What should I do about degenerative cervical spine degeneration?

  Patient: Hello, I am 25 years old, female. Some time ago (not more than 1 month), I suddenly felt a special soreness in my neck one day, which lasted for several days, and was accompanied by headache at the temple and the back of my head. After a few days, the symptoms were slightly relieved and it became only the right side of my neck that was uncomfortable, with a feeling of being stretched and a slight pain at the right temple. Then I went to the doctor, who said it was a muscle strain and gave me a 5-day prescription. After taking the medicine, the symptoms subsided and there was no reaction for a few days. But then the right side of my neck became uncomfortable again, accompanied by a headache. So I went to see the doctor for the second time. A frontal and lateral cervical spine film was taken and the results were: number of cervical vertebrae, normal alignment and straightened curvature. The edges of the vertebrae were sharpened and the density was increased, and there was no interruption or destruction of bone. No significant narrowing of the intervertebral spaces was observed. Results: cervical degeneration The doctor said I was cervical spondylosis. He also said that my cervical spine was congenitally something, more prone to cervical spondylosis, and prescribed 8 days of Chinese medicine. He also said that it might recur if I don’t pay attention to it after it gets better. Now, on the 5th day of taking the medicine, my symptoms have subsided, but my neck is still a bit uncomfortable, and I don’t have any more headaches. What I want to ask you is, first, what kind of cervical spondylosis I have, as I have seen many kinds of cervical spondylosis on the Internet. Second, can I cure this problem? How do I treat it? Third, what should I pay attention to in general? Fourth, someone said on the Internet that I can correct the cervical curvature, but I don’t know how to do it, can you tell me how. Thank you very much for your help.  Zhao Shuai, spine specialist of Guangdong Provincial Hospital of Traditional Chinese Medicine: Miss Huang: Hello! First of all, thank you for your trust in me. Let me answer your questions one by one. Your symptoms should be of the cervical type if you are sure to be diagnosed with cervical spondylosis. Cervical spondylosis is a degenerative disease, with age, degeneration is inevitable, so from a physiological pathological point of view, cervical spondylosis and lumbar disc herniation are “incurable”. But you don’t have to worry, our spine doctors have a systematic diagnosis and treatment plan and indicators to assess the efficacy of the treatment. The so-called incurable is theoretical, in fact, the disease is clinically cured as long as the symptoms are relieved, but the treatment of cervical spondylosis must be a combination of prevention and treatment, even if you have not yet reached the stage of cervical spondylosis, it is still the early symptoms of cervical spondylosis, “prevention of disease before the disease, disease prevention”, therefore, I will tell you treatment and preventive health care methods. Details: treatment: general conservative treatment are effective, Chinese medicine massage, acupuncture, fire cupping, Chinese medicine internal and external use, traction and physical therapy are effective methods, under the guidance of the doctor to optimize the choice. Drugs: recommended creams are applied externally, if the skin is prone to allergies, you can use good and Shi, indomethacin Babu agent, etc. Oral anti-inflammatory and analgesic drugs: Cilabao, or Fenbid, Fotarim extended-release tablets, etc. Pay attention to eat only after meals, not on an empty stomach, if you have stomach problems, try to eat less, if you are allergic to sulfonamides, do not eat Cilabao. Proprietary Chinese medicines can be used according to the doctor’s recommendation, nothing special, try not to eat when you have your period, the general drugs have blood-activating ingredients, which can cause an increase in menstruation, or prolong menstruation. Preventive health care: The recuperation program for cervical spondylosis includes avoiding acute neck injury, reducing strain, and enhancing the strength of neck muscles to reduce the onset of the disease; or promoting the recovery of the disease after both diseases to avoid aggravation; and paying attention to maintenance during the remission period or after healing of the disease to prevent recurrence. Keep away from risk factors: avoid prolonged low head work, avoid prolonged head and neck in the same fixed position, avoid excessive fatigue, and avoid prolonged exposure to wind and cold and humidity. Living health care: 1. Read books on cervical spondylosis prevention and control, understand that the occurrence of cervical spondylosis is related to neck injury, falling pillow, wind, cold and dampness, improper pillow height, etc., and prevent against the causative factors. 2, pay attention to the neck and shoulders to keep warm, avoid wind, cold and dampness, wind and cold make local blood vessels constrict, blood flow is reduced, which hinders the metabolism of tissue and waste removal. 3.Adopt a good posture of living and life: avoid sleeping with a high pillow, avoid lying down when sleeping; change the position of the head regularly for ambulatory workers; look positively when talking or reading; avoid overworking the head and neck, do not carry weight; do not doze off in a car; prevent flashing and contusion when working or walking. 4, timely and thorough treatment of neck, shoulder, back soft tissue strain functional exercise: recommended “rice” exercise, write a “rice” with the chin, the amplitude should be as large as possible, the action should be slow and soft, not fast. Pay attention to adjust the sleeping pillow, can correct the curvature, first of all, during the treatment period, sleep on a high pillow (to their own comfort), about 1 week later changed to a slightly posterior extension of the neck, medium height, side lying with the pillow pressure and shoulder level. I hope my answer will be helpful to you. Please read my answer carefully and carefully, because I am very attentive to answer your questions, do not waste a piece of my hard work, hahaha. I wish you a speedy recovery.