1 What is spinal cord type cervical spondylosis 2 Main symptoms lower limb symptoms: lower limbs may have radiating pain, cold, numbness, cold, or hot scurrying pain, weakness, unable to stand, unable to walk, unable to squat, aggravated after activity, alleviated after rest, or aggravated just after rest, rarely better after activity, and aggravated after re-activity. It is related to weather changes, aggravated by cold, alleviated by heat, or not obvious, etc. In severe cases, muscle atrophy, lameness and functional decline. Zhang Ting hemiplegia (cervical hemiplegia), Department of Orthopedics and Traumatology, Longhua Hospital, Shanghai: unilateral limb hemiplegia, numbness, scurrying and swelling, or even crooked mouth, speech dysfunction, difficulty in putting on and taking off shoes and socks, unstable walking, etc. The brain CT is basically normal. 3 Differential diagnosis Spinal cord cervical spondylosis differential diagnosis 1, amyotrophic lateral sclerosis: spastic quadriplegia is the main cause, no sensory disorder, and often invades the medulla oblongata and presents lower group cranial nerve symptoms. 2.Multiple sclerosis: symptoms of brain and spinal cord often appear at the same time, and bladder dysfunction mostly occurs before limb movement disorders. 3.Intravertebral tumor: It can occur at any age, and the symptoms develop quickly. Various imaging tests can help to identify them. 4.Spinal cord cavity: mainly manifests as sensory disorder, and motor disorder appears later. MRI can clearly show thickening of the central canal of the spinal cord. 4 Treatment 5 Myths and guidance about surgery Myths: Spinal cord cervical spondylosis is cervical disc herniation Inappropriate repeated traction Cervical traction is one of the more effective methods for treating cervical spondylosis, but inappropriate repeated traction can lead to relaxation of the ligaments attached to the cervical spine, accelerating degenerative lesions and reducing the stability of the cervical spine. 2. repeated blind massage and reset The pathogenesis of cervical spondylosis is complex, and before doing massage and reset treatment Must exclude spinal stenosis, serious disc herniation, cervical instability and so on, spinal cord cervical spondylosis absolutely prohibit gravity massage and reset, otherwise it is very easy to aggravate the symptoms, and can even lead to paraplegia. Myth: You don’t have to be afraid of surgery blindly: Some patients with spinal cord cervical spondylosis are advised by their doctors that they should have surgery because of the severity of their condition, but some patients think about the difficulty and risk of surgery and back out. Unbeknownst to them, the spinal cord has no regenerative capacity and spinal cord cervical spondylosis is the main type of cervical spondylosis that requires clinical intervention by doctors. If patients with spinal cord cervical spondylosis still use non-surgical methods, not only will they not be able to play a therapeutic role, but they will make their condition worse. 6 The treatment of spinal cord type cervical spondylosis is advisable to avoid random, blind and wrong massage is harmful. Cervical spondylosis is clinically divided into four main types: neurogenic, spinal cord, vertebral artery, and sympathetic. The correct massage can relieve local muscle spasm, improve local blood lymph circulation and increase the stability of the cervical spine, is one of the common treatment methods. Not gravity massage However, gravity massage, especially with the nature of injury kneading method if used repeatedly in the same area, even if the operation is not strong, will cause damage to the corresponding muscle tissue or aggravate the inflammatory response, but lead to increased symptoms, the patient often in the morning of the next day, neck pain aggravated, activity restrictions aggravated. Trigger method should also be used with caution, especially the professional level of personnel, the mastery of contraindications is not clear, reluctantly administered, may cause the patient paraplegia or even death, vertebral artery patients wrong use of trigger method may lead to fainting patients on the spot. Identify the suitability of massage massage before, must also pay attention to identify whether the patient has other comorbidities, osteoporosis should be prohibited to use the trigger method, if combined with cervical fractures, bone tuberculosis, bone tumors and other diseases is absolutely prohibited massage operation, such as combined hypertension, serious cardiovascular disease should also pay attention to the manipulation of the strength of the operation shall not be too heavy 1, sleep not to sleep on top, the pillow can not be too high, too hard or too flat. 2, avoid and reduce acute injuries, such as avoid lifting heavy objects, do not tighten the emergency brake, etc. 3.Prevent wind and cold, humidity, avoid midnight, early morning bathing or wind and cold, wind and cold make local vasoconstriction, blood flow is reduced, which hinders the metabolism of tissue and waste removal, humidity hinders skin evaporation. 4.Actively treat local infection and other diseases. 5, correct bad posture, reduce strain, every 1-2 hours of head down or head up, need to do neck activities to reduce muscle tension. To prevent the occurrence of cervical spondylosis, the most important thing is to improve the sitting posture, when buried in hard work, you can also intermittently do shoulder and neck exercises. 7 introduce ear massage and Chengshan massage