1) The definition of cervical spondylosis:

Cervical spondylosis is the general name of cervical osteoarthritis, hyperplastic cervicitis, cervical nerve root syndrome and cervical disc herniation, and it is a series of clinical syndromes with dysfunction based on degeneration.

2) involving muscles:

The main manifestations of cervical spondylosis involving muscles are neck and shoulder pain and muscle stiffness.

3) involving nerves

When cervical spondylosis compresses nerves, dizziness, tinnitus, blurred vision, dry eyes, foreign body sensation in pharynx, dry mouth, fingertip allergy, hypoesthesia of skin, scalp swelling, numbness of limbs, pain and immobility occur.

2. Performance:

1) Performance:

Symptoms are more complicated, including neck and back pain, muscle aches and stiffness, weakness of limbs, numbness of fingers, difficulty in walking, dizziness, nausea, vomiting, and even blurred vision, tachycardia and dysphagia. It is related to the lesion site, the degree of tissue involvement and individual differences.

2) logo:

When there is dizziness, headache or migraine that can't be cured for a long time, there are often numbness of fingers, weakness of upper limbs, persistent tinnitus or hearing loss caused by non-ear reasons, unexplained arrhythmia, angina-like symptoms, long-term hypotension or "inexplicable" hypertension, recurrent neck and back pain, stiff neck, unexplained insomnia and dreaminess, memory loss, multiple seborrheic dermatitis of the head, alopecia, etc. Be alert to cervical spondylosis.

3) Cervical spondylosis and dizziness:

Dizziness caused by cervical spondylosis is mainly related to many factors such as cervical muscle spasm, compression of cervical blood vessels and nerves, insufficient blood supply to the brain caused by stimulation, and unstable blood pressure of patients.

4) Cervical spondylosis and chest pain:

Suffering from cervical spondylosis will oppress and stimulate the cervical nerve roots, which may cause chest pain and breast pain. Cervical breast pain is often chronic and unilateral, and the degree of pain is related to the position of the neck.

5) Cervical spondylosis and toothache:

When cervical degenerative diseases compress cervical sympathetic nerve, abnormal stimulation will spread to alveolar bone through mandibular branch of trigeminal nerve and induce toothache. Toothache caused by cervical spondylosis is generally on the lower left side, which has nothing to do with the tooth itself.

6) Cervical spondylosis and gastrointestinal discomfort:

First, the upper end of esophagus is adjacent to the sixth cervical vertebra. The proliferation of the sixth cervical vertebra will oppress and stimulate the esophagus, and even cause inflammation and edema around the esophagus, thus causing foreign body sensation when eating.

Secondly, when the dura mater of the cervical spinal cord is oppressed and stimulated, sympathetic nerve reflex will lead to gastrointestinal discomfort such as nausea, pantothenic acid, fullness, fever, vomiting and food shortage.

7) Cervical spondylosis and numbness of limbs:

Cervical degeneration can stimulate, pull and compress spinal nerve roots, resulting in numbness of fingers.

8) Cervical spondylosis and lumbocrural pain:

Cervical spondylotic myelopathy or mixed cervical spondylotic myelopathy may cause progressive numbness, chills and pain in both lower limbs.

9) Cervical spondylosis and paralysis:

If cervical spondylotic myelopathy or mixed cervical spondylotic myelopathy is not treated, the spinal cord may deform and liquefy with the development of the disease, leading to paralysis.

10) cervical spondylosis and alopecia;

Cervical spondylosis leads to insufficient blood supply to the brain, which hinders the nutrient supply to the hair and leads to alopecia and gray hair.

1 1) cervical spondylosis and insomnia;

Factors such as muscle stiffness and pain, nerve compression (sympathetic nerve excitation) and vertebral artery compression caused by cervical spondylosis may cause insomnia, which aggravates the symptoms of cervical spondylosis.

12) cervical spondylosis and tinnitus;

It is caused by the degeneration of cervical vertebra compressing nerve roots and vertebral arteries (the internal auditory artery responsible for the blood supply to the ear is insufficient).

13) cervical spondylosis and blood pressure fluctuation;

Cervical degeneration can stretch and stimulate carotid sinus, causing blood pressure fluctuation.

14) cervical spondylosis and infertility;

Cervical spondylosis can cause pituitary dysfunction, lead to imbalance of sex hormone secretion in the body, and lead to menstrual disorder or infertility.

15) cervical spondylosis and vision problems;

On the one hand, it is related to autonomic nervous dysfunction and vertebrobasilar insufficiency caused by cervical spondylosis; On the other hand, it is also related to the compression of vertebral artery nervous system by cervical disc herniation, which causes optic nerve edema and degeneration.

16) cervical spondylosis and stroke;

Cervical spondylosis will cause insufficient blood supply to the brain, which will lead to slow cerebral blood flow and easy to form thrombosis and stroke.

1) etiology

The occurrence of cervical spondylosis is related to cervical degeneration, developmental cervical spinal stenosis, chronic strain (poor sleep, work posture and physical exercise beyond the tolerance range of the neck), neck trauma factors, cervical congenital malformation and other factors.

2) aggravating or inducing factors

On the basis of the above causes, if the neck catches cold, chronic infection (mainly pharyngitis) and other factors, it will lead to the onset or aggravation of the original condition.

3) Recurrent factors

The recurrence of cervical spondylosis is related to many factors, such as large activity, weak structure, poor stability, difficult braking and irreversible degeneration. Coupled with exogenous cold, chronic infection, bad habits, fatigue, head and neck trauma, it will happen again.

4) Bad habits

① Smoking: Smoking will cause degeneration of cervical intervertebral disc, induce cervical spondylosis and aggravate the pain of patients with cervical spondylosis.

2 Women's bad habits: love to sit on soft sofas, often shake their hair, wear high heels, wear underwear too tightly, and massage blindly.

③ Teenagers' bad habits: lying down in class, sitting in front of the computer for a long time on holidays, overweight schoolbags and studying at their desks for a long time.

Four bad habits of office workers: not paying attention to keeping your shoulders warm, working at your desk for a long time, resting on your stomach, and holding your mobile phone around your neck.

⑤ Bad dressing habits: the tie is too tight, the corset is worn for a long time, the underwear is too tight, and the collar is too high and too tight.

⑥ Alcoholism: Alcohol will affect the deposition of calcium on bones, making people prone to osteoporosis and osteomalacia and accelerating cervical degeneration.

⑦ Bow down for a long time to play with mobile phones, tablets, etc.

5) Climatic factors

Wind-cold-dampness can cause a series of changes such as local vasospasm and accumulation of metabolites, which aggravate the symptoms of cervical spondylosis.

1, overview:

1) etiology

Traditional Chinese medicine believes that the incidence of cervical spondylosis is mostly caused by overload, overwork in the house, the invasion of three evils of wind, cold and dampness, and overeating salty taste.

2) Dialectical classification

Chinese medicine divides cervical spondylosis into five types: wind-cold-dampness arthralgia, qi stagnation and blood stasis, phlegm and blood stasis, liver and kidney deficiency and qi deficiency and blood stasis.

2. Advantages of Chinese medicine in treating cervical spondylosis

Traditional Chinese medicine is safe, convenient, effective, cheap and has little toxic and side effects in treating cervical spondylosis.

3. TCM conditioning mode of cervical spondylosis: (unit: gram)

Commonly used conditioning methods mainly include dietotherapy, treatment of tea, medicated bath, medicated pillow, fumigation and washing, acupuncture, massage, cupping and moxibustion.

1) dietotherapy

(1) mountain red porridge

Hawthorn 50: promoting blood circulation and removing blood stasis; Salvia miltiorrhiza 15: promoting blood circulation and removing blood stasis, removing annoyance and calming nerves, japonica rice 50; This porridge can treat head and neck pain and blurred vision, and is suitable for various types of cervical spondylosis.

② Pueraria Wu Jia porridge.

Radix Puerariae, Coicis Semen, 50 pieces of japonica rice each, and Acanthopanax Senticosus 15g. It can dispel wind, remove dampness and relieve pain, and is suitable for cervical spondylosis of wind-cold-dampness arthralgia type.

③ Stewed fish head with gastrodia elata

Gastrodia elata 10, fresh bighead carp 1, 3 slices of ginger. This product can tonify liver and kidney, dispel wind and dredge collaterals, and is suitable for cervical spondylosis of vertebral artery type.

2) Treatment of tea

3) medicated bath, medicated pillow, fumigation, hot compress, thin sticking method, etc.

① Drugs for promoting blood circulation and removing blood stasis: safflower, salvia miltiorrhiza, Eupolyphaga Seu Steleophaga, myrrh, etc.

② Analgesics: Ligusticum Chuanxiong, Curcuma longa, Myrrha, Rhizoma Corydalis, etc.

③ Cold-dispelling drugs: papaya, angelica pubescens, and Stephania tetrandra.

4) Cupping, massage, acupuncture and moxibustion.

Has the effects of dredging channels and collaterals, promoting qi circulation and blood circulation, and relieving pain.

Acupoints: Fengchi, Tianzhu, Shoujian, Jiaji, Dazhui and Ashi.

Acupoint function:

1, Dazhui: located on the posterior midline, at the depression under the spinous process of the seventh cervical vertebra, that is, at the depression under the obvious protrusion behind the neck when lowering the head. Massage or massage can effectively relieve the symptoms such as stiff and sore neck and shoulder muscles, arm pain and numbness caused by cervical spondylosis, and insufficient blood supply to the brain.

2, Ashi point: that is, the tender point. Pressing or massaging tenderness points can relieve local pain.

3. Fengchi point: When positioning, the palms of both hands are attached to the ears, the fingers naturally open the head, the thumb is pushed up, and there is a depression at the intersection of the neck and the hairline. Massage or massage can effectively improve neck stiffness, eliminate neck and shoulder pain, and relieve dizziness and tinnitus caused by cervical spondylosis.

4. Tianzhu: The middle of hairline is 0.5 inch straight, and the side is 1.3 inch, that is, there is a prominent muscle (trapezius muscle) in the neck, and the lateral recess of this muscle is this point. Massage or massage can effectively relieve cervical pain, stiff and sore neck and shoulder muscles, and improve symptoms such as hypertension and dizziness caused by cervical spondylosis.

5. Shoulder well: at the shoulder, the midpoint of the connecting line between Dazhui point and acromion, and the highest point of shoulder. Massage or massage can effectively relieve neck and shoulder pain and discomfort.

6. Jiaji point of cervical vertebra: Jiaji point 1 ~ 3 is located 0.5 inch below the spinous process of the 4th, 5th and 6th cervical vertebrae respectively. Three points on each side and six points on both sides. It can effectively relieve neck stiffness and pain, and improve symptoms such as dizziness, vomiting, tinnitus, blurred vision and numbness of upper limbs caused by cervical spondylosis.

Fourth, cervical spondylosis diet therapy

1, suitable diet:

Eat foods rich in calcium, protein, B vitamins, vitamin C and vitamin E, such as milk, kiwi fruit, lettuce leaves, lean meat, soybeans, black beans, carrots, bean sprouts, kelp, fungus, garlic, celery, sweet potatoes, white gourd, mung beans and so on.

2, taboo diet:

It is forbidden to overeat, eat less pickled food and reduce the intake of spicy food.

3, combined with the diet of chronic patients:

1) Hypertension:

The dietary treatment principle of hypertension is: high vitamin, high cellulose, high calcium, low fat, low cholesterol and low salt, and eat more spinach, beans, asparagus, brown rice, stevia and celery.

2) heart disease:

We should follow the principle of less oil, less salt and less sugar, eat more fruits and vegetables, and eat more meals.

3) gout:

Diet should be based on gout. Try not to eat seafood, animal offal, beer and hot pot, and supplement a small amount of meat such as mutton (replacing soup with meat). Spinach, radish, cabbage, carrot and celery are all suitable for vegetables.

4) Hyperlipidemia:

Patients with hyperlipidemia can eat fish, poultry and lean meat in moderation, and eat more oats, tremella, yam, corn and buckwheat. Cooking methods are mainly stewed, simmered, steamed, boiled, boiled and cold, and coffee is not allowed.

5) Diabetes:

(1) the right diet.

Whole grains, such as buckwheat flour, buckwheat flour, oat flour, corn flour, etc.

Beans and bean products, such as bitter gourd, onion, mushroom, grapefruit, pumpkin, etc., can lower blood sugar and are the most ideal food for diabetic patients.

② Taboo diet

Don't eat all kinds of sugar, candied fruit, canned fruit, carbonated drinks, jam, ice cream, cookies, sweet bread and sugar cakes.

Foods high in cholesterol and animal fat, such as brain, liver, heart, lung, waist, egg yolk, fat, butter, pig, cattle and sheep oil, etc., should not be eaten. And don't drink.

Five, cervical spondylosis exercise therapy

1, exercise regularly:

1) is suitable for sports.

Patients with cervical spondylosis should relax slowly during exercise, keep a calm mind, insist on daily exercise, and pay attention to keeping warm shoulders without feeling tired. In addition, patients in acute phase should avoid exercise.

① Swimming:

Tips: Warm-up exercise before going into the water should be no less than 10 minute, preferably under the guidance of a rehabilitation doctor, no more than 3 times a week, and dry the water in time after swimming. It is not suitable for swimming during acute attack.

② Flying kites:

Tips: If the stretching range of patients with cervical spondylosis has been reduced, forced stretching will inevitably lead to aggravation of the condition, so patients with cervical spondylosis who are inconvenient to stretch cannot fly kites.

③ Playing badminton:

Tips: First of all, patients with moderate and severe osteoporosis and cervical spondylotic myelopathy are not suitable for badminton. Secondly, the action of playing ball should be slow, to avoid excessive stretching of the head and neck, and the action of raising the head and side face should not be too fast.

(4) jogging:

Exercise the balance and coordination ability of spinal joints and improve muscle endurance.

(5) Taiji Chuan:

It is helpful to maintain the flexibility and health of the bone and joint system, and to prevent bone degeneration and joint stiffness. Practicing Tai Ji Chuan can prevent the occurrence of spinal degeneration.

2) Taboo sports

It is not advisable to do strenuous sports that increase the burden on the neck, such as football, basketball and volleyball. Esophageal cervical spondylosis, cervical spondylotic myelopathy, and cervical spondylosis of vertebral artery are prone to accidents during exercise, so it is recommended to do it under the guidance of a doctor.

2, cervical aerobics:

1) Cao

For people with neck pain and discomfort and sedentary office, it is not suitable for patients with acute cervical spondylosis, otherwise it will accelerate the aging of cervical intervertebral disc and strain muscles.

2) 10: 10 movement, head-hand movement.

When doing head-hand reverse movement, cross your hands and cling to the back neck, push the head and neck hard, and push the head and neck backwards, resisting each other for 5 times.