What is cervical spondylosis all about?

  In fact, some cervical spondylosis can indeed be stopped or delayed with reasonable self-care and treatment. To know how to stop the aggravation of cervical spondylosis, first of all, we need to understand what cervical spondylosis is all about?  What is cervical spondylosis?  The definition of cervical spondylosis in the Orthopaedic Clinical Manual is “cervical spondylosis is caused by the degeneration of the cervical disc itself and its secondary changes that irritate or compress the adjacent tissues and cause various symptoms and signs”; the incidence of cervical spondylosis is 25% in people around the age of 25, 50% in people aged 60, and even higher in people aged 70 The incidence is almost 100%.  Under what conditions does cervical spondylosis worsen?  Cervical spondylosis can be exacerbated by any condition that causes an absolute or relative reduction in spinal volume. All degenerative changes in patients with cervical spondylosis, such as disc herniation, calcification of the posterior longitudinal ligament, and the formation of vertebral redundancy at the posterior edge of the vertebral body (what we usually call “bone spurs” and “osteophytes”), can cause anterior compression of the spinal cord; the symptoms caused by disc herniation are related to the site of the herniation. Symptoms are related to the location of the herniated disc. They often lead to radiating pain along the area of innervation to the hand, but can also be limited to the shoulder. Coughing, sneezing, or exertion may aggravate the pain and cause it to radiate throughout the upper extremity.  In contrast, hypertrophic calcification of the ligamentum flavum can compress the spinal cord from behind. Because of the inelasticity of the ligamentum flavum in the elderly, when the neck is hyperextended, the ligamentum flavum forms folds, and the spinal cord becomes shorter and the pressure on the spinal cord increases, thus aggravating cervical spondylosis.  For spinal cord cervical spondylosis, traction therapy, especially seated occipital jaw belt traction, often puts the cervical spine in a hyperextended position, and inappropriate traction therapy has the risk of aggravating cervical spondylosis.  In addition, inappropriate massage techniques, especially violent cervical spine twisting techniques, can often aggravate cervical spondylosis.  How to prevent the aggravation of cervical spondylosis?  A good sleeping posture Cervical spondylosis patients are not recommended to sleep on a pillow that is too high. High pillows can make the neck muscles tense, neck muscle soreness and discomfort, in addition, sleeping on a high pillow will make the neck overbend, so that the volume of the spinal canal is reduced, thus aggravating the pressure on the spinal cord or affecting the blood supply to the spinal cord and aggravating the symptoms.  Second, the correct exercise habits exercise gently, slowly, to avoid strenuous neck flexion and extension twisting. Strenuous movement of the neck will stimulate the ligamentum flavum to grow and thicken, and will produce new fibular ring or posterior ligament injury, aggravating the disc protrusion or producing new disc protrusion.  Third, the correct rehabilitation treatment cervical traction treatment must be carried out under the guidance of a rehabilitator or physical therapist, not blindly self-traction.  For spinal cord type cervical spondylosis, traction should be performed in the supine position. Because sitting occipito-mandibular belt traction often puts the cervical spine in a hyperextended position, which can aggravate cervical spondylosis by making the volume of the spinal canal smaller. Traction weight should be gradually increased, but the maximum is generally not more than 5 kg.  Massage therapy Massage therapy should be used with caution, rough, wrong techniques often aggravate cervical spondylosis, or even cause paraplegia, but can use some gentle techniques massage to reduce the pain and discomfort of the soft tissues around the neck.  V. Drugs Some neurotrophic drugs, such as vitamin B1 and vitamin B2, can be used to slow down the progress of the disease.