1.What are the common manifestations of cervical spondylosis? The manifestation of cervical spondylosis varies according to the location and type of compression of the nervous system. The most common type is neurogenic cervical spondylosis, which usually manifests as numbness, pain and weakness of the upper limbs; followed by spinal cord type cervical spondylosis, which commonly manifests as weakness of the lower limbs and unstable walking; vertebral artery type cervical spondylosis is characterized by dizziness and blurred vision caused by neck activities; sympathetic cervical spondylosis and esophageal cervical spondylosis are rare, and the corresponding manifestations are symptoms of sympathetic nerve injury and compression of the esophagus. 2.What treatment is mainly used for cervical disc herniation? The treatment of cervical disc herniation is divided into three major categories: conservative treatment, minimally invasive treatment and open surgical treatment. About 90% or more of patients will have their symptoms improved with systematic conservative treatment. When treating, an individualized treatment plan should be established. Manual massage, traction and other therapies are not currently used as the first choice of conservative treatment because their effects are unclear and they are prone to serious complications. Conservative treatment mainly includes: Medication Pain relievers, sedatives, and vitamins (such as B1 and B12) can be applied selectively, which are effective for symptom relief. Physical therapy Physical therapy can play a variety of roles. It is generally considered that iontophoresis, ultrasound, ultraviolet light or intermittent current are feasible in the acute stage; ultrasound, iontophoresis, induction electricity or other heat therapy are used after pain relief. Warm compress This treatment can improve blood circulation, relieve muscle spasm, eliminate swelling to reduce symptoms, and help stabilize the affected vertebrae after manipulation. This method can be used to apply hot towels and hot water bags locally, and warm compresses are not suitable for acute patients with severe pain symptoms. Cervical brace braking The application of cervical brace can reduce the cervical dynamic, reduce the acute phase of nerve root pressure and irritation. 3.What kind of patients need to take further treatment? After three months of systematic conservative treatment, if the symptoms do not improve, or if the improvement is not obvious, and if the symptoms are recurrent, especially if there are obvious neurological deficits (numbness, decreased muscle strength, severe pain, etc.), and if the disc herniation can be clearly seen on CT or MRI films, minimally invasive treatment should be preferred. 4. What are the principles of minimally invasive treatment for cervical spine? The safer the treatment technology chosen, the less traumatic it is to the patient, the more thorough the decompression is, the better, and the less complications the better. Efficacy is the gold standard, and effectiveness is the hard truth. Emphasis is placed on individualization and direct resolution of symptoms. 5.Minimally invasive treatment methods for cervical spine? Including: cervical epidural cavity injection; cervical disc radiofrequency; selective spinal nerve root injection; cervical disc laser vaporization; low-temperature plasma nucleus pulposus ablation; cervical intervertebral disc excision/spinotomy, etc. 6.What are the advantages of endoscopic treatment of cervical disc herniation? Directly targeting the herniated disc tissue for neurological decompression; small surgical trauma, with an incision of about 6mm; basically not destroying the natural structure of the vertebral segments; no need for internal fixation; short postoperative recovery period; some patients can be operated under local anesthesia on an outpatient basis. 7.Is traction and massage treatment for cervical spondylosis patients good or not? At present, the bulk of medical records show that traction and massage are no longer recommended for conservative treatment of cervical spondylosis. Traction for a short period of time to reduce the load on the cervical spine, relax the vertebral space, etc., can not fundamentally solve the primary disease, and is likely to cause too much relaxation of the ligaments associated with the cervical spine, increasing the instability of the cervical spine; at the same time, massage is also not recommended for cervical spondylosis, especially in the absence of understanding the anatomical structure of the patient’s corresponding cervical spine, too violent massage is likely to cause serious consequences, especially serious spinal cord cervical spondylosis. 8.What are the appropriate exercises for cervical spondylosis patients? The more suitable sports for cervical spondylosis are playing badminton, swimming, kite flying, etc. These exercises require backward movement of the neck, which can strengthen the muscle strength of the neck, especially the strength of the extensor muscles, and help strengthen the muscle protection of the cervical spine and maintain the normal physiological curvature of the cervical spine. 9.What are the self-test methods for cervical disc herniation? The most common and typical manifestation of cervical disc herniation is soreness, swelling and numbness in one side of the neck and shoulder and the upper limb, and in severe cases, patients may experience weakness in the shoulder and upper limb. It usually does not affect the entire upper extremity, but some continuous strip area.