Stay away from cervical spondylosis Cervical spondylosis is called cervical spondylosis when the cervical disc degeneration and its secondary changes irritate or compress the adjacent spinal cord, nerves, blood vessels and esophagus and other tissues, and cause corresponding symptoms or signs. Cervical spondylosis is closely related to the accumulation of strain on the neck, so special attention should be paid to early prevention and early detection and treatment. The danger signs of cervical spondylosis in Wuhan Union Hospital Orthopedic Department Ouyang Liu Cervical spondylosis includes at least a variety of types such as nerve root type, spinal cord type, vertebral artery type and sympathetic nerve type, so the specific manifestations are diverse. If you experience discomfort such as soreness and pain in the neck and shoulder, dizziness and nausea, headache on one side, blurred vision, numbness in the fingers, unsteadiness in holding things, and walking like stepping on cotton, it may be caused by cervical spondylosis, and you should go to the hospital promptly. High prevalence of people over 40 years old, with a younger trend in recent years, especially for long-time head-down workers, such as accounting, securities, IT, teaching, clerks, etc. Predisposing factors The neck working for a long time in an incorrect posture is the primary predisposing factor, including desk work, driving, excessive head tossing, etc. Other factors such as: smoking, soft tissue injury of the neck, pharyngitis, genetic factors, wet and cold environment, etc. Prevention of cervical spondylosis Establish awareness of protecting the cervical spine, and pay attention in daily life: choose a suitable desk and chair height, when the two arms hang down naturally, the upper arm can be basically perpendicular to the small arm; maintain good sitting posture, change the neck posture regularly during work; pay attention to the neck to keep warm, appropriate for neck muscle exercise; pillow height to the distance from the outside of my shoulder to the head shall prevail, about 10 cm. Cervical spondylosis prevention mnemonic night should not be high pillow lying, bending head work limited time; reading may add bracket, Shen Si can also hold cheek Yi; dizziness avoid looking at the ceiling, hand soft should always hold the neck; early mouthwash practice lifting head, leisure time more lying back chair; prone hanging head can reset, their own “hanging neck” less seek medical advice. Cervical spine health care exercises: you can do rice word work exercise at work breaks, the specific method is: head up – restore – low head; left turn – restore – right turn; left after the top – restore – right before the bottom ; right after the top – restore – left front below, repeat 6 times. Note: The lower jaw should be extended forward when the head is lowered. All the movements are coherent, like the word “rice”, so it is also called rice word work. Treatment of cervical spondylosis The neurovascular role of the neck is important but delicate, so once the signs of cervical spondylosis appear, you should go to a large hospital as soon as possible for formal examination, diagnosis and treatment. If cervical spondylosis is diagnosed, most patients can be relieved through appropriate conservative treatment, but if it is taken lightly, serious consequences such as paralysis may occur. In addition, do not rush to the doctor, blindly believe in “special drugs”, frequent change of treatment methods or a variety of methods and so on, improper treatment may aggravate the condition, the loss is not worth it.1 Conservative treatment The acute attack of cervical spondylosis should pay proper attention to rest, serious cases need to bed rest for 2-3 weeks. Traction, medicine, massage, acupuncture and high frequency electrotherapy such as magnetic therapy can promote local blood circulation and improve local inflammation under the guidance of a doctor, and most patients can relieve symptoms or even be cured. 2 Surgery If conservative treatment does not work well, or if severe neurological symptoms occur, in view of the high risk of cervical spine surgery and the demanding requirements for technical conditions, you should consult a large hospital and consider surgery. Treatment. Minimally invasive techniques (characterized by the application of a spine-specific surgical microscope) and non-fusion techniques (such as artificial cervical disc replacement) are the trend in the development of cervical spine surgery, with the advantages of less trauma, faster recovery and fewer long-term complications, and are currently the first choice for cervical spine treatment.3 Postoperative rehabilitation Rehabilitation after cervical spine surgery is an important step for patients to gradually restore all physiological functions and return to work and life. After the reaction period of surgical trauma, if the condition is stable, rehabilitation training can be started under the guidance of physicians. The main exercises are deep breathing exercises to prevent lung infection, small-scale joint exercises such as fist clenching, dorsiflexion and extension of the foot, training of urinary and bowel functions and restoration of normal rhythm of life. After that, we gradually started to exercise in semi-recumbent and sitting positions and to get out of bed. The focus of training is on hand activities, such as finger pairing, finger splitting, grasping and other movements should be focused on training; lower limb training first through straight leg finger height, lower limb weight lifting, extension and flexion activities to strengthen muscle strength and joint range of motion, and gradually train to stand, and then transition to walking.