First, the new action instead of swallow flying After the year, the patient is extraordinarily much, a cervical spondylosis patients 1 month after surgery review, it is recommended to take off the collar, forward flexion and backward extension lateral flexion orientation activity are quite good. Numbness of both hands is greatly relieved, only individual fingers are still slightly numb, the recovery of nerve compression, is a long-term process, have to take their time, overall recovery is good. Later, the patient said that his lumbar spine is also not good, look at the film, the lumbar spine does have a small problem, but never to the point of needing surgery. It was recommended to do functional exercises for the lumbar back muscles. Swallow fly is a popular exercise method for a long time, as shown in the picture. 1, Superman style prone position, double upper and lower limbs extended, slowly lift the limbs, and lift the upper body as much as possible, insist on lifting for 5 seconds, 10 times for a group, 2-3 groups per day. 2, four-point crawling hands and knees to support the ground, bend the knee 90 degrees, head up, can not close the jaw, slowly cross the upper and lower limbs on one side of the lift, lift for 3 seconds, keep lifting after the lifting of the upper and lower limbs to the lateral extension, repeat 10 times for a group. Second, the spinal disease small science and an old man to see a doctor, a door can be seen very painful, to maintain a very stiff posture. The old man described his condition as lumbar pain, some time ago could not get off the ground, a few days better hurry to see a doctor. The nuclear magnetic disk is hung. Ask the first question: Have you ever had a fever before? The old man said that he had a fever and had seen the village doctor. The second question: Do you usually come into contact with sheep? The old man said that he had been herding sheep for other people’s families in the village. Combined with many years of clinical experience, he highly suspected Brucella spondylitis and prescribed further laboratory tests to confirm the diagnosis. The director also told his graduate students that Brucellosis is prevalent in pastoral areas, sheep are the main source of infection, the clinical manifestations of fever, polyarthralgia, muscle pain, bone involvement, spine, especially lumbar vertebrae invasion is the most common. Therefore, if a patient presents with low back pain, a history of fever, and a history of contact with grazing animals, the suspicion of brucellosis should be high. Nuclear magnetic manifestation may be, vertebral bone signal abnormality, the edge of the worm-like bone destruction, localized lumbar large muscle abscess or epidural abscess can be seen. The figure below is a typical MRI of spinal brucellosis: