Nerve root type, cervical cervical spondylosis

  Today we are going to talk about two types of cervical spondylosis, cervical cervical spondylosis and neurogenic cervical spondylosis.  Neurogenic cervical spondylosis is a degenerative change in the structure of the cervical spine that stimulates the nerves and muscles in the neck and affects the function of the area governed by the nerves, and the cervical type and the neurogenic type are more common clinically. The other type is that many young people come to see a doctor because of recurrent neck pain, which is different from that of the drop pillow in that the pain is recurrent and the pain site is at the back of the neck, not at the sternocleidomastoid muscle.  The main clinical manifestations 1, neck symptoms: neck discomfort and restricted activity, the main neck discomfort are neck pain, neck soreness, neck stiffness activity or massage after the improvement; morning, tired, posture and cold stimulation suddenly increased; activity neck “rattling” sound; neck muscle plate, stiff; hand pressure on the neck There are painful points; massage the neck with ligaments “popping”, not flexible enough to turn the neck, etc.  2. Shoulder symptoms: both shoulders are heavy; the shoulders are sore and swollen; the neck muscles are spasmodic, and there is pain when pressing the neck, sometimes the pain is severe; the pain is aggravated by exertion, sedentary and improper posture. 3. Back symptoms: the back muscles are tight and stiff, and improve after activity or massage; there are painful points on the back, and the pressure is obvious; the back discomfort is aggravated by exertion and cold.  Differential diagnosis The cervical spondylosis of the fallen pillow neck type is easily confused with the fallen pillow, as mentioned earlier, if there are recurrent episodes and the neck pressure pain points are not confined to the vicinity of the sternocleidomastoid muscle. However, it is important to know that a drop pillow is a signal that the ligaments around the cervical spine have relaxed and lost the function of maintaining the stability of the cervical joints, which is called “cervical instability”, and that the vertebral joints may be “misaligned”, which may involve the intervertebral discs and cause bone growth. This is called “cervical instability” and the vertebral joints may become “misaligned”, which can involve the intervertebral discs and accelerate osteophytes and develop cervical spondylosis.  Frozen shoulder occurs in middle-aged and elderly patients, and the main feature of this type of disease is that the upper limb lifting function is significantly limited if the shoulder is frozen. Cervical spondylosis is a painful reactive attack.  Carpal tunnel syndrome this disease no simple can not just wrist and finger numbness, and in the median nerve as a representative, no upper limb remaining is not.  Treatment First, pay attention to proper rest Avoid sleep deprivation. Lack of sleep, excessive work tension and long time to maintain a fixed posture, etc., will lead to excessive tension of the neuromuscular and strengthen the symptoms of cervical spondylosis.  Second, change the habit of using pillows The physiological curvature of the cervical spine (cervical curve for short) is not static. With age, the cervical spine will appear degenerative changes, cervical spine osteophytes, so that the cervical curve changes, and even make the cervical curve straight or anti-tensor bending. In addition, when people have improper posture and poor living habits for a long time, such as working with low head for a long time, sleeping on a high pillow or suffering from neck trauma or wind and cold, the physiological curvature of the cervical spine also tends to change. The change or disappearance of cervical curvature often means that the vertebral body becomes less stable, the vertebral space becomes narrower, the intervertebral foramen becomes smaller, the vertebral body degenerates, the nerve is compressed and the cervical extensor muscle is chronically damaged. In addition, loss of cervical curvature can also lead to hypertrophy of the ligamentum flavum, injury to the cervical ligaments, and injury to the muscles involved in the paravertebral body, which in turn can induce cervical spine pathology. At this time, a person is likely to experience head, neck, shoulder and back pain or feel numbness and weakness, or even a series of cervical spine syndrome such as incontinence and paralysis. So the correct use of Lehaha analgesic, sleeping pillow, which is very important both for the prevention and treatment of cervical spondylosis.  Third, active exercise, especially the exercise of the neck, shoulder and back muscles, the correct exercise can strengthen muscle strength, strengthen the normal physiological curvature of the cervical spine, increase the stability of the biomechanical structure of the cervical spine, while promoting blood and lymphatic circulation, beneficial to the recovery of cervical spondylosis.  Fourth, you can use hot compresses to relieve local neuromuscular tension has a certain effect.