Nodding for cervical spondylosis

  Cervical spondylosis, also known as cervical spine syndrome, is a general term for cervical osteoarthritis, proliferative cervicitis, cervical nerve root syndrome and cervical disc prolapse, and is a disorder based on degenerative pathological changes. It is a clinical syndrome with a series of dysfunctions due to long-term cervical spine strain, osteophytes, or disc prolapse and ligament thickening, resulting in compression of the cervical spinal cord, nerve roots or vertebral artery. The disease is mainly concentrated in teachers, doctors, journalists, bankers, accounting and other desk-bound workers, and the trend is younger. Therefore, we should prevent it as early as possible, especially for those who sit in offices and work at desk jobs.  The main symptoms of cervical spondylosis: 1. Vertigo Vertigo is a common symptom of patients with vertebral artery type cervical spondylosis. Patients change their position due to neck extension or rotation to induce vertigo symptoms. The vertigo caused by ischemic lesion of the vestibular nerve nucleus usually lasts for a short period of time and disappears in a few seconds to a few minutes, and the patient may have mild disorientation and movement disorder at the onset, which is manifested as unstable walking or tilting to one side; the vertigo caused by ischemic lesion of the vestibular nerve is not accompanied by impaired consciousness. The vertigo caused by vestibular neuropathy is central vertigo; the vagal ischemic lesion is peripheral vertigo. Some patients have nausea and cannot raise their heads during acute attacks. A few patients have symptoms such as diplopia, eye tremor, tinnitus and deafness.  2. Headache Patients with vertebral artery type cervical spondylosis usually have headache and vertigo symptoms at the same time at the onset. Occipital neuropathy is the main cause of headache. Because the occipital artery, a branch of the vertebral artery, supplies the occipital nerve, clinically, spasm of the vertebral artery causes ischemia of the occipital nerve and headache symptoms in the occipital nerve innervation area, which is intermittent throbbing pain, radiating from the back of one side of the neck to the occiput and half of the head, with a burning sensation, and a few patients have pain allergy and feel pain when touching the head. In addition, the rhomboid muscle, which is innervated around the paraspinal nerve, can cause spasm of the rhomboid muscle after root lesion or trauma to this muscle, and the occipital nerve branch that penetrates from the rhomboid muscle is squeezed to induce clinical symptoms. When the atlantoaxial or pivotal spine is displaced, it can also stimulate the occipital nerve that penetrates from it and induce headache.  3.Visual impairment Because of the spasm of the vertebrobasilar artery system caused by cervical spondylosis, secondary ischemic lesions of the visual center of the occipital lobe of the brain may occur in a few patients, and visual acuity loss or visual field defects may even cause blindness in serious cases.  4. Sudden fall When the patient’s neck rotates, he suddenly feels the weakness of the lower limbs and falls down. The clinical characteristics are: the patient is conscious at the onset and can get up by himself or even walk within a short time. This is different from other cerebrovascular diseases.  5. Radicular symptoms Due to the local anatomy, patients with vertebral artery type are also often accompanied by neurogenic symptoms.  (1) Neck symptoms: neck discomfort and restricted movement, the main neck discomfort include neck pain, neck soreness, neck stiffness, and improvement after activity or massage; sudden increase after morning rising, exertion, improper posture and cold stimulation; “rattling” sound when moving the neck; stiffness of neck muscles; painful points when pressing the neck with hands; painful points when massaging the neck. Massage the neck with ligaments “popping”, not flexible enough to turn the neck, etc.  (2) Shoulder symptoms: both shoulders are sunken; the shoulders are sore and swollen; the neck muscles are spasmodic, and there is pain when pressing the neck, and sometimes the pain is severe; the pain is aggravated by exertion, sedentary and improper posture; (3) Back symptoms: the back muscles are tight and stiff, and improve after activity or massage; there are painful points on the back, and the pressure is obvious; the back discomfort is aggravated by exertion and cold.  ”Nodding and ha-wa” for cervical spondylosis: Nodding and ha-wa” is the basic movement of the human spine, which can maintain the “spinal bone qi” and is an easy way to prevent and treat cervical and lumbar pain. Long-term ambulatory work, cervical ligaments are most likely to be damaged, so nodding (chin point to the sternum at 90 degrees) after stretching, is to exercise the cervical ligaments, so that it restores flexibility and toughness. Nod and waist 70 times a day, when you start to do must be slow, gentle movements, do not use brute force, step by step, gradually increase the number of times, do not rush, which is often counterproductive. The nod and waist method is suitable for use, not only to prevent cervical spondylosis, but also to prevent lumbago. So people who have been sitting for a long time should get up regularly to do the “nod and waist” action.  The author in the clinical work due to more sitting, often ambulatory work, neck sometimes also feel discomfort, after “nodding waist” exercise also received very good results, the method after three years of clinical verification, that the effect is very good, can prevent 70% of cervical spondylosis, but any method has advantages and disadvantages, do not brute force, the author In the clinic often encountered some patients, the cure is eager, began to do more than 300 times a day, as not to get the point, but bad for the cervical spine. Therefore, we must not be impatient and adventurous, must be gradual, in addition, to adhere to.