”Mouse hand, tennis elbow, accountant’s neck (cervical spondylosis), driver’s waist (lumbar spondylosis)” has become a jingle to describe another category of “modern civilization diseases”. When talking about the spine and its related diseases, people may quickly associate it with “neck and shoulder pain”, “back pain”, indeed, the prevalence of cervical spondylosis, lumbar spondylosis and other spine-related diseases in people of all ages due to their occupations is increasing, and spinal lesions When the spine is diseased, it can cause a variety of injuries to the body. The spine is the pillar and “backbone” of the body and is the backbone of the body’s messaging. Clinically, the spine and its associated diseases account for more than 80% of all chronic diseases and are easily misdiagnosed. Therefore, all “chronic diseases” of unknown etiology, recurrent and untreated should be considered as possible spine-related diseases. I. What is spine-related disease? The so-called spine-related diseases are the clinical symptoms and signs that occur as a result of injury to the soft tissues around the spine, small joint misalignment, hyperplasia and degeneration, and aseptic inflammation of the tissues around the spine, which directly or indirectly stimulate or compress the spinal nerves, blood vessels, visceral nerves, etc. It is an emerging fringe discipline in the field of modern medicine that studies the relationship between the spine and disease from the perspective of spinal mechanics. It is an emerging discipline in modern medicine that studies the relationship between the spine and disease from a spinal mechanics perspective. It involves not only the familiar neck, shoulder, back, lumbar and leg pain, but also many kinds of diseases of the circulatory, respiratory, digestive, neurological, endocrine and immune systems. With the development of society, the era of progress, increasing work intensity, spine-related diseases are rapidly increasing year by year, while the age of onset is declining. 20 years of age or older accounted for more than 30%, 30 years of age or older accounted for 35%, 40 years of age or older accounted for 45 to 50%, while 50 years of age or older accounted for 60 to 75%, 70 years of age or older accounted for 85%. Second, what are the common causes of spine-related diseases? (a) Extrinsic factors are: 1, myogenic soft tissue injury factors: acute and chronic peri-vertebral soft tissue injury, the formation of peri-vertebral sterile inflammation, soft tissue mechanization, adhesions, the formation of sterile nodules, stimulation or compression of the peri-vertebral spinal nerve, visceral nerves, etc., causing clinically relevant syndromes. 2, osteogenic dynamic imbalance factors: acute and chronic injury to the spine caused by the spine itself intervertebral joint misalignment, small joint disorder, sacroiliac joint semi-misalignment or coccyx deviation, can cause the spine mechanical balance imbalance, spinal dysfunction; at the same time, the spine misaligned joints can also stimulate or compress the spinal nerve and sympathetic ganglion, clinical symptoms. 3, local inflammation: such as inflammation of the mandibular lymph nodes, acute and chronic inflammation of the pharyngeal wall. Bacteria and viruses in the pharynx can spread along the lymphatic vessels to the muscles, ligaments and joint capsule around the circumoccipital joints of the cervical spine, resulting in muscle spasm contraction and even vitelliform degeneration of the cervical ligaments and relaxation of the cervical ligaments, leading to abnormal changes in the peri-vertebral soft tissues. (B) intrinsic factors are mainly: 1, degenerative changes: mostly due to degenerative changes in the intervertebral disc and surrounding tendons and ligaments after the degenerative changes, resulting in the destruction of joint stability structures around the spine, so that the dynamics of the spinal vertebral axis changes, easily causing the spinal nerves or visceral nerves to be stimulated and compressed, the emergence of clinically relevant syndromes. 2, mental factors: human mental state is not only related to the onset, but also closely related to the recovery of the disease. If one is in a state of mental tension for a long time, the back muscles cannot be relaxed. In a state of unequal muscle tension on the left and right side, the contraction of the muscles on the high tension side will lead to the appearance of headache, dizziness, back pain and other symptoms. (c) The main triggering factors are: minor sprains and contusions, feeling the stimulation of wind, cold and damp. In short, spondylosis stimulates or compresses the nearby blood vessels, spinal nerves and receptors; degeneration of the spine, shortening reduces the volume of the thoracic and abdominal cavities, generating compression of organs and other aspects can lead to spine-related diseases. Third, what are the clinical manifestations of spine-related diseases? 1, cervical spine injury in the clinical head and facial symptoms and cranial nerve symptoms as the main manifestations, including vertigo, headache, eye symptoms (vision loss, dryness, eye swelling, eyelid drooping, etc.), nasal symptoms (nasal congestion, abnormal sensation in the nostrils, abnormal sense of smell, etc.), throat symptoms (foreign body sensation in the pharynx, etc.), ear symptoms (tinnitus, hearing loss, etc.), cranial nerve symptoms (choking, hoarseness, tongue extension disorder) (choking, muffled speech, soft palate paralysis, etc.), circulatory system symptoms (chest tightness, chest pain, shortness of breath, palpitations, etc., and even arrhythmias) and some other symptoms (eruption, sleep disorder, hypertension, abnormal sweating, etc.). 2, thoracic spine injury clinical manifestations are mainly based on the dysfunction of internal organs: thoracic spinal nerve irritation symptoms (radioactive or limited thoracic back pain, numbness, muscle tension, spasm or muscle atrophy in the innervation area of the injured nerve segment), autonomic dysfunction symptoms (pale, flushed, cold, burning skin, excessive sweating or no sweating, palpitations, arrhythmia, pseudo-angina, chest tightness, blockage and pressure in the chest, the (dyspnea, wheezing or spasmodic choking cough and asthma, loss of appetite, distention and fullness of the stomach and abdomen, stomach pain, abdominal pain, diarrhea, constipation, duodenal ulcer, gastric prolapse, chronic gastritis, chronic colitis, cholecystitis, etc.). 3.Lumbar spine and sacroiliac joint injuries mainly manifest as lumbar and leg pain and pelvic organ dysfunction (urinary frequency, urinary urgency, dyspareunia, enuresis, impotence, lower abdominal pain, shortness of breath, diarrhea, constipation, dysmenorrhea, menstrual disorders and sexual dysfunction, etc.). Fourth, how to determine whether there are spinal-related diseases? Based on the medical history, clinical symptoms and signs, general examination of the patient can be performed after excluding related system diseases, such as appearance of posture, pain site, spinal range of motion, spinal spine deviation and other conditions can make a preliminary diagnosis of the patient’s disease, but a clear diagnosis depends on systematic, thorough and accurate examination, such as X-ray plain film, vertebral artery color Doppler examination, CT, MRI, etc. V. How to treat spine-related diseases? For the treatment of spine-related diseases, we advocate the holistic concept and dialectical treatment in Chinese medicine, which includes “seeking the root of the disease”, “helping the righteous and eliminating the evil”, “adjusting yin and yang”, and “taking into account the time, place, and place”. Under the guidance of the principles of “appropriate to the time, place and person”, we apply treatment methods such as massage, bone setting, traction, acupuncture, acupuncture knife, medicine, physical therapy, rehabilitation training and surgery to clarify the diagnosis and target the treatment. Specific treatment plans should be developed under the guidance of a professional physician. Sixth, how to prevent spine-related diseases? Spine-related diseases can occur at all ages from birth to old age, so spinal health should be started from the “baby” and continue throughout all stages of life. It is important to consciously protect the spine and to “prevent and treat diseases before they occur”. 1, to develop good habits, including good posture for study and work. It is not advisable to lie low for too long; should not be sedentary; should not read in bed, watching TV; should not be a long time online, playing mahjong, playing sweater, etc.. 2, the pillow should not be too high or too low, should be based on the head, neck, shoulder ratio selection, the height of the pillow under pressure is the size of a standing fist, side lying pillow height about flat shoulder, should be comfortable. 3, engaged in the nature of the work of low head ambulation staff should have interval activities rest time, such as recess, workplace activities. 4, pay attention to the neck, lumbar warmth, try not to get cold. Avoid catching cold and eating cold things, do not spend a long time in the air-conditioned room and blowing against the fan. 5, pay attention to the usual diet nutritional structure, especially the middle-aged and elderly, eat more food with high calcium content, such as milk, dairy products, soy products, shrimp, kelp, sesame paste, etc., is conducive to calcium supplementation to prevent osteoporosis. 6, scientific and standardized exercise training, is conducive to the prevention of cervical and lumbar spondylosis. Such as young people often do “flying swallow” back flying action: that is, when lying down, do head and neck, double lower limbs back extension, waist action. Strengthen the exercise of the lumbar muscle, do more stretching, abdominal exercise. Some cervical spine exercises, lumbar spine exercises, etc. should be selected according to physical condition, the elderly are generally not advocated to do cervical spine rotation exercise; elderly people, people with lumbar spine disease, should not do the exercise of bending and leg press. 7, pay attention to the posture of labor, to avoid long-term bending and excessive weight bearing. Avoid overexertion and combine work and rest. Pay attention to improving the labor environment, avoid sitting and lying on cold and wet ground; seat height should be appropriate size, do not sit on a small bench, low sofa, the height of the seat should be more than 90 degrees of the angle between the thigh and the upper body is appropriate. 8, people with a history of low back pain, bending should keep the upper body upright squatting before taking things. Contraindicated lumbar spine rotation when bending, keep the spine upright. Do less bending and forceful movements. 9, strengthen exercise, self-care: adhere to physical exercise, enhance physical fitness, delay degenerative changes in bone and ligament. 10, maintain a good state of mind, avoid mental tension. Prevention of spondylosis and its related diseases is more important than treatment, as people age, the degenerative changes in the human spine is an irresistible natural law. Understanding the causes of spondylosis and related diseases, enhance awareness of spinal protection, through scientific and standardized exercise, a reasonable diet, good habits, correct poor posture, study and work, reduce labor intensity, avoid injury, improve the living and working environment, it is possible to delay the degenerative changes of the spine, but also to reduce the incidence of spondylosis and spine-related diseases. The incidence of spinal and spinal-related diseases can be reduced. Let’s pay attention to spinal health, a healthy life starts with taking care of the spine!