Cervical spondylosis, mostly seen in the middle-aged and elderly, but there is a trend of younger people, long-term head-down workers are prone to this disease, such as accountants, teachers, computer operators, etc.. Due to cervical spine injury or degeneration, causing vertebral osteophytes, surrounding soft tissue degeneration and relaxation, nerves, spinal cord or blood vessels are stimulated or compressed to different degrees, and symptoms such as neck pain, unfavorable activities, dizziness and vertigo, numbness of limbs, panic and chest tightness, and even urinary and fecal incontinence occur. According to traditional Chinese medicine, the disease develops due to long-term low head, improper posture of the neck, or cold, or trauma, or old age, lack of kidney energy, deficiency of qi and blood, resulting in loss of nourishment of tendons, tendons and veins, strain and injury, and local meridian paralysis and obstruction.
Clinical manifestations
1, cervical cervical spondylosis: cervical straightness and soreness, involving the shoulders and back, restricted neck movement, local muscle tension, and hard nodes in the neck and upper back can be felt.
2.Neurogenic cervical spondylosis: pain in the neck, shoulder and arm with paroxysmal aggravation, pain and numbness in one or both upper limbs, obvious numbness in the fingers, weakness in holding things, and symptoms can be aggravated when coughing or moving the neck to a certain position.
3.Vertebral artery type cervical spondylosis: cervical occipital pain or neck and shoulder pain, unfavorable neck movement, paroxysmal vertigo, dizziness, headache, sometimes nausea, vomiting, tinnitus, deafness, and in severe cases, unstable walking, insomnia, sudden falls, etc. The above symptoms are often triggered or aggravated by neck rotation or lateral flexion to a certain position.
4.Spinal cord type cervical spondylosis: In the early stage, the patient has tightness and weakness of the lower limbs, unstable walking, heavy lifting, symptoms gradually increase, limp, difficulty in walking, soreness and weakness of the upper limbs, falling down with objects, electric shock-like sensation in the limbs, accompanied by dizziness, headache, urinary frequency and urgency, incomplete urination and weakness of defecation. Later on, symptoms such as incontinence and limb paralysis may appear.
5.Sympathetic cervical spondylosis: cervical occipital pain or migraine, dizziness and vertigo, blurred vision, panic and chest tightness, cold extremities, low skin temperature or hand and foot fever, soreness and swelling of the extremities, and individual patients may have abnormal vision and hearing.
Cervical spine X-ray, cervical spine CT scan, MRI, cerebral hemogram, etc. can clarify the diagnosis.
Tui-na treatment can relieve the tense and spastic soft tissues, promote blood circulation, orderly align the vertebrae and small joints, relieve the patient’s symptoms and improve the quality of life.
Self-tui-na】
1, point press Fengchi: both thumbs on the Fengchi points on both sides of the back of the head, the rest of the fingers on both sides of the head, forcefully point press Fengchi points for 2 minutes, so that the back of the pillow feels sore and swollen.
2, press the neck: the index, middle and ring three fingers together slightly flexed, finger end forcefully press the neck is in the middle (i.e., cervical spine on the spine) and both sides of the collar muscle, from top to bottom repeatedly operate 9 times.
3.Take the neck: put the thumb and the two fingers of the forefinger and middle finger opposite each other on the neck and neck, and take it to the back of the shoulder from the Fengchi point, and repeatedly take it up and down for 9 times.
4.Take the shoulder well: use the thumb and the index and middle fingers to take the shoulder well points on both sides 15 times each.
5.Press and knead Tianzong: Put the right hand on the opposite shoulder, press the middle finger on the Tianzong point and press hard for 2-3 minutes, so that the scapula and upper limbs are sore and soft, then exchange the two hands to operate the other side.
6, take the extreme spring: with the opposite side of the tiger mouth stuck in front of the axillary crease, the index and middle fingers hook up the axillary tendons (extreme spring point), and thumb relative to the force of lifting 3 times, so that the fingers appear numb.
Chinese medicine protection]
1, sleep with a moderate pillow height, generally supine pillow to low, side lying pillow to slightly higher, in order to maintain a light neck over-extension position, to restore the physiological curvature of the spine, to prevent aggravation of the disease caused by incorrect sleeping posture, available pillows to assist treatment.
2, pay attention to the neck and shoulder warmth, to avoid feeling wind and cold, aggravating the patient’s condition.
3, correction of poor reading posture, the height of the table and chairs should be appropriate to prevent the height difference between the table and chairs is too small, the cervical spine in a long-term overflexion position, should also prevent the difference is too large, the cervical spine for a long time in the overstretched position and fatigue.
4, middle-aged and elderly people and long-term low head work to do a combination of work and rest, more neck activities, and learn to self massage of the neck.
5, strengthen the functional exercise of the neck muscles. Neck exercise can be taken in a standing or sitting position, feet apart and shoulder-width apart, arms crossed, chest and back, eyes forward, intention to keep the Dantian, uniform breathing, and then do the following actions.
(1) Lift shoulders and shrink neck: Raise both shoulders slowly and shrink neck downward, while inhaling, lead gas down to Dantian with intention, then lower both shoulders slowly and extend head and neck naturally, while exhaling slowly and restore to neutral position, so repeat 9 times.
(2) front stoop back: inhalation neck as far as possible forward flexion, so that the lower jaw close to the edge of the sternum shank, exhale when the head and neck to restore the neutral position, and then inhalation neck back extension to the maximum, exhale when the head and neck to restore the neutral position, the waist and back do not move, so repeatedly 9 times.
(3) Lateral bending of the neck: when inhaling, the head is bent to the left side, and when exhaling, the head is restored to a neutral position; when inhaling again, the head is bent to the right side, and when exhaling, the head is restored to a neutral position, and the two shoulders are kept parallel and unmoving, and so on for 9 times.
(4) look to the right and left: when inhaling, turn the head and neck to the right, look at the right rear, when exhaling, restore the head and neck to the neutral position; when inhaling, turn the head and neck to the left, look at the left rear, when exhaling, restore the head and neck to the neutral position, do not swing the shoulders back and forth, and so on for 9 times.
(5) stretching forward to explore the sea: when inhaling, the head and neck stretch forward and turn sideways to the lower right front and look at the lower right front, when exhaling, the head and neck restore the neutral position; when inhaling again, the head and neck stretch forward and turn sideways to the lower left front, look at the lower left front, when exhaling, the head and neck restore the neutral position, so repeatedly do 9 times.
(6) hold the head flexion and extension of the cervical spine: cross the head with both hands, slowly press down hard, try to flex the cervical spine, and then slowly restore the neutral position, so repeatedly do 9 times.
(7) Flex your neck and shrug your shoulders: flex your neck as much as possible, shrug your shoulders, shake your shoulders, clockwise and
Counterclockwise and counterclockwise each repeatedly do 9 times.
(8) expand the chest scapula after close: both elbows flexed, both shoulders back to expand the chest, so that the scapula try their best to back together, so repeatedly do 9 times.
The above neck exercise speed should be slow, the amplitude from small to large. Cervical spondylosis exercise method is simple and easy to learn, it is important to adhere to, you can practice 2 to 3 times a day, 10 minutes each time.