The neck and lower back are the more mobile joints in the body. There are significant differences in the mobility of the neck and waist depending on the occupation. Brain work, painting, writing, typing, laboratory work, embroidery, sewing and other work are prone to chronic injury to the cervical spine and cervical disc degeneration, and certain sports are prone to acute injury. In the prevention should pay attention to: 1, to prevent injury to the cervical spine Do a good job of labor, sports, performance before the preparation activities to prevent injury to the cervical spine and other parts, such as those engaged in sports, martial arts and other occupations and students in physical education classes, before the movement to do a good job of preparation activities, so that the joints, muscles fully stretch, coordination, and make the body’s stress capacity to adapt to it, so as to prevent injury in sports. 2, to ensure good sitting posture engaged in accounting, writing, proofreading, typing, knitting and other work, often due to work position and posture or long-term head down, so that the muscles of the neck in a long-term non-coordinated stress state, the ligaments and muscles of the back of the neck is easy to be strained, strain, and the front edge of the vertebral body due to mutual wear and tear and hyperplasia, so people engaged in such work and students should first have the correct sitting position and sitting posture . Generally should take a natural sitting position, chest straight, head slightly tilted forward, eyes and desktop to maintain a distance of about 33cm. In addition, the height of the table and chairs will also affect the posture of the human body, such as high tables or chairs too low, it will make the person’s head too far back and shoulders up, so that the distance between the eyes and the desktop shortened, both easy to cause strain on the neck and shoulder muscles, but also easy to lead to vision fatigue and myopia; on the contrary, if the table is too low or chairs too high, it makes people leaning forward and forward, more likely to lead to strain on the neck. In addition, long-term typing, embroidery and other low-headed work of people, should not be long-term continuous work, there should be appropriate intermediate rest and work activities, and do functional activities of the neck and shoulders. Such as shrugging the shoulders, cervical flexion, back extension and left and right rotation, etc. 3, should prevent trauma to the cervical vertebrae Some sports activities and games for adolescents, especially diving, mat sports (headstand, forward roll), overhead weights, etc., should be paid special attention. The game of “topping the bull” for teenagers in some areas should be discouraged. Some acrobatic movements of the head and neck with special force should be fully prepared before the performance. 4, timely elimination of cervical pharyngeal inflammation acute and chronic pharyngitis, tonsillitis, soft tissue infection in the neck, cervical lymphadenitis, should be treated in a timely manner to prevent the spread of the lymphatic system to the cervical vertebrae and joint capsule. 5, the use of suitable pillows suitable pillows for the prevention and treatment of cervical spondylosis is very beneficial, and simple and easy to do. Low pillow should be advocated. As the saying goes: “high pillow without worry”, in fact, from a medical point of view, high pillow sleep often causes cervical strain, long-term high pillow and lying is often an important factor leading to recurring pillow and cervical spondylosis. The normal human cervical spine, from the side, its shape has a forward projection of the physiological bend (cervical curve). This physiological bend is conducive to cushioning the body in motion from the lower limbs to conduct up the oscillation, the cranial brain has a protective effect. If we sleep with the head pillow high, not only does not meet the physiological bending of the cervical spine, and due to the change in the relationship between the force, that is, the high pillow makes the cervical spine too forward bending, excessive tension in the soft tissue of the neck, fatigue, it is easy to fall into the pillow, and over time will cause the bones of the neck morphological changes (Figure 20 -22-C). The corresponding parts will gradually produce osteophytes, the formation of bone spurs and cause a series of clinical symptoms of cervical spondylosis. However, the author encountered many patients in the clinic after hearing that you can not high pillow to the other extreme, simply do not use the pillow, or pillow special low. This is also not scientific. The most ideal pillow should be in line with the physiological structure of the human cervical spine. The human cervical spine is composed of seven vertebrae, between which there are intervertebral discs, muscles, ligaments and small joints are connected, in order to keep the body upright and walking balance and cushion walking, jumping oscillations, to protect the brain, the seven cervical vertebrae are not vertically superimposed, but a more rounded, protruding to the front of the arc. The distance between the center of the line connecting the two ends of the arc and the top of the arc is about 12mm, so a smooth arc in the medical known as the physiological curve, referred to as the “cervical curve”. The pillow is cushioned under the neck to support and maintain the role of the neck curve. So the length of the pillow to not more than their shoulder width 10 -15cm appropriate, a reasonable height of the pillow should be composed of two aspects, namely the height of the pillow and the height of the pillow neck. Supine height of the pillow part should be compressed and their fist height equal or slightly lower, while the pillow neck part should be slightly higher than the pillow part, but not too much higher, the general situation higher than one to two horizontal fingers is appropriate, and a certain degree of flexibility to set off the neck curvature, and the back of the head touch parts to be lower, softer, only play an auxiliary role (Figure 20 – 22-A). As shown in Figure 20-22-D, supine both pillow, more pillow neck. People often mistakenly believe that the pillow is only used to cushion the head, and the cushion neck this piece to forget. So often lead to the neck does not get effective relaxation and rest, cervical spondylosis that will take advantage of the people, so you can not rest for a long time. Supine pillow parts high should be about a fist of their own, this fist is the height of the pressure down. If the pillow heart is cotton, you should consider it pressed down there is no fist. Side lying slightly higher than supine, the pillow should be pressed down to a height equal to their own shoulders (Figure 20-22-B). Cervical disc herniation patients can make their own pillow to meet the physiological requirements, the general choice of buckwheat bark, bushy down, wood wool, mung bean shells, grain bran, tea, chicken feathers, duck down, etc. as pillow core raw materials, the specific choice of which material, according to their own preferences selected, but the basic requirement is good breathability, soft texture is not hard, and has a good plasticity. Pillow core can also be filled with some aromatic enlightenment, blood circulation, relaxation, wind and paralysis of Chinese herbs made into pillows. Generally can add herbs are: peppermint, bushy leaves, mugwort, chrysanthemum, pelargonium, safflower, calamus, dahurica, dahurica, thick park, cinnamon stick, Chuanxiong, dolichos. If the neck pain is heavy, add Sclerotium and Qiang Wu; if the neck is sore and uncomfortable, add Atractylodes and Gentiana; if the neck and shoulder pain is severe, add Paeonia lactiflora and Jiang Huang; if the limb is numb, add Scorpion and Dilong; if the movement of the upper limb is limited, add Peach kernel and Mulberry branch; if the bone is enlarged, add Wei Ling Xian and Gunnison. These drugs are mixed and processed into soft and hard pillow cores, according to the homemade pillow requirements to make medicine pillow for the prevention and treatment of cervical disc herniation has a good effect. However, for patients who have formed cervical spondylosis, if the bone superfluous mainly in the posterior joint, the clinical performance of the head up when the symptoms are aggravated when the neck is stretched, low head when the neck is reduced, it is not suitable for low pillow, appropriate high pillow but beneficial. In short, the choice of pillow height should also be closely based on the condition, and the principle of patient comfort. 6, the cervical spine injury to early diagnosis and early treatment from a high fall, head first to the ground resulting in coma patients, do not only meet the diagnosis of “traumatic brain injury”, should also think of cervical spine trauma, especially to think of high cervical medullary injury. Because the cranial brain is a near-circular structure, and the cranial plate is thick, so in the fall, although the head hits the ground first (especially when the ground is soft), it may not necessarily hurt the inside of the cranial brain, but may also cause cervical spine injury due to the transmission of force. It is common for clinical misdiagnosis of cervical spine injury as traumatic brain injury. Therefore, attention should be paid to cervical spine examination to prevent missed diagnosis and misdiagnosis and strive for early treatment. 7, strengthen exercise, enhance physical fitness China’s ancient idiom of “flowing water does not rot, household pivot is not moth-eaten”, “Nei Jing” has “guide press among”, Hua Tuo has “five birds play”, all illustrate the whole body Exercise can strengthen the body and prevent disease. Patients with cervical spondylosis can do systemic exercise by playing Taijiquan, Ao radio exercise, etc., but also through the cervical functional exercise, enhance local muscle strength, smooth cervical joints to relieve symptoms, so that the lesions gradually improve. 8, pay attention to moisture and warmth low temperature and humidity and the occurrence and development of neck disorders are also closely related, so to avoid such adverse stimuli. In particular, the following two points should be noted: (1) Climate change, to prevent cold. In addition to the changeable temperature in early summer or late autumn when resting outdoors, it is easy to get cold and cause muscle spasm or rheumatic changes in the neck, and it is also necessary to avoid the cold wind blowing continuously to the body, especially the head and neck, in an air-conditioned environment, which can cause imbalance inside and outside the cervical spine and thus induce or aggravate the symptoms. (2) Avoid humid environment. Indoor environment is too humid, inevitably easy to cause sweating dysfunction, and easy to cause the human body internal and external balance imbalance and induce cervical spondylosis, as well as other bone and joint disorders. Therefore, should try to avoid, especially in the rainy season should pay more attention. In addition, for the combination of endocrine diseases, arteriosclerosis, etc., should be actively treated, which also has a certain significance for the prevention and treatment of cervical spondylosis.