What should I do if the physiological curvature of the cervical spine disappears or becomes retroflexed?

  During recent outpatient clinics, we always encounter young men and women in the age group of 20-30 years old who come to the clinic seeking treatment for pain in the neck and shoulders, pain and numbness in one or both upper limbs. After performing cervical spine X-ray or cervical spine MRI for them, they often see mostly loss of cervical spine physiological curvature, straightening and retroflexion. Most young patients are worried about this and ask how treatment can restore the cervical curvature. Now we will understand this problem together with you.  The physiological curvature of the cervical spine: Most of the time, the physiological curvature of the cervical spine that is generally understood is seen from the side when the human body is sitting or standing, and it looks straight, but in fact, the cervical spine that is wrapped around the inside is not straight, but has a forward projecting curve in its middle section. (Attachment: Cervical spine structure, physiological curvature) In medicine, this forward curved projection is called the physiological curvature of the cervical spine. The cervical spine image on X-ray: along this curvature, there is a continuous, smooth curved curve formed at the posterior edge of each cervical vertebra, which is medically called the cervical curvature. The normal range is approximately 12 (±5) mm. The cervical spine is in biomechanical equilibrium, and the normal existence of cervical spine physiological curvature can increase the elasticity of the cervical spine, reduce and cushion the shock of gravity, and prevent damage to the spinal cord and brain.  Cervical spine physiological curvature straightening (retroflexion) When the cervical spine is in a state of biomechanical dynamic and static force imbalance, most patients have cervical spine mechanical imbalance due to long-term sitting, poor sleeping posture, disc nucleus pulposus dehydration degeneration, spinal injury, spinal calcification, etc. The anterior convexity of the cervical spine gradually disappears, or even becomes straight or has a retroflexion bend, i.e., backward convexity. This also becomes one of the more important diagnostic bases on the X-ray of cervical spondylosis.  Cervical spine curvature changes from the clinical point of view In the clinic, we often see patients with specific symptoms, signs and local pressure points, but no obvious degenerative changes such as space narrowing on imaging, only changes in the physiological curve of the cervical spine, intervertebral instability and mild osteophytes.  Most of these patients tend to pay insufficient attention to this when they are seen clinically because of the mild symptoms and the lack of clear diagnostic hints on imaging, resulting in recurrent attacks that aggravate the condition.  Many patients with recurrent occipital changes in the outpatient clinic belong to this kind of changes. From a large number of clinical observations confirmed that this type is actually the initial stage of cervical spondylosis, and is also the most favorable time for treatment.  Common clinical treatment 1, cervical traction therapy (recommended to be carried out in the hospital); 2, Chinese medicine massage (recommended to be carried out in the regular hospital Chinese medicine department, massage department and other related departments, please do not go to beauty, health care and other places without formal training massage); 3, physical therapy (the application of natural or artificially created sound, light, electricity, heat, magnetism and other physical factors on the body to achieve the prevention and treatment of disease, known as physical therapy. abbreviated as physiotherapy. This kind of treatment includes spectrum, infrared, shock wave, electromagnetic and other related therapeutic instruments); 4.Therapeutic external use of Chinese medicine (Chinese medicine external treatment method, Chinese ointment, Chinese medicine bag are all such treatment).  Prevention and treatment recommendations: (the root of the treatment of this disease is to remove the causes of cervical strain) 1, it is recommended to avoid lying down to read books and watch TV (iPad, cell phones, etc.), and preferably not to sit on the sofa to watch TV; 2, do not amble too long at work (time recommended in 20-30 minutes for neck activities), and avoid prolonged low posture. When using a computer monitor as far as possible in the front and with the field of view upward at an angle of 5 to 10 degrees; neck warmth, avoid cold; 1, drive comrades try not to brake sharply, do car comrades if you know they have such a situation, you can wear a neck brace in a long car ride to protect; 2, play poker, mahjong, video game equipment, etc. should also avoid prolonged use; 3, it is recommended that every night before going to bed with a neck pillow or with a pillow towel Rolled into a mineral water bottle thickness, placed at the back of the head and neck, is conducive to restoring the normal physiological curvature of the neck, half an hour; 4, it is recommended to sleep at night with a low pillow, unnecessary to buy the current market popular “S” type with curvature memory foam pillow, because such pillows are suitable for supine position, for side lying, such as the curvature of the height difference is too large, it is Easy to aggravate the symptoms, resulting in pillow situation.  5, treatment is recommended to first physical therapy, such as physical therapy, moderate traction, professional massage, shoulder and arm pain such as sleep, can take “Cilabao” or “Fotalin” and other non-steroidal anti-inflammatory painkillers, in the case of no pain in the neck and other symptoms to do the corresponding If you do not have neck pain or other symptoms, do the appropriate neck exercises.