Sprain of the cervical part (sprain of the cervical part) is a common cervical tendon injury, which is divided into cervical contusion and cervical sprain. It occurs between the ages of 30 and 60. It belongs to the category of “neck injury” in Chinese medicine. Etiology According to Chinese medicine, neck sprain and contusion is caused by flashing and contusion of the neck, stagnation of Qi and blood stasis, and poor flow of Qi and blood in the neck. In modern medicine, acute sprain and contusion of the neck is believed to cause spasm of the cervical occipital muscle group, resulting in neck pain and movement disorders. Clinical manifestations and diagnosis With a clear history of trauma to the neck by direct violence or hyperextension and hyperflexion, clinical manifestations include neck pain, swelling, restricted movement, subcutaneous hematoma, muscle spasm, stiffness, and pressure pain. Flexion-type neck sprain injury shows pain at the injury site, pressure pain is obvious, posterior cervical muscle spasm, head in an extension position, against forward flexion. When the injury is more severe, the pain is severe, the neck is stiff, and the head is felt to be unsafe. When the ligament is completely ruptured and the head is slightly flexed forward, the ligament rupture can be palpated as a depression, and further flexion is resisted. The extension type neck sprain shows local pain and pressure, and the pain is aggravated by posterior neck extension. Injury to the anterior cervical muscles, bleeding, hematoma, stimulation or compression of sympathetic nerves can cause dizziness, nausea, blurred vision, unequal pupils on both sides, and even otalgia and precordial pain. If the esophagus and trachea are strained, it can cause swallowing disorder and hoarseness. If the neck side is injured more severely, forced oblique neck may appear. Neck extension can cause spasm of the sternocleidomastoid muscle. Patients with neck sprains and contusions often begin with a cervical radiograph, including frontal and lateral films and left and right oblique and open films, to help observe changes in the physiologic curvature of the cervical segment of the spine. The physiological curvature of the cervical segment of the spine may be altered in cases of neck sprain and contusion, and in severe cases, vertebral avulsion fractures and spinous process fractures may be seen. In severe cases, MRI can be chosen according to the specific situation. It can provide detailed information about the changes in the anatomy and morphology of the vertebral body and its surrounding soft tissues; as well as the degree of spinal cord injury and pathological changes, which can help to determine the prognosis and help to develop a treatment plan. Acute sprain and contusion of the neck should be distinguished from fasciitis of the collar and back and drop pillow. Fasciitis of the collar and back refers to soft tissue lesions of the fascia, muscles, tendons and ligaments, causing symptoms such as pain, stiffness, limitation of movement and weakness of the collar and back. It often accumulates the sternocleidomastoid muscle and scapular raphe. Falling pillow neck symptoms are sometimes similar to this disease, but there is usually no obvious history of trauma and the symptoms are milder. Treatment The early stage of the disease belongs to Qi stagnation and blood stasis, so the treatment should be to activate blood circulation and eliminate stasis, move Qi and relieve pain. The formula is Qiangwu Lingxian Tang with addition. In the middle stage, the treatment should be to harmonize Ying and relieve pain, and the formula should be selected from He Ying and Relieve Pain Tang with addition and subtraction. External treatment: Use Fotarine cream for external rubbing twice a day. Or use anti-swelling and pain-relieving cream or double cypress cream, once a day, for the acute stage of injury. Western medicine can be used as appropriate, such as anti-inflammatory and analgesic drugs, such as Fotarin tablets, which can quickly relieve the inflammatory reaction after trauma and achieve the effect of analgesia. Other therapies Massage and physiotherapy can be used depending on the situation. Prevention and conditioning After the neck sprain and contusion, according to the nature of their work and occupational characteristics to guide, in order to reduce the weight and injury of ligaments, if necessary, need to change the work and living habits. Self-exercise should be carried out under the guidance of a physician, especially when the acute sprain and contusion of the neck combined with cervical disc degeneration, vertebral instability, such as rotation or twisting cervical exercises will increase the load on the intervertebral disc, increasing the compression of the nerve root and spinal cord, thus aggravating the clinical symptoms, should be absolutely prohibited. Physical exercise is better for taijiquan, because taijiquan can play a role in the exercise of flexibility of the entire spine and cervical muscles and the exercise of hand function.