What should I do if I have cervical spondylosis?

  In recent years, the incidence of cervical spondylosis has increased, becoming a major hazard to people’s study and work, and many people have therefore delayed their study and affected their work. In fact, as long as the appropriate prevention and rehabilitation, the vast majority of cervical spine patients can fully live and work as normal people. Cervical spondylosis is a long-term low head and neck position work people (such as: writing, carving, embroidery, sewing and other work), because this position disrupts the internal and external balance of the cervical spine, so that the cervical spine and its surrounding tissues are damaged. It has been determined that the incidence of cervical spondylosis is 25% at the age of 50, 50% at the age of 60, and up to 100% after the age of 70. With the change of modern living and working conditions, the onset of cervical spondylosis has a younger trend, which has a great relationship with the study tension of adolescents, long-term ambulatory reading and writing, resulting in neck and shoulder muscle fatigue.  According to the different pathogenesis of cervical spondylosis, it can be divided into five types: 1, cervical type – neck soreness, pain, stiffness, or accompanied by shoulder discomfort, often in the morning when waking up, tired, cold aggravated by hot compresses, massage, and often pillow, the lightest type, timely treatment can obtain satisfactory results.  2, nerve root type – manifested as neck, shoulder, upper arm, forearm, finger pain, numbness. The pain is intense and radioactive, starting from the neck, gradually developing in the order of shoulder → arm → elbow → hand → finger, and also causing back acidity, swelling, pain and back discomfort, and muscle weakness in the upper limbs. These symptoms are often triggered by exertion and cold.  3, vertebral artery type – manifested dizziness, dizziness, drowsiness throughout the day, or tinnitus, deafness, hearing loss; vision loss; memory loss. Dizziness is often aggravated by twisting the neck, or even nausea, vomiting, sudden falls, and the patient does not experience pain. It is caused by cervical spine osteophytes compressing the blood vessels of the cervical spine (vertebral artery) resulting in insufficient blood supply to the brain.  4.Spinal cord type – due to the compression of the spinal cord by cervical vertebral osteophytes, the nerve function of the limbs is malfunctioned, which is manifested as walking wobbly, like a drunkard, easy to fall, clumsy hands and feet, tightening of the lower limbs, and even difficulty in urination and defecation and paralysis of the lower limbs. It is a serious case of cervical spondylosis.  5, sympathetic nerve type – manifested as headache, dizziness, or migraine, post-occipital headache, eyes for swelling, easy to tear, blurred vision; irritability, panic, cardiothoracic pain, increased blood pressure, chills in the limbs, excessive or little sweating; or tinnitus, foreign body sensation in the throat. There are also mixed types and esophageal compression types.  After understanding the onset and clinical manifestations of cervical spondylosis, what should be done?  1. Avoid prolonged ambulation. The main reason for the onset of cervical spondylosis is to pay more attention to reducing the time and intensity of ambulatory work after the disease, generally within 1 to 2 hours of ambulatory work, we must properly back up the cervical spine, or look to the sky for a moment, which is of great benefit to alleviate the fatigue of the cervical spine. In addition, adjust the height of the desk and seat, so that when writing do not overly low, can also play a role in reducing the purpose of ambulation.  2, the right time cervical muscle exercise: cervical spine muscle strain is the cause of cervical spondylosis is also the clinical manifestations of cervical spondylosis. With both hands crossed to the back of the head and neck, force the head and neck to the back of the upper lift, while the head and neck to the back of the force back stretch (as far as possible to keep the cervical vertebrae relatively immobile, do the muscle contraction training of the back of the neck), a relaxation, repeatedly 20 to 50 times, 2 to 3 times a day exercise, last January can be effective, lifelong exercise can prevent cervical spondylosis.  3, pay attention to a reasonable pillow: supine with a high pillow is the most common mistake people make, the correct way is to choose a height and my fist equal to the height of the oblong pillow (Figure), pad in the cervical spine after the middle part, not pad on the skull, which not only has a good preventive effect on cervical spondylosis and can promote early recovery of cervical spine patients, in addition, also pay attention not to use high pillow, wide pillow, short pillow, hard pillow.  4, appropriate cervical spine traction. A part of the upper limb pain, numbness-based cervical spondylosis, the use of cervical traction when the symptoms are serious can obtain good results. Do cervical traction treatment, traction weight to vary from person to person, general light traction from 4 kg, can gradually increase to 5-6 kg (traction force is not too large, otherwise it will damage the neck muscles), traction time from 20 minutes to 30 minutes, serious patients can be hospitalized with a larger weight traction 6 ~ 8 hours a day. Usually it takes 20~30 days continuously. Sitting traction should be slightly low, 30 degrees of forward flexion position, the therapeutic effect is better.  5, appropriate to do neck massage. With their hands clasped in the back of the neck muscles (left hand clasp left cervical muscle, right hand clasp right cervical muscle) repeatedly press the back of the neck muscles to relax muscle spasm, improve blood circulation, get to eliminate cervical fatigue to relieve symptoms.  6, pay attention to keep warm. The onset of cervical spondylosis is often in the cold or cold, pay attention to warmth not only in the cervical spine, the whole body can not be cold.  7, exclude difficult and miscellaneous diseases: although this, but the performance of cervical spondylosis to paralysis or a combination of other diseases patients also need to ask the doctor to diagnose, in order to exclude some difficult and miscellaneous diseases, in order to reach the system of full recovery. I have treated a patient who was treated as “cervical spondylosis” outside the hospital for a long time due to neck pain, but later found out that it was caused by lung cancer metastasizing to the cervical spine after MR examination!