Let’s move on to the next question, which is usually the one that everyone cares about the most and doctors need to talk about the most: how to treat cervical spondylosis and neck and shoulder pain non-surgically? In reality, most doctors have limited clinic time and face all kinds of patients every day, with different understanding and education, so it is difficult to speak in detail and clearly in just a few sentences. The basis of treatment is correct diagnosis. The first thing to do is to ask the doctor to clarify that the symptoms are caused by the cervical spine; many other diseases such as neurology, ENT, etc. may be confused with cervical spondylosis, because of this, in some cases the doctor will let the patient run several departments to look at and consult, in fact, for the sake of the patient, not to push the patient, after all, there is a big difference between different specialties, more to rule out other problems, the development of treatment plans to We need to rule out other problems so that we can feel more comfortable when formulating treatment plans. Non-surgical treatment, or conservative treatment, is suitable for most patients with cervical spondylosis or neck and shoulder pain. In fact, more than 90% of patients can be reduced or significantly improved by effective conservative methods, and can be cured in the early stages. Briefly, these include: 1), physiologically correct living and working posture is the basic premise of cervical spondylosis prevention and treatment, including avoiding high pillows, head buried (low head), hard braking and strenuous sports, etc. 2), continuous, light weight head and neck traction (1.5-2kg), and cervical and back muscle exercise. 3), acupuncture, physiotherapy, massage and medication can be used as appropriate, but stronger techniques such as massage and pushing are not recommended. 4) Swimming (especially breaststroke and backstroke) is good for cervical spine rehabilitation, but it does not advocate too high-intensity, confrontation intense sports activities. First of all, please understand the above few general principles, which are most often explained to patients by doctors. And here, it is worth noting two points in your daily life: 1. It is important to choose a suitable pillow. Each person’s day about 1/4 to 1/3 time is spent in sleep, if the sleeping posture and pillow improper, it is easy to cause or aggravate cervical spondylosis. In the shape of the pillow selection, to the middle of the low, both ends of the high, soft texture, breathable Yuan Bao shape is appropriate, can play a relative braking and fixed role on the head and neck, reduce the abnormal activities of the head and neck in sleep. The pillow should not be too high, nor should it be used to prevent the head and neck from excessive forward bending or backward tilting state. The ideal height should keep the neck appropriate physiological forward flexion, feel comfortable, muscle relaxation for good; habit of sleeping on their backs, the height of their pillow should be compressed and their fist height (clenched fist tiger mouth up the height of the fist high standard) is appropriate; and habit of side sleepers, the height of their pillow should be compressed and their side of the shoulder height consistent with the best. Now on the market there are a lot of prices higher than ordinary health pillows, hollow fiber or good quality latex for the filling, their own best can personally try, use discretion. Another point that should be noted is the location of the pillow. The pillow should not be placed on the top of the head (the proverbial “back of the head” position), in order to maintain the physiological curvature of the cervical spine, the main part should be placed in the back of the neck, to avoid the back of the neck overhang, resulting in muscle fatigue. 2, correct and change the head and neck bad body position, avoid maintaining a posture for a long time. After a period of time with the head down and the computer, you can move your neck every half hour to an hour to relax the muscles. Also need to avoid too wet and cold environment, pay attention to keep warm, especially if there is a cold air conditioning blowing directly to the body head and neck, it is easy to cause discomfort symptoms. For office white-collar workers or people who need to sit in front of the computer continuously, we recommend you a head and neck self-traction therapy: cross your fingers together, lift your head over the occipital neck, and then tilt your head back, gradually force your hands to the top of the head for 5 to 10 seconds, and then relax, so do 3 to 4 times in a row, you can play the purpose of relieving symptoms, is a very simple and effective way. Of course, if the occasion allows, you can also do the cervical spine health exercise: 1), patting shoulders: stand on the ground, two arms crossed in front of the chest, the left hand on the right shoulder, the right hand on the left shoulder, while hard patting, 30 times in a row. 2), left and right head swing: stand on the ground or sitting on a stool, chest and abdomen, both arms naturally hanging, head first to the left, to the left shoulder down, and then to the right, as far as possible to the right shoulder. Swing left and right 20 times each. If you adhere to the above-mentioned activities, not only can relieve fatigue, but also exercise the developed muscles of the back of the neck, enhance stability and the ability to adapt to sudden changes, to reduce the occurrence of cervical spondylosis.