Cervical spondylosis can occur at any age, mostly in the middle-aged and elderly, but with the progress of modern technology computer office, the neck is placed in a posture for a long time, resulting in the loss of the physiological curvature of the cervical spine, the volume of the spinal canal is reduced, the spinal cord vessels and nerves are involved, prompting the occurrence of cervical spondylosis, and the age of onset is gradually younger, becoming a common occupational disease.
The main causes of cervical spondylosis are C4 ~ C5, C5 ~ C6, C6 ~ C7, C5 ~ C6 mostly, the head is an inverted triangle with the bottom side facing up, and C5 ~ C6 is the apex of the triangle, the earliest damage. Clerks, scientific research, accounting, computer operators, medical workers, working with their heads down for a long time or in a specific position, the neck muscles are overworked, the joints are overly reversible and in a rigid state, so that the degeneration of the intervertebral disc and the inner volume of the spinal canal in the cervical space change, the hook vertebral joint proliferates, and spinal cord type, nerve root type, vertebral artery type, mixed type, and cervical cervical spondylosis occur.
The clinical manifestations of cervical spondylosis vary according to its subtypes and mainly include: headache, dizziness, stiffness and pain in the neck radiating to the back of the shoulder and upper limbs and inflexibility of movement, numbness and pain in the palm of the hand or arm, loss of grip strength, weakness of the limbs in severe cases, abnormal gait, abnormal sensation, visual impairment and hearing impairment.
Cervical vertigo refers to the vertebral artery type or mixed type, which is caused by the impaired blood circulation in the vertebral artery due to cervical spondylosis and the resulting ischemia in the medulla oblongata and vestibular system, also called cervical vertigo. It is often misdiagnosed as vestibular neuritis or Meniere’s disease, respectively.
The clinical characteristics of cervical vertigo are as follows: it is usually seen in middle-aged people, especially those aged 50-60 years old; cervical spine is found to have cervical spine lesions (straightening of curvature, osteophytes, narrowing of the vertebral space, calcification of ligaments) on cervical spine radiographs; vertigo is characterized by true vertigo such as rotation and shaking sensation, and it is induced by neck activities, but it lasts for a short time (mostly a few minutes); it is often accompanied by numbness and pain in the cervical spine or shoulder and arm, as well as nausea, vomiting and other physiological neurological symptoms. Some cases are accompanied by tinnitus, nystagmus, transient facial sensory disorder and Horner’s sign.
Cervical vertigo can be recurrent. In addition to vertigo, there are few signs of brainstem and cerebellar involvement, which should be differentiated from the following diseases: vestibular neuritis: the disease usually has a recent history of upper respiratory tract infection, not accompanied by tinnitus, the course of the disease is about 10 days to 2 weeks, without recurrence.
Meniere’s disease: Most of the disease starts in young and middle-aged people, more common in women, all have tinnitus, repeated attacks, with hearing loss. u0001 dorsolateral medullary infarction: crossed sensory disorders, ataxia, Horner’s sign.
First, prevention and health care methods first correct posture in addition to degenerative disorders cervical spondylosis is the main cause of incorrect sitting posture, pay attention to adjust the posture of the neck. When standing and walking, keep the forward convex physiological curve of the cervical spine, straighten the upper body, and tilt the head back slightly. The work time > 1h should stand up to rest for a few minutes, can tilt the head back, and do the exercise of the neck and shoulder muscles, the action should be gentle, slow, improve the cervical ischemic state, so that the neck muscles get moderate relaxation to increase the cervical balance stability and compliance.
Second, pay attention to warmth cervical spondylosis is often related to wind chill, humidity and other seasonal climate change. Cold stimulation can cause muscle vasoconstriction and spasm, slow down blood flow, reduce tissue metabolism and circulation, resulting in changes in the function of the neck muscles and small joints of the cervical spine and inducing or aggravating cervical spondylosis.
In the autumn and winter season, you should wear a scarf or high-collared clothes when you go out; you should prevent your neck and shoulders from getting cold when you sleep at night; in summer, air conditioners and electric fans should not blow directly on your neck.
Third, improve sleep pillow height, soft and hard on the cervical spine also has a direct impact, with a high pillow, soft bed or leaning over the bed to read, watch TV will destroy the normal physiological curvature of the cervical spine, increasing the tension of the neck tissue, pulling the cervical spine resulting in long-term compression damage to the neck. It is best to sleep in the lateral or supine position to maintain the natural curvature of the cervical, thoracic and lumbar spine, and slightly flexed hip and knee is better. Pillow to moderate hard and soft, to be flexible, the height is generally 10 to 15cm, “Yuan Bao”, that is, a fist high, that is, the distance measured from the back of the neck minus the neck width of the distance and then divided by 2 for the height of the pillow, so that the pillow after the bulge is slightly away from the bed to feel comfortable as degree.
Four, avoid injury neck injury infection can also induce cervical spondylosis, early treatment of neck, shoulder and back soft tissue injury to prevent its development into cervical spondylosis.
V. Cervical spine injury should be avoided during strenuous exercise or sports competition;
In the acute stage of cervical spondylosis, reduce neck activities, especially rapid head turning, so as not to aggravate the degree of injury. If dizziness is obvious when the neck is turned to the right, it means that the left vertebral artery is narrowed and turning to the right compresses the compensated right vertebral artery, reducing the blood supply to the neck.
Sixth, supplemental nutrition cervical spondylosis is caused by vertebral osteophytes, degeneration and laxity, the diet should be rich in calcium, protein, vitamin B
The diet should be rich in calcium, protein, vitamin B, vitamin C and vitamin E. Milk, fish, soybeans, black beans and other content for more. Eat symptomatically to facilitate the recovery of cervical spondylosis. The elderly should get more sunlight to facilitate the synthesis of vitamin D and promote the absorption of calcium.
Seven, the method of sports massage, first of all, the activity of the neck, patting the neck. No matter sitting or standing, as long as there is free time to close your eyes, turn your neck 50 times, 50 times, gently.
After doing so, you can use the palm of your hand from the neck and shoulders as far back as possible to pat the neck, alternating hands to pat each 50 times. Next, pinch the cervical spine, rub the back of the brain. First, the right thumb and index finger fork, force from the occipital bone down to the cervical spine pinch, from top to bottom back and forth a pinch a loose 1
Minutes, then switch to the left hand.
Left and right hands each pinch 3 times. Rub the back of the head, with the belly of the thumbs of both hands are pressed in the occipital bone under the hairline trapped in the wind pool point, the remaining four fingers together around the head on both sides, the two thumbs at the same time force first outside the kneading rotation 20
The two thumbs at the same time, first outside the kneading rotation 20 times, and then inward kneading rotation 20 times. Pinch the shoulder well again (inside the high bone of the shoulder)
Pat the back of the shoulder. First, use the right thumb and index finger to fork and pinch the left shoulder well for two minutes, then use the left hand to pinch the right shoulder well for two minutes. Then use your right palm to pat the back of your left shoulder, and then switch to your left palm to pat the back of your right shoulder. Alternate tapping with both hands.
Finally, rub the neck. Untie the sleeves, two palms on both sides of the neck, one hand under the occipital bone, the other in the cervical spine. Both hands simultaneously massage to the opposite side with force for 2 minutes, can dredge the meridians, blood circulation, and promote blood circulation in the neck. The above methods, as long as persistent, every day before going to bed at night, after waking up each massage once, leisurely watching TV can also be massaged several times.
For those who have obvious symptoms and pathological nerve reflexes, they should go to a regular hospital for timely treatment, do imaging examination and timely treatment to eliminate the direct factors of spinal cord, nerve and blood vessel compression and effectively relieve the volume of cervical spinal canal.
In conclusion, cervical spondylosis is a common and multi-infarct disease, especially for long-term ambulatory workers, which seriously affects people’s normal life and work. Its degenerative disease is a long-term and slow process, mainly based on prevention and non-surgical treatment. Paying attention to the correct body position and combination of work and rest can also play a preventive role, and measures can be taken to effectively reduce the incidence and prevent recurrence by targeting various triggers.