What are the misconceptions about the treatment of “neck and back pain”?

  Neck and lumbar pain is a very common disease among middle-aged and elderly people. According to a foreign statistic, only for lower back pain, 60%-80% of middle-aged and elderly people are troubled by this disease, thus, how to treat and treat neck and lumbar pain correctly has become an important issue in medicine. In many years of clinical practice, we found that many patients still have many misconceptions about this disease, below, we analyze them one by one: 1. Neck and low back pain in the elderly is caused by bone spurs, which must be removed in order to be cured.  Analysis: There are many causes of neck and back pain, and due to the popularity of radiography, more and more middle-aged and elderly people are wearing the hat of “osteophytes” (also known as bone spurs) in the diagnosis of radiology. In fact, more than 90% of 60-year-olds suffer from “bone spurs” to a greater or lesser extent, which is a very normal physiological phenomenon, just as it is normal for people to have gray hair and lose their teeth when they grow old. The majority of “bone spurs” are the result of soft tissue strain, which causes periosteal reactions and hyperplasia due to prolonged pulling stress, and are not the cause of soft tissue pain. Except for a very small number of bone spurs that directly stimulate the compression of nerves and require surgery, the vast majority of bone spurs are not the direct cause of pain, and direct removal of bone spurs is neither practical nor necessary.    2, neck and back pain cannot be cured, and thus there is no need to seek medical attention.  Analysis: Under the current medical conditions, many chronic neck and low back pains are indeed incurable, but it does not mean that they cannot be treated. On the contrary, there are still many treatment measures for patients with neck and back pain, and, for example, physiotherapy, acupuncture, manipulation, acupuncture, plastering and other external Chinese medicine treatments are still very effective, and many treatments can achieve a very good long-term relief effect. Chronic neck and low back pain has become an important factor affecting the normal quality of life of human beings. Paying attention to it and treating it with the aim of significantly improving the quality of life is the most important thing.  3, my neck and low back pain had been cured by treatment at that time, but it came back after 2 months, because the doctor’s treatment was not complete at that time.  Analysis: Chronic neck and low back pain is a type of disease that can easily recur, and its fundamental problem often lies not in the treatment, but in how to recover and maintain. For example, patients with low back pain should often strengthen the training of back extension and abdominal muscles, should not sit and stand for a long time, should rest in bed during acute attacks, and should not catch a cold in the lumbar region, etc. The causes of recurrence of neck and low back pain are many and complex, partly due to incomplete treatment, but mostly due to the patient’s own lack of attention to good maintenance.    4. There are already bone spurs, which means that calcium is oversupplemented and cannot be supplemented.  Analysis: As already mentioned, bone spurs have nothing to do with calcium supplementation. For most Chinese elderly people, due to the structure of their diet, bone density is generally low, especially for women, and calcium supplementation to prevent osteoporosis is a long-term thing. Of course, for some patients who are clearly diagnosed with neck and back pain caused by osteoporosis, calcium supplementation can only be an auxiliary treatment for osteoporosis, and they should also go to the hospital for systematic treatment of osteoporosis under the guidance of regular doctors.