Discussion on cervical spondylosis

  Cervical spondylosis is a very common disease, in long-term clinical treatment, it is found that regardless of the type of cervical spondylosis, more or less there will be changes in the cervical curvature, straightening or even anti-arch, the change of cervical curvature is a change in the dynamics of the spine, it can cause joint disorders, the corresponding imbalance in the strength of the attached muscles, resulting in muscle stiffness on one side or both sides, the vertebral body rotation tilt and then the pressure in the intervertebral disc This can lead to changes in the pressure within the disc, resulting in disc herniation.  In clinical practice, we usually use traction, massage, and manual reset to correct the disordered vertebrae, so as to achieve the effect of treatment, such as atlantoaxial joint misalignment caused by headache and dizziness, blurred vision, tinnitus, numbness of the upper limbs due to nerve root compression, have very good results, but I want to ask myself is how long the effect can be maintained, a month? One year? Two years? Do you really want patients to walk on thin ice all day long, being too cautious to do this or that?  Yes, we can ask patients to strengthen the functional exercise of the cervical spine, so that the muscles are strong enough to protect the cervical spine, so that it is not easy to dislocate the disorder, but I have seen many such patients, after a course of traction, Chinese medicine fumigation, massage and other treatments, there is only one manipulation, the manipulation is also very smooth, the position is also very good under the X-ray, wear a cervical brace fixed, strict bed rest The patient’s position was wrong again (most of the patients could hear the cervical spine ringing) and there was no strenuous activity!  This problem is very common, why such a problem, and why cervical spondylosis is easy to repeat, personal clinical experience, cervical curvature is the key? The cervical spine is naturally forward curved, if it has become straight or anti-arch, we only correct the rotated vertebrae and put the vertebrae in the right position, but its body is still in an incorrect position, an unstable structure, and we will continue to misalign the disorder even if we correct it well.  So I wonder if we put the cervical lumbar curvature in an important position when treating cervical and lumbar spondylosis, and don’t just focus on the local, but solve the problem as a whole.  The above is a little personal feeling in the work, you can FYI, but also welcome peers to correct the shortcomings!