Cervical spondylosis is a common disease in daily life, which is simply a disease of the cervical spine. The current international view is that cervical spondylosis is a degenerative degeneration of the intervertebral disc and its secondary degenerative degeneration of the intervertebral joints resulting in spinal cord, nerve and blood vessel injury and the corresponding symptoms and characteristics. There are seven cervical vertebrae, and they are the most flexible and active vertebrae in daily work life, which gradually develop damage changes after being subjected to various loads and strains. I. Causes of cervical spondylosis Usually, injury changes in the cervical spine begin at the age of about 20, with gradual disc degeneration, dehydration, hematoma and microfracture formation, injury changes in joints and ligaments and spinal stenosis. The spinal canal is the length of the anterior and posterior diameter of the spinal canal is less than normal, usually the anterior and posterior diameter of the spinal canal is 14 – 16 mm. In addition, acute and chronic injuries can also accelerate the development of cervical spondylosis, while violence-induced fractures, spinal cord or nerve injuries caused by dislocation are not part of cervical spondylosis. Mainly speaking, the causes are as follows: 1) poor sleeping habits such as high pillows; 2) improper working posture: prolonged sitting, especially low head work, is likely to cause strain on the neck muscles and ligaments. In addition, when the neck is flexed, the internal pressure of the intervertebral disc increases significantly, so that the nucleus pulposus moves back and injury changes occur; 3) inappropriate exercise: sports that exceed the neck endurance cause trauma, so the head and neck practice should be careful, not brutal practice, cervical spine injury changes in patients should be under the guidance of a doctor to exercise; 4) other diseases of the body can cause cervical spine lesions such as diabetes and other diseases can also contribute to cervical spine injury changes. Symptoms of cervical spondylosis The symptoms of cervical spondylosis are very rich, diverse and complex. Most patients start with mild symptoms, and the main symptoms are head, neck, shoulder, back and arm pain, neck and neck stiffness and restricted movement. The neck and shoulder pain can be radiated to the head and occipital region and upper limbs, and some are accompanied by dizziness, nausea and vomiting in heavy cases, and a few may have vertigo and sudden collapse. In the later gradually aggravated, there are also some people with more severe symptoms. Some have fever on one side of the face and sometimes abnormal sweating. There is a feeling of heaviness in the back of the shoulder, weakness in the upper limbs, numbness in the fingers, loss of sensation in the skin of the limbs, weakness in holding objects in the hands, and sometimes unconscious gripping of objects to the ground. Other patients have weakness in the lower limbs, unstable walking, numbness in the second foot, and a feeling like stepping on cotton when walking. When cervical spondylosis involves sympathetic nerves, dizziness, headache, swelling of the second eye, tinnitus, tachycardia, panic, tightness of the chest, and some even have symptoms such as gastrointestinal distention. A few people experience loss of control of bowel movements and urination, sexual dysfunction, and even tetraplegia. There are also symptoms such as dysphagia and dysphonia. These symptoms are related to the degree of onset, the duration of onset, and the individual’s physique. This is related to the type of cervical spondylosis suffered, but it is often rare to see a simple type, and one or several types are mixed together, called mixed cervical spondylosis, so that the symptoms are very rich, diverse and complex. Most of the symptoms are light and not taken seriously at the onset, and most of them can recover on their own, sometimes light and sometimes heavy, and only when the symptoms continue to worsen and cannot be reversed and affect work and life do they attract attention. If the disease remains untreated for a long time, it can cause psychological damage and produce symptoms such as insomnia, irritability, anger, anxiety and depression. Third, the prevention of cervical spondylosis 1, pay attention to improve the bad sleep habits: normal people pillow height should be about 11 cm, side lying and shoulder height, the height of the pillow varies from person to person, about the same height as the individual fist is good. Cervical spondylosis patients and normal people roughly the same, the vertebral body posterior edge hyperplasia obvious, the pillow can be correspondingly higher; yellow ligament hypertrophy, calcification should be lower. The content of the pillow core requires fine and soft. Commonly used grain bark, mustard wheat bark, mung bean shell grass clippings and other filling, and sponge, cotton wool, cotton, etc. are not adapted. The shape of the pillow to the middle of the low, high ends of the yuan Bao shape is better. This shape can use the central depression to maintain the physiological curvature of the cervical spine, the head and neck can play a relative braking and fixed role. 2, fixed posture work habits to improve: for low work or head and neck fixed in a posture of work, first of all, to make the desk and chair height proportionate, suitable for itself to try to avoid excessive low head and neck table can be appropriate high, not too low, half-slope sloping desk than the flat table more favorable. In addition to improving working conditions, another aspect that must be noted is that there should be workplace exercises, including cervical spine health exercises. In the long hours of work, do a short period of neck forward flexion, backward extension, left and right rotation and circular motion. To improve cervical muscle fatigue, restore the best stress state. In addition, adhere to the necessary exercise every morning and evening can achieve the role of prevention and treatment of cervical spondylosis. For highly specialized work, appropriate changes in the type of work, or regular job rotation, can play a good role in the prevention of cervical spondylosis. People who work with their heads down are prone to cervical spondylosis, but if they keep their chests up, heads up and jaws closed for a long time. Can make the neck muscle tension, cervical curvature straightening, can also produce cervical spondylosis. That is, the so-called “military neck”. Therefore, in listening to the report or sitting state, we should pay attention to relax the neck muscles and maintain the natural state of the cervical spine. For long-term military service, more attention should be paid. 3, pay attention to the impact of infection: once the bacteria of upper respiratory tract diseases spread to the neck and joint capsule through the lymphatic system, it often becomes the cause or cause of cervical spondylosis. Therefore, preventing various inflammatory diseases of the upper respiratory tract, preventing colds and keeping the mouth clean is also one of the measures to prevent cervical spondylosis. IV. Treatment of cervical spondylosis Cervical circumference: Limit excessive movement of the neck and relieve the pressure in the vertebral space. Increase the support of the neck. Traction: can be done at home, also in the hospital, with low pillows to correct the high pillow posture. Effects: Limits head and neck movement. Facilitates the return of protrusions in the intervertebral space. Massage and tui na method, physical therapy operation method to knead and. Massage and massage therapy are to relax the local from shallow to deep various tissues (mainly muscles and ligaments), so that blood flow is accelerated, thus achieving the purpose of eliminating local muscle fatigue and improving metabolism. Tui-na therapy can also have an effect on the joints of adjacent parts, which is also conducive to improving the function of the limbs. Massage and tui-na therapy can be performed at home or in the office, and the massage is gentle and suitable for cervical spondylosis and post-operative patients with a clear diagnosis and no other disorders. Although there is no special effect, but the local muscles feel comfortable, therefore, patients with shoulder and neck symptoms may wish to try. Although the requirements of massage techniques are not uniform, but generally similar, operation as far as possible in the conditions of the appropriate place to carry out, operation and after the operation to avoid local cold, winter attention to insulation. The operation of massage is heavier than massage, for those with nerve root symptoms; spinal cord compression is the main do not choose, may aggravate the condition, resulting in serious consequences. Most of the tui na parts choose paravertebral pressure pain points or other obvious pressure pain parts. The operation technique should be gentle at the beginning, and the pressure on the local muscles or muscle attachment points can be gradually increased to the principle that the patient can tolerate. At the same time, the patient’s upper limbs should be moved with corresponding amplitude (passive) to relax the muscles in the back of the shoulder and make the blood and Qi flow. However, middle-aged and elderly women and senior citizens should not be selected in general because their bone marrow is lax and easily causes fractures. Whether cervical spondylosis should be operated Cervical spondylosis surgery is rare because most people can be cured by the above-mentioned means. In addition, the amount of blood vessels in the neck is large and very dense, and the structure of the neck has esophagus, lymphatic vessels and large blood vessels, which are close to the heart of blood vessels and high pressure, and the injury of a small mouth can cause hemorrhage and lead to life-threatening. In addition, the bone spurs compressing the spinal nerve grow deeper, and the lesions become hard due to bone growth and calcium salt deposition, making surgery difficult. However, patients with spinal cord compression should have surgery as soon as possible. Once you have the following symptoms: weakness in the legs, unstable walking, inability to hold chopsticks in your hands, or a feeling of binding in the abdomen or chest, you should see a doctor, because patients with these symptoms are likely to have spinal cord compression, and the nerves will never recover after the disease has progressed to a certain level in these patients!