Cervical spondylosis, also known as cervical syndrome, is the general name of cervical osteoarthritis, hyperplastic cervicitis, cervical nerve root syndrome and cervical disc herniation, and it is a disease based on degeneration. It is mainly due to long-term strain of cervical vertebra, hyperosteogeny, or disc herniation, ligament thickening, compression of cervical spinal cord, nerve root or vertebral artery, leading to a series of clinical syndromes of dysfunction. It is characterized by degeneration of cervical intervertebral disc itself and a series of secondary lesions, such as instability and looseness of vertebral body segments. Protrusion or prolapse of nucleus pulposus; Bone spur formation; Ligament hypertrophy and secondary spinal stenosis stimulate or compress adjacent nerve roots, spinal cord, vertebral artery and cervical sympathetic nerve, causing various symptoms and signs of syndrome. The symptoms of cervical spondylosis are very rich, diverse and complicated. Most patients have mild symptoms at first, and then gradually get worse, and some have severe symptoms. This is related to the types of cervical spondylosis, but there are few simple types, mainly one type mixed with one or more types, which is called mixed cervical spondylosis, so the symptoms are very rich, diverse and complicated. Its main symptoms are pain in head, neck, shoulders, back and arms, stiff neck and limited movement. Neck and shoulder pain can radiate to the headrest and upper limbs, some accompanied by dizziness, house rotation, severe cases accompanied by nausea and vomiting, bedridden, and a few may appear dizziness and sudden collapse. Some have fever on one side and sometimes sweat abnormally. Heavy feeling in shoulders and back, weakness in upper limbs, numbness in fingers, decreased skin sensation in limbs, inability to hold things, and sometimes involuntary landing. Other patients have weakness of lower limbs, unstable walking, numbness of feet and the feeling of stepping on cotton when walking. When cervical spondylosis involves sympathetic nerve, dizziness, headache, blurred vision, eye swelling, dryness, hard eyes, tinnitus, ear blockage, imbalance, tachycardia, palpitation, chest tightness, and some even flatulence occur. A few people urinate loudly, lose control, have sexual dysfunction and even become quadriplegic. There are also symptoms such as dysphagia and dysphonia. These symptoms are related to the degree of onset, duration of onset and personal physique. Most of them have mild onset and are not taken seriously, and most of them can recover on their own, sometimes light and sometimes heavy. Only when the symptoms continue to deteriorate, irreversible, and work and life are affected will they be taken seriously. If the disease is not cured for a long time, it will cause psychological damage, resulting in insomnia, irritability, anger, anxiety, depression and other symptoms. Cervical spondylosis, lumbar disc herniation and lumbar spinal stenosis are all degenerative changes of the spine, both of which are easy to cause neuralgia. However, there are more obvious differences between them. Generally speaking, the symptoms and signs of cervical spondylosis are more complicated and changeable than those of lumbar spondylosis, and are more easily ignored by patients and missed and misdiagnosed by doctors. Symptoms and signs caused by cervical spondylosis are more extensive and serious than those caused by lumbar spondylosis. [Edit this paragraph] Clinical examination includes the following aspects. (1) The tenderness point is near the vertebra or spinous process, and the tenderness position is generally consistent with the affected segment. (2) The range of motion of cervical spine is to check flexion, extension, lateral flexion and rotation. Cervical motion of nerve root type cervical spondylosis is obviously limited, while cervical spondylosis of vertebral artery type can cause dizziness when it moves in a certain direction. (3) Intervertebral foramen extrusion test: Let the patient's head tilt to the affected side, and the examiner will put the left palm flat on the patient's head and pat the back of the left arm with the right palm. If there is root pain or numbness, it is positive. Patients with severe nerve root symptoms will have pain and numbness or aggravation when their hands gently press their heads. (4) Intervertebral foramen separation test: For those who are suspected to have root symptoms, the patient sits, holds his head with both hands and pulls it upward, and the upper limb pain and numbness are relieved to be positive. (5) Nerve root traction test, also known as brachial plexus traction test, in which the patient sits and turns his head to the healthy side, and the examiner holds the ear with one hand and pulls it in the opposite direction with the other. If there is numbness or radiation pain in limbs, it is positive. (6) Hoffman's civil examination examined the patient's forearm with his right hand, clenched his middle finger with one hand and tapped his middle finger nail with his thumb. If it is positive, it means that the front of the spinal cord and the four fingers are flexed. (7) Spin neck test, also known as vertebral artery torsion test: the patient sits and actively rotates his neck, which is repeated several times. If vomiting or sudden fall occurs, the test is positive, suggesting cervical spondylosis of vertebral artery type. (8) Sensory disorder examination Skin sensory examination for patients with cervical spondylosis is helpful to understand the degree of lesions. Sensory disorders in different parts can determine the segments of the diseased cervical spine; Pain usually appears in the early stage, and it has entered the middle stage when numbness appears, and the feeling has completely disappeared, and it is in the late stage of the disease. (9) Muscle strength examination: if cervical spondylosis damages nerve roots or spinal cord, the muscle strength will decrease, and if it loses innervation, the muscle strength can be zero. According to the different nerves innervated by each muscle, the location and segment of nerve injury can be judged. [Edit this paragraph] Classification and clinical manifestations of cervical spondylosis According to the different damaged tissue structure, cervical spondylosis can be divided into the following five categories. If two or more types coexist, it is called "mixed type". First, cervical muscle type lesions: neck and shoulder muscle soft tissue injury, qi stagnation and blood stasis; High incidence age: 30-40 years old. The main symptoms are: stiff neck, pain, or stiffness of the whole shoulder and back with pain; . Nodding, looking up and turning around are limited; Symptoms of dizziness may also occur. Second, nerve root disease: the narrowing of intervertebral foramen leads to the compression of cervical spinal nerve, which is more common in 4-7 cervical vertebrae; High incidence age: 30-50 years old. The main symptoms are: early symptoms are neck pain and neck stiffness; Radiation pain or numbness of upper limbs radiates along the direction and dominant area of compressed nerve roots, and sometimes the appearance and relief of symptoms are obviously related to the position and posture of the patient's neck; The affected upper limb feels heavy, the grip strength drops, and sometimes it falls. 3. Vertebral artery disease: insufficient blood supply caused by bone spur, vascular variation or disease; High incidence age: 30-40 years old. Main symptoms: paroxysmal vertigo, diplopia with nystagmus. Sometimes accompanied by nausea, vomiting, tinnitus or hearing loss. These symptoms are related to the change of neck position; The lower limbs suddenly collapse, but consciously, usually when the head and neck are in a certain position. Occasionally, the limbs are numb and feel abnormal. 4. Sympathetic neuropathy: various cervical lesions stimulate sympathetic nerve endings on nerve roots, joint capsules or nuchal ligaments; High incidence age: 30-45 years old. The main symptoms are: dizziness, headache, poor sleep, decreased memory and difficulty in concentration; . Eye swelling and blurred vision; Tinnitus, ear blockage, hearing loss; Nasal congestion, "allergic rhinitis", foreign body sensation in pharynx, dry mouth, vocal cord fatigue, etc. Nausea and even vomiting, abdominal distension, diarrhea, indigestion, belching, etc. Palpitation, chest tightness, heart rate changes, arrhythmia, blood pressure changes, etc. Hyperhidrosis, anhidrosis, chills or fever on the face or limbs. 5. Spinal cord lesions: Cervical spine lesions lead to spinal cord compression, inflammation, edema, etc. High incidence age: 40-60 years old. Main symptoms: heavy numbness in lower limbs, difficulty in walking, and the feeling of stepping on cotton in both feet; Numbness and pain in the upper limbs, weakness and inflexibility in both hands, difficulty in completing fine movements such as writing, fastening and holding chopsticks, and easy to fall off; Abnormal sensation appears in the trunk, and patients often feel banded restraint in the chest, abdomen or lower limbs; Prevention of cervical spondylosis: (1) Don't work, read books, surf the Internet, etc. When the neck is too tired. If you work in the neck for a long time, it will only lead to more serious neck strain. (2) Be sure to get enough sleep, which can fundamentally eliminate neck fatigue. (3) If the eyes are tired, it is recommended to do more eye massage such as eye exercises, because eye fatigue can also lead to neck fatigue. (4) If you have to work for a long time and have no extra time to do neck exercises, you can also use some online cervical spondylosis prevention and treatment functions to reduce neck fatigue and avoid repeating neck exercises for a long time. (5) Prevent cervical spine injury, prepare for work, exercise and performance, and prevent cervical spine injury. (6) Ensure a good sitting posture. (7) Correct inappropriate sleep potential, adjust reasonable sleep posture and choose appropriate pillow height. (8) Preventing the neck from catching cold due to wind and actively treating neck trauma, infection, tuberculosis, lymphadenitis and discitis are also important links in preventing cervical spondylosis. (9) Strengthen exercise and enhance physical fitness: In ancient China, there was an idiom that "running water does not rot, and the hub does not lie down". There is a "jumping guide" in Neijing and a "five-animal play" in Huabo, all of which show that whole-body exercise can strengthen the body and prevent diseases. (10) Rational use of traditional treatment methods for oral, cervical and lumbar diseases 1. Drug therapy: oral drugs are absorbed, digested and decomposed by the stomach, and finally transported to the local area through blood circulation. The whole process needs to go through layers of barriers to reach the focus, but there are few drugs left, so the effect is extremely slow and inefficient, and the clinical application of these methods can only relieve pain symptoms, and functional rehabilitation is. Moreover, oral medication is extremely harmful to liver, kidney and gastrointestinal tract. Therefore, choosing topical Chinese medicine patch will have a better effect, which permeates from epidermis and drugs into bones without side effects. There is also an external superimposed dressing, Tibetan medicine Li Zhitong Plaster, which has much stronger penetration and efficacy than ordinary plaster, and its effect and reputation are not bad at present. 2. Traction method: Through the mutual balance of traction and anti-traction, the head and neck are relatively fixed in the physiological curve state, thus gradually changing the phenomenon of abnormal cervical curve, but its curative effect is limited and it is only suitable for mild patients; In addition, traction is prohibited in acute phase to prevent local inflammation and edema from aggravating; Limited activity during traction. 3, physical therapy: physical therapy is the abbreviation of physical therapy. It applies natural and artificial physical factors such as sound, light, electricity, heat and magnetism to the human body to achieve the purpose of treating and preventing diseases. 4. Massage: Massage is an important part of Chinese medicine. During treatment, there is no need to take medicine or injection, only doctors' hands and simple instruments are used to massage some parts of the body or acupoints along the route of meridian circulation and the direction of qi and blood circulation, so as to achieve the purpose of treatment. However, it is forbidden to massage in acute phase or acute attack period, otherwise it will aggravate the inflammation and edema of nerve roots and aggravate the pain. Cervical spondylosis is accompanied by fractures, bone and joint structural disorders, osteoarthritis, and severe osteoporosis in the elderly. Massage can destroy bones and spread infections, so this therapy should be banned. 5, water needle knife minimally invasive method: painless, release local soft tissue nodules, combined with injection and ozone ablation, needle knife, medicine, oxygen combination, trinity, one step in place. It can soften nodules and improve internal circulation. For cervical spondylosis, the headache and dizziness caused by it is immediate. The long-term curative effect is outstanding, and it has the functions of preventing adhesion and recurrence. The safety range is wide, which reduces the blindness of closed surgery. 6. Operation method: The principle of operation method is mainly to relieve oppression, eliminate stimulation, improve stability and prevent progressive injury. However, there are many complications, many contraindications, great risks and great pain. Patients with general or local conditions that are not suitable for surgery, such as older patients, poor health, patients with cardiovascular and cerebrovascular diseases or diabetes, or patients with anesthesia contraindications, are not suitable for surgical treatment. 7, mineral spring therapy: simple and easy, the patient has no pain in the treatment, and the effect is good. Chemical components and trace elements in mineral water can accelerate blood circulation and help to increase the repair of damaged tissues; The warming effect of mineral water can relieve pain, relieve pain, diminish inflammation and reduce swelling, and improve the symptoms of vertebral artery insufficiency. 8. use patches! There are many good patches in the general market, such as Zhenshan brand neck compress developed by Dr. Han Zhenshan, the seventh generation descendant of the Han family. Pure Chinese medicine has a good effect. If you want to choose, you'd better use pure Chinese medicine! 9. Now a new medical method, interventional therapy, can effectively treat cervical spondylosis and lumbar spondylosis, but surgery is risky, so don't try it unless you have to! 10, wine bottle therapy: when you sleep at night, put a beer bottle around your neck and be sure to sleep on your back. The effect is good!