cause dizziness, nausea or palpitation. Some patients can hear the noise caused by vertebral artery distortion and blood flow obstruction when auscultating the clavicle of the affected side. Thumb palpation of the posterior neck can feel that the affected vertebra rotates and shifts to one side, and the spinous process and the displaced articular process have obvious tenderness. Common symptoms 1 and dizziness are common symptoms in patients with cervical spondylosis of vertebral artery type. The patient's posture changes due to neck stretching or rotation, which induces dizziness. Vertigo caused by ischemic lesions of vestibular nucleus usually lasts for a short time and disappears after a few seconds to a few minutes. At the time of onset, patients may have mild absences and dyskinesia, which is characterized by unstable walking or leaning to one side; Vertigo caused by ischemic labyrinthine lesions with unconscious disorder. Vertigo caused by vestibular neuropathy belongs to central vertigo; Labyrinthine ischemic lesions belong to peripheral vertigo. Some patients feel sick and can't look up when they have an acute attack. A few patients have diplopia, nystagmus, tinnitus and deafness. In terms of physical signs, the patient's neck movement is limited at the time of onset, and neck rotation or movement can cause dizziness, nausea or palpitation. Some patients can hear the noise caused by vertebral artery distortion and blood flow obstruction when auscultating the clavicle of the affected side. Thumb palpation of the posterior neck can touch and push the patient to rotate and shift to one side, and the spinous process and the displaced articular process have obvious tenderness. 2. Headache Patients with cervical spondylosis of vertebral artery type generally have both headache and dizziness. Among them, greater occipital neuropathy is the main cause of headache. Because the occipital artery, a branch of vertebral artery, supplies the greater occipital nerve, the spasm of vertebral artery leads to ischemia of the greater occipital nerve in cervical spondylosis, which leads to headache symptoms in the area dominated by the greater occipital nerve. It is intermittent jumping pain, radiating from the back neck side to the occipital part and half of the head, with burning sensation. A few patients have hyperalgesia, and the pain is obvious when touching their heads. In addition, trapezius muscle innervated by accessory nerve can cause trapezius muscle spasm due to its root lesion or trauma, and the greater occipital nerve branch passing through trapezius muscle is squeezed to induce clinical symptoms. When the atlas or axis is displaced, it can also stimulate the greater occipital nerve passing through it and induce headache. 3. The visual impairment caused by cervical spondylosis caused by vertebrobasilar artery spasm is secondary to ischemic lesions in the occipital visual center of the brain. A few patients may have decreased vision or visual field defect, and even lead to blindness in severe cases. 4. Sudden fall When the patient's neck rotates, he suddenly feels weak in his lower limbs and falls. The clinical characteristics are: the patient is conscious when he is ill, and he can get up or even walk in a short time. This is different from other cerebrovascular diseases. 5. Nerve root symptoms Due to local anatomy, patients with vertebral artery type are often accompanied by nerve root symptoms. (1) Neck symptoms: neck discomfort, limited movement, mainly neck pain, sore neck, stiff neck movement or improvement after massage; Get up in the morning, fatigue, improper posture, suddenly aggravated after cold stimulation; There is a "quack" sound in the movable neck; Stiff neck muscles; Press the pain point on the neck with your hand; There is ligament "bounce" in the massage neck, and the neck is not flexible enough to rotate. (2) Shoulder symptoms: heavy shoulders; Shoulder pain and swelling; Neck muscle spasm, pain when pressing the neck, sometimes severe pain; Fatigue, sedentary and improper posture are aggravated (3) Back symptoms: back muscles are tense and stiff, and get better after exercise or massage; There is a pain point in the back, and the pressing is obvious; Fatigue and cold will aggravate the symptoms of back discomfort. 6, upper limb numbness or numbness of one limb. Cervical spondylosis can cause headache, dizziness, numbness and pain in limbs. Don't worry, it can still be alleviated by taking active and effective measures. The effect of western medicine in treating such diseases is not very satisfactory. In addition to oral drugs, there is only surgery, and cervical surgery is generally not recommended, because cervical nerve lines are dense and 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. All symptoms (1) Neck symptoms: neck pain, neck stiffness, neck rigidity, limited movement, neck muscle spasm, neck movement difficulty, feeling tied, "looseness", neck muscle swelling, "stiff neck" and so on. The head often leans to one side, and it is difficult to raise, lower and rotate. (2) Upper limb symptoms: numbness, pain, dyskinesia, hyperalgesia, electric shock, numbness of fingers or ants walking, weakness of hands, heaviness, unstable grip, tremor and paralysis, muscle atrophy of upper limbs, and limited activities around shoulders. (3) Symptoms of lower limbs: The lower limbs may have radiation pain, coldness, numbness, cold sensation, or heat shock pain, weakness, inability to stand, walk or squat, which is aggravated after exercise, relieved after rest, or aggravated just after getting up after rest, rarely improved after exercise, and aggravated after re-exercise. It is related to the weather change, which is aggravated by cold and alleviated by heat, or not obvious. In severe cases, muscle atrophy, limping and functional decline. (4) Eye symptoms (neck-eye syndrome): you can't open your eyes, you can only lie flat with your eyes closed, and you have eye swelling, heavy eyes, inability to open your eyes, blurred vision, flashing eyes, dark spots and visual field defects. When the neck is overactive, there will be symptoms such as eye pain, eye muscle spasm, transient blindness and conjunctival congestion. (5) Headache: radiation pain, palpitation pain, numbness pain, swelling pain, deep pain, hot pain, cold pain, local pain, forehead pain, bilateral pain, apical pain, mild pain, moderate pain, severe pain and even vomiting. (6) Dizziness: headache, dizziness, even nausea, vomiting, transient blindness with dizziness, heavy head, etc. Even have a feeling of fainting or sudden fainting, and then wake up, as normal. (7) Memory disorder: memory is obviously decreased, and I forgot to do it here. I can't remember yesterday's things clearly, and I don't even remember whether I ate or not. (8) Heart (cervical heart disease): The manifestations of cervical coronary heart disease are palpitation, palpitation, shortness of breath, chest tightness, breath holding, fear of thinking, precordial pain, etc. (There is no corresponding change in ECG). (9) Hypertension (neck height): symptoms such as hypertension, dizziness, headache, blurred vision, and even nausea and vomiting. Blood pressure is rising, irregular, high and low, drugs are lowering blood pressure, or blood pressure drops too low after treatment. (10) Cholecystitis: abdominal pain, abdominal distension, nausea, loss of appetite, weakness of limbs, pain in hepatobiliary area, etc. (1 1) Chronic pharyngitis (disease of neck and pharynx): the pharynx is slightly congested or turns purple, eating is not hindered, the mouth is dry and seems to have a foreign body sensation, and it is impossible to spit and swallow. (12) Hemiplegia (cervical hemiplegia): hemiplegia, numbness, swelling, and even mouth deviation, language disorder, difficulty in wearing shoes and socks, and unstable walking. Brain CT is basically normal. (13) Spontaneous sweating (neck spontaneous sweating): the limbs are hot and red, and one limb or one limb or the head, hands, feet and distal extremities are sweaty, which naturally fades out of date and occurs irregularly. (14) anhidrosis (neck anhidrosis): cold limbs, fear of cold, less sweating in one limb or one limb or head, hands, feet and distal ends, even whole body anhidrosis, dryness and discomfort, and emotional instability. (15) Insomnia (cervical insomnia): Insomnia can't sleep, so we can only sleep by gradually increasing the dosage of sedatives, which will not affect the next day's work for a short time, but will affect work and study for a long time. The treatment effect of various methods is poor. Dreams: nightmares, long dreams, dreams of doing things, dreams of working, dreams of making friends, irregular dreams, etc. 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. In the early stage of cervical spondylosis, the main manifestations are neck and shoulder pain and tightness, headache, dizziness, numbness of upper limbs and mild symptoms. 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 use analgesic pillows correctly. Third, actively exercise, especially the muscles of the neck, shoulders and back. For details, please refer to "Health Care Method 2" in 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 relieve local neuromuscular tension. 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 the powder package of traditional Chinese medicine for external use, which permeates from the epidermis and the medicine penetrates into the bone without side effects. It has a completely cured 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 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. Compared with the treatment of cervical spondylosis, the biggest advantage of external Chinese medicine powder package is that it relies on external direct penetration, does not need to be taken orally, and is not absorbed through the stomach, so it does not hurt the liver, gallbladder, spleen and kidney. And there are no side effects. The disadvantage is that the effect is slow. The powder package for external use of traditional Chinese medicine follows the painless principle in the general principles of traditional Chinese medicine, with ideal effect and no side effects. Topical Chinese medicine powder package has a thorough effect on cervical spondylosis. 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. 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. Grasp the air and practice your fingers; 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. Long-distance acupuncture: find 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. Rub your hands: put your palms together and rub your waist with your hands, which can be rubbed up and down 50 times. 7. Pinch the ankle tendon: replace the ankle tendon with both hands. 8. Hold the midpoint of the human body with your thumb and forefinger. 9. rub your ears; 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. 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 the 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 surgical treatment: before operation: 1. Practice taking off your pillow and lying flat before operation to meet the requirements of lying position after operation. 2. Use the urinal on the training bed to avoid being unaccustomed to defecation due to supine position after operation. 3. Complete relevant inspection items to 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. Report to the medical staff in time when numbness of limbs, aggravated pain symptoms or loss of sensation and incontinence occur after operation. 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, and take out the neck circumference during bed rest. 7. Strengthen neck functional exercises, such as forward flexion, backward extension, left and right lateral flexion, left and right rotation, etc. , enhance neck muscle strength. 8. Prevent accidental injuries, such as excessive neck flexion, excessive rotation, excessive neck force, and violent shaking of the head and neck. 9. Compliance with doctors is regularly reviewed. 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. Matters needing attention in editing massage treatment in this paragraph should not be massaged at will, blindly or wrongly. 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. Gravity massage is not allowed. 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 determining whether it is suitable for massage, we should also pay attention to determining 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, people with high blood pressure and serious cardiovascular and cerebrovascular diseases should also pay attention to manual operation.