Yin Ruofeng: Member of Jilin Provincial Health Science Popularization Expert Database, Deputy Chief Physician of Spine Surgery of the Third Hospital of Jilin University. He was a guest on the "Health Lecture Hall" column of Jilin News Comprehensive Broadcasting, and explained the "Precautions for Cervical Spondylosis".
Many friends will be troubled by cervical spondylosis in daily life, with symptoms of neck and shoulder pain, numbness and even dizziness and tinnitus. And going to massage has also become a fixed choice for some people. Why do we get cervical spondylosis? Can massage relieve cervical spondylosis? Let's take a look at a few questions about the prevention and treatment of cervical spondylosis.
1. How does cervical spondylosis occur?
Answer: Cervical spondylosis is a clinical syndrome caused by cervical hyperostosis or cervical disc herniation, ligament thickening, resulting in compression of the cervical spinal cord, nerve root or vertebral artery, and then a series of dysfunctions.
2. What are the classifications of cervical spondylosis? What are the specific manifestations?
Cervical spondylosis can be clinically divided into many types, such as cervical spondylosis, radiculopathy, cervical myelopathy, vertebral artery cervical spondylosis, sympathetic cervical spondylosis, etc., and each type of symptom has its own characteristics. Cervical radiculopathy is the most common and presents with numbness and pain in the upper extremities. Cervical myelopathy may affect the function of the patient's limbs, and symptoms such as unsteady walking and banding may occur.
3. Why do we feel that the symptoms of cervical spondylosis are aggravated in autumn and winter?
In autumn and winter, the feeling of cervical spondylosis aggravation is caused by the following two factors:
1. Cold stimulation: The temperature drops in autumn and winter, and the neck muscles are prone to cold, resulting in constriction of blood vessels and slowing down blood circulation. This increases the probability of ischemia and hypoxia in the tissues and nerves surrounding the cervical spine, increasing the symptoms of cervical spondylosis.
2. Cold weather may make people more inclined to stay indoors and reduce outdoor activities and physical activity. Long-term static posture, such as sitting or lying down for a long time, will increase the burden on the cervical spine and stiffen the muscles, which is not conducive to the alleviation of cervical spondylosis.
4. How should cervical spondylosis be diagnosed and treated?
Answer: First of all, we need to make a clear diagnosis, that is, after our audience friends have symptoms of neck and shoulder discomfort or dizziness and nausea, they should go to the hospital in time to seek medical treatment and do a systematic examination of the cervical spine under the guidance of the doctor, among which the best solution is the MRI examination of the cervical spine, which can not only clarify the structure of the spine itself, but also see the spinal cord in the cervical spinal canal and the soft tissue around the cervical spine, so as to help doctors and patients fully understand the current state of their cervical spine and provide sufficient basis for subsequent safe and effective treatment.
Secondly, for the cervical spine, it is necessary to use massage with caution, make use of traction, and use drugs rationally
Massage: Massage after MRI assessment, do not use force, relax the neck muscles
Traction: traction in the supine position is best, symptomatic relief after traction is standard, and if symptoms worsen during traction, traction is stopped immediately.
Medication: Topical pain patches can be used topically, and oral drugs to relax muscles.
Finally, it should be emphasized that the cervical spine is the most flexible segment of the spine, and at the same time, its strength will be weaker. We can swipe the video of cervical suspension traction on the Internet, some people pull the cervical spine with their feet off the ground, rotate quickly or do some space step movements, which are extremely dangerous behaviors and must not be imitated.
5. As a surgeon, it should be your daily work to treat cervical spondylosis through surgery, what kind of cervical spondylosis is serious enough to require surgical treatment?
A: This question is presented from the perspective of the patient and the doctor
From the patient's point of view, the clinical symptoms of cervical spondylosis have a very serious impact on the patient's own life, severe pain affects sleep, limbs are not flexible, and sometimes even involuntary falls. Prompt surgical intervention is recommended. For patients with mild symptoms, it is necessary to have a face-to-face discussion with a spine surgeon to understand whether the disease is progressing, which physical discomfort is caused by cervical spondylosis and which is not, what problems can be solved by surgery, and what kind of expectations the patient has for surgical treatment.
From the doctor's point of view, it is necessary to communicate with the patient in detail, and give a stepwise treatment plan based on the patient's clinical manifestations and imaging data. Try conservative treatment first, and then consider surgery if medications, physical therapy, etc. are not effective. At the same time, it helps patients to make preoperative psychological and physiological preparations, eliminates patients' fears, and can achieve better surgical treatment results.
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Column: "Health Lecture Hall"
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Article source: original · Jilin News Comprehensive Broadcasting
Image source: Original · Jilin News Comprehensive Broadcasting
Editors: Yue Jia, Wang Haoyi
First trial: Hao Zili
Re-examiner: Zhong Xiao
Final review: Zhao Min
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