Hello, ChinaHealth.com, and welcome to the live broadcast. In the past few interviews, we have introduced the surgical treatment of cervical and lumbar spine diseases, and we have also learned that cervical and lumbar spine diseases are becoming more and more youthful and occupational, such as white-collar workers, people who work long hours, professional drivers and so on. Today, Dr. Huang Zhenjun, deputy director of the Department of Comprehensive Orthopedics of the 309th Hospital of the People’s Liberation Army, will be our guest to explain how to treat cervical and lumbar spine diseases through non-surgical treatment, which is of great concern to everyone. Early symptoms of cervical spondylosis that are easily ignored by white-collar workers and seated workers China Health Network: Hello, Dr. Huang, through the introduction we know that you are very experienced in the treatment of cervical spondylosis, lumbar disc herniation, frozen shoulder and other cervical and lumbar spondylosis, especially in non-surgical treatment, such as orthopedic, massage, with Chinese medicine, physical therapy is very effective. As we mentioned earlier, cervical and lumbar spine diseases are becoming more and more youthful and occupational, can you give us an explanation? Huang Zhenjun: Yes, the incidence of cervical and lumbar spine diseases is becoming more and more on the rise, and it is becoming occupational in nature. It is common in our long-term desk workers. The desk workers such as accountants, computer workers and drivers friends. This kind of people sit for a long time, often accompanied by the occurrence of neck, shoulder, lumbar and leg pain disease. Then the common is mainly cervical spondylosis, lumbar disc herniation. China Health:Unfortunately, I had a very sore neck and shoulder for about five days in the first two weeks, and I want to know if this is a characteristic of early cervical spondylosis? Huang Zhenjun: We know that cervical spondylosis is clinically divided into seven kinds of symptoms. The mildest one is called cervical cervical spondylosis, whose main clinical manifestation is pain and discomfort in the neck and shoulder, no nerve root symptoms, no headache and dizziness, but only chronic myofascial inflammation of the cervicomastromere muscle and ligament of the lower ligament. Then the cause of the disease may be that we work too long, sleep in the wrong posture at night, or are attacked by wind, cold and dampness, so that the neck and shoulder discomfort you mentioned can occur. It is the early stage of cervical spondylosis, also known as cervical cervical spondylosis, which is the first type of cervical spondylosis, and it also sounds an alarm to us that we should pay attention to the prevention of cervical spondylosis! China Health Network: So what should we do when such a situation arises? Huang Zhenjun: It depends on the clinical symptoms. If the pain is very intense and the movement of the neck is restricted, this time you should go to the hospital to take an X-ray film to see the physiological curvature of the cervical spine, to see the osteophytes of the cervical spine, whether there are these conditions accompanying, if not, we advocate, one is to pay attention to warmth, you can choose to have the condition of physiotherapy. Physiotherapy is based on heat therapy, massage techniques for this disease in the early stages we do not advocate doing too much. If there is muscle spasm, you can do small weight cervical spine traction, which can quickly improve the symptoms of the neck and shoulder. China Health Network: In fact, many people around us may have been showing early symptoms for a long time, but they ignore these early signs of cervical spondylosis because they are afraid of the hassle of going to the doctor, etc. What harm does this bring? Huang Zhenjun: As I mentioned earlier, cervical cervical spondylosis is a wake-up call to us. This indicates that the calcification and laxity of the inferior ligament is an accumulative injury. That is to say, over time, fatigue injury will cause instability of the spine, cervical instability, followed by subsequent cervical spondylosis, neuropathy cervical spondylosis, vertebral artery cervical spondylosis, spinal cord cervical spondylosis, will gradually follow. The 15-minute “classroom exercise” for seated workers to keep away from cervical spondylosis China Health Network: You mentioned that the early stage of the disease should draw our attention, and the early treatment is relatively simple. I remember that my doctor suggested that I could do physical therapy, but since we usually have a fixed commute to work, the treatment must take up some time. You are the best at non-surgical treatment of cervical and lumbar spine diseases, can you tell us how to achieve a simple but effective treatment method? Zhenjun Huang: The simplest thing is to combine prevention and treatment. If the acute stage, the pain is more severe, sleep at night the next day the neck can not move, Chinese medicine is called loss of pillow is also called pillow, this is the most typical performance of cervical cervical spondylosis, this situation we advocate static brake, rest is the main. Cervical cervical spondylosis can generally heal on its own in about seven days. In addition, we can also use physical therapy, such as heat therapy, wax therapy, hot water bags, and hot compresses on local ayurvedic points. The painful part can be relieved by applying a hot water bag. In addition, in the prevention process of cervical cervical spondylosis, we advocate that white-collar workers, IT people and other long-term desk workers should usually do a good job of prevention. Exercises for the cervical spine should be done every two hours like interval exercises, which can effectively prevent the occurrence of cervical cervical spondylosis. China Health Network: Is it also possible to include early symptoms? Huang Zhenjun: It can be treated and prevented, and both can be combined. In clinical practice, the more severe cervical spondylosis will have good effect. China Health Network: When I had discomfort in my neck before, I wanted to go to some beauty salons to have a massage to relax, but I was worried that the effect would be counterproductive? Huang Zhenjun: Cervical spondylosis is relatively high, we call it anatomy, these locations are more important, we should not go to the beauty salon, or some foot massage, bath center, as far as possible, because treatment and health care are two different things. Our treatment is to have anatomical knowledge, clinical medicine experienced, with the concept of anatomy of the regular doctor to do your treatment. Those beauty salon techniques, it may be done skillfully, but do not understand the anatomy. In fact, I often encounter such examples in real life, a few days ago, I have a patient is also, to do pedicure, very cheap, he let people press before soaking feet, this press neck can not move. So, this cervical spine as far as possible do not let not medical workers to do for you. If you are fatigued, it’s okay to relax and unwind properly. But after the cervical spondylosis, to the hospital inside the timely medical treatment. China Health Network: That is to say, those beauty salons written in the head of Chinese medicine massage, we can not believe? Huang Zhenjun: Yes, that is not called Chinese medicine, he can not even talk about the health practitioner, Chinese medicine massage he is a graduate of acupuncture and massage, need a five-year undergraduate degree to engage in this profession, and through the professional physician examination. The methods and advantages of non-surgical treatment of cervical spondylosis and lumbar disc herniation China Health Network: Each step of the treatment of cervical spondylosis plays a key role in the final prognosis. Can you give us a brief introduction to the advantages and disadvantages of non-surgical treatment for cervical and lumbar spine diseases? Huang Zhenjun: There are two main diseases involved: one is cervical spondylosis and lumbar disc herniation, which we call spine related diseases. In addition, it is a relatively straightforward treatment method that can treat the patient’s disease relatively quickly, but we know that any treatment method has its limitations and indications, generally in the clinic about 70%, or more than 75% or even 80% of the cervical lumbar spine disease can be treated through non-surgical treatment, but the treatment methods used in this may be different from hospital to hospital and from medical institution to medical institution. However, the treatment methods may vary from hospital to hospital and from medical institution to medical institution, but all of them can achieve the same treatment purpose: to relieve symptoms and treat pain, which is very crucial. Then the advantages of surgery are many: the ability to quickly contact the patient’s pain, especially in cases where previous data show very obvious nerve compression, we have to consider surgery. Its disadvantage is that it is somewhat traumatic and can easily lead to damage to parts of the spine. My opinion is this: after more than six months of non-surgical treatment, the effect is not good, or the symptoms continue to worsen, seriously affecting the patient’s quality of life, combined with the data, there is indeed obvious spinal cord compression or symptoms consistent with the existing data symptoms, the patient is very distressed, then I suggest that surgery is also a very good choice. Then after surgery, there is a post-surgical problem. There is no contradiction between surgical and non-surgical treatment. After the non-surgical treatment, if the results are not good, of course, maybe 60 to 70 percent of the results are not good. Of course, there is a part of the effect is not satisfactory, the symptoms continue to worsen, then we can choose surgery. After surgery, the recovery of the spine and ligaments also has a rehabilitation process, then the traditional rehabilitation of Chinese medicine can also improve the healing of surgery, to improve the effectiveness of surgery, this is a concept of combining Chinese and Western. Non-surgical treatment methods are generally common now: physical therapy. There are many methods of physical therapy: herbal fumigation, micro-conductivity, including high-voltage electric rate. Traditional treatments include acupuncture, massage, fire cupping, and tui na. Traction treatment, of course, traction in the angle, weight, the course of treatment are very careful, otherwise it will not achieve the corresponding effect. In recent years, there are some corresponding treatment methods, such as small acupuncture, and sacral injection, most of which can relieve neck, shoulder, back and leg pain, but it is easy to relapse, then we have to look at some existing information, to see the film, suitable for non-surgical treatment we choose to use non-surgical treatment, if the spine is compressed, affecting limb function, and the possibility of paralysis, then immediately do surgery.