What is the best way to treat cervical spondylosis

  Cervical spondylosis is a clinical syndrome caused by degenerative degeneration of cervical discs, hypertrophy and hyperplasia of cervical vertebrae, as well as cervical injury, resulting in osteophytes of cervical vertebrae, or prolapsed discs and thickened ligaments, which stimulate or compress the cervical spinal cord, cervical nerves and blood vessels and produce a series of symptoms. The main manifestations are neck and shoulder pain, dizziness and headache, numbness of upper limbs, muscle atrophy, spasm of both lower limbs in severe cases, difficulty in walking, and even paralysis of all four limbs, urinary and fecal disorders, and paralysis. It mostly occurs in middle-aged and elderly people, with a higher incidence in men than in women.  Cervical spondylosis can be divided into: cervical cervical spondylosis, neurogenic cervical spondylosis, spinal cord cervical spondylosis, vertebral artery cervical spondylosis, sympathetic cervical spondylosis, and esophageal compression cervical spondylosis.  Preferred groups 1, long time low reading, sitting office personnel: long-term head and neck in a single position, the guide long time low reading, sitting office personnel susceptible to cervical spondylosis caused by local over-activity, damage to local intervertebral discs, ligaments, etc., susceptible to cervical spondylosis.  2, head and neck trauma personnel: head and neck trauma does not directly cause cervical spondylosis, but is often an aggravating factor for cervical spondylosis symptoms, some patients due to cervical spine osteophytes, cervical disc bulge, soft tissue lesions in the spinal canal caused by cervical spinal canal in a narrow critical state, plus neck trauma often induced symptoms, and even paralysis occurs. Inadequate neck massage is also often reported in the occurrence of paralysis.  3, bad posture: such as lying in bed watching TV, reading books, high pillow, sleeping in a sitting position, etc.; sleeping in a recumbent car, poor muscle protection when sleeping, easy to have neck injury when braking.  4, cervical spine structure dysplasia: congenital small spinal canal is also the basis of the pathogenesis. The incidence of cervical spondylosis is one times higher than normal for those with narrow central spinal canal and nerve root canal of the cervical spine.  The symptoms of cervical spondylosis are very rich, diverse and complex. Most patients start with mild symptoms and gradually worsen them later, while some have more severe symptoms. One type is often combined with several other types, which is called mixed cervical spondylosis.  1.Cervical and shoulder pain can be radiated to the head and occipital region and upper limbs; 2.Heavy feeling on the back of one shoulder, weakness of upper limbs, numbness of fingers, loss of skin sensation of limbs, weakness of hand grip, and sometimes unconscious grip falling to the ground.  3, its serious typical performance is: lower limb weakness, unstable walking, two feet numbness, walking like stepping on cotton feeling.  4. In the most serious cases, there is even loss of control of bowel movements and urination, sexual dysfunction, and even tetraplegia.  5, often accompanied by head, neck, shoulder, back and arm pain, neck and neck stiffness, limited movement.  6.Some of them are accompanied by dizziness, house rotation, heavy cases are accompanied by nausea and vomiting, bedridden, a few may have vertigo and sudden collapse.  7.When cervical spondylosis involves sympathetic nerve, dizziness, headache, blurred vision, swelling of the second eye, dryness, inability to open the second eye, tinnitus, ear blockage, loss of balance, tachycardia, panic, tight c feeling in the chest, and some even have symptoms such as gastrointestinal distension. There are also symptoms such as dysphagia and dysphonia.  Most of the symptoms are mild at the onset and are not taken seriously, most of them can recover on their own, sometimes light and sometimes heavy, and only when the symptoms continue to worsen and cannot be reversed and affect work and life do they get attention. If the disease is left untreated for a long time, it can cause psychological damage and produce symptoms such as insomnia, irritability, anger, anxiety and depression.  Treatment fold 1, oral medication: mainly used for pain relief, local anti-inflammatory, relaxation muscle treatment, for cervical instability and other secondary local soft tissue strain and other efficacy is clear, but can not treat cervical spondylosis at the root. For patients with weakness or numbness of the limbs, neurotrophic drugs can also be used to assist in rehabilitation and promote the recovery of the compressed nerves.  2.Traction method: Through the mutual balance between traction force and anti-traction force, the head and neck are relatively fixed in the physiological curve state, so that the cervical spine curve is gradually changed, but its efficacy is limited and only suitable for patients with mild neurogenic cervical spondylosis; and traction is prohibited in the acute period to prevent local inflammation and edema from aggravating.  3, physiotherapy: physiotherapy is the abbreviation of physical therapy. It is the application of natural and artificial physical factors, such as sound, light, electricity, heat, magnetism and other effects on the human body, in order to achieve the purpose of treatment and prevention of disease.  4.Surgical treatment For patients with cervical spondylosis with clear diagnosis, serious symptoms of nerve root compression and no significant improvement in symptoms after conservative treatment, surgical treatment should be adopted, while for patients with spinal cord type cervical spondylosis, i.e. patients whose main manifestation is walking weakness of both lower limbs and unstable walking, surgical treatment should be implemented as early as possible to obtain good recovery effect, because the treatment effect of such patients is closely related to the length of nerve compression. For patients with vertebral artery and sympathetic nerve excitation, the effect of surgery is relatively less certain.