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How to treat cervical spondylosis?
Most patients can control their symptoms through non-surgical treatment, such as physical therapy, exercise therapy, medication and so on. So as to reduce the recurrence and improve the quality of life of patients. Only a few patients with severe compression of nerve roots or spinal cord need surgery.

Patients with headache and neck pain can take non-steroidal analgesic drugs to relieve symptoms. You can also take traditional massage.

, massage, traction, acupuncture

Such as Chinese medicine treatment, the specific methods should be carried out in accordance with the doctor's advice.

When the symptoms are serious, you should seek medical advice immediately. Hospital surgery is needed if necessary.

How to treat cervical spondylosis in acute stage?

When the symptoms of neck pain, upper limb pain and numbness are serious in acute stage, patients should pay attention to rest to avoid increasing exercise to stimulate the neck and seek medical advice in time.

What treatment measures does cervical spondylosis generally have?

Improve lifestyle

Avoid lowering your head for a long time. Workers at the desk should pay attention to maintaining the integrity of the spine, pay attention to intermittent rest, and avoid keeping the cervical spine in a flexion posture for a long time.

Exercise shoulder and neck muscles.

Swimming is a good way to exercise the muscles of neck, shoulders, waist and back.

In addition, you can also do some flexion, extension and rotation of the head, neck and upper limbs in peacetime, especially after bending your head at your desk for a long time. It can not only relieve fatigue, but also exercise muscle strength, which is conducive to maintaining the stability of cervical vertebrae and protecting cervical intervertebral discs and small joints.

Proper isometric contraction and resistance training for the posterior cervical muscles, such as crossing hands and fingers behind the pillow and leaning back against the head, can obviously enhance the strength of the posterior cervical muscles and correct cervical instability.

What medicine does cervical spondylosis have?

Because of individual differences, there is no absolutely best, fastest and most effective medication. In addition to the commonly used over-the-counter drugs, we should also choose the most suitable drugs under the guidance of doctors and in full combination with personal circumstances.

Appropriate medication can obviously improve the symptoms of patients with cervical spondylosis.

Cervical spondylotic radiculopathy

Sympathetic cervical spondylosis and cervical spondylotic myelopathy with mild symptoms

Chinese patent medicines and neurotrophic drugs for promoting blood circulation and dredging collaterals can be used.

In acute attack, you can choose to add non-steroidal anti-inflammatory drugs and muscle relaxants to relieve symptoms, and if necessary, give dehydration.

Hormones and other treatments.

Non-steroidal anti-inflammatory drugs

Commonly used in patients with shoulder, neck and arm pain, mainly for traumatic inflammation caused by nerve root stimulation.

Has anti-inflammatory and analgesic effects.

Often accompanied by nausea, vomiting, fullness, stomach pain and other adverse reactions. The commonly used drugs are ibuprofen.

And highly selective COX2 inhibitors (such as celecoxib).

Rely on Cauchy

) and so on.

Muscle relaxant

It can be used to relieve neck and shoulder pain caused by muscle spasm, and reduce the stimulation to nerves and blood vessels, often accompanied by blood pressure drop and bradycardia.

Arrhythmia

Wait for adverse reactions.

calmative

It is suitable for patients with mental excitement, tension and excitement, and can reduce the excitability of nerves and muscle tension, resulting in adverse reactions such as drowsiness, dizziness, fatigue and memory loss. The commonly used drug is diazepam.

Class, can also be used for brain-nourishing and tranquilizing Chinese patent medicine.

What surgical treatment method does cervical spondylosis have?

When the patient has the following symptoms, surgery should be performed.

Conservative treatment is ineffective or effective for 3 months, but symptoms recur after drug withdrawal, which affects normal life and work;

Nerve root pain is severe and conservative treatment is ineffective;

Muscle weakness and even muscle atrophy occurred in some muscles of upper limbs.

After 2~4 weeks of conservative treatment, there is still a development trend.

In addition, due to the development of cervical spondylotic myelopathy, the symptoms will gradually worsen and even become disabled, so it is necessary to operate in time after diagnosis. spinal cord injury

Severe and long course of disease, poor surgical effect.

At present, the cost of cervical spondylosis surgery varies greatly, which is related to the nature, segment, complexity, operation method, operation materials, region and hospital of the operation. Patients should choose appropriate surgical methods under the guidance of doctors.

Surgical treatment can be divided into anterior cervical surgery and posterior cervical surgery.

Anterior surgery

Refers to the operation in front of the neck or side. Surgical procedures include decompression, reconstruction and stabilization.

Decompression refers to the removal of prominent intervertebral disc, hyperplastic osteophyte or most vertebral bodies, hypertrophy and ossified posterior longitudinal ligament, and completely relieve the compression on spinal cord and nerve roots.

Reconstruction stability includes fusion and non-fusion technologies. Fusion refers to the use of autogenous bone block, allogenic bone block, intervertebral cage, titanium cage, 3D printed artificial vertebral body and other materials to fill the intervertebral disc and vertebral body removed during decompression, supplemented by titanium plates and screws, to achieve permanent stability.

For patients with mild intervertebral space degeneration and simple disc herniation

Patients with "soft" compression, such as cervical artificial disc replacement, can retain the activity of the surgical segment by using non-fusion technology.

Posterior operation

Refers to the operation performed behind the neck, mainly including spinal canal enlargement, laminoplasty and laminectomy plus fixation and fusion. By expanding the effective sagittal diameter of spinal canal, the purpose of relieving spinal cord compression is achieved.

How to treat cervical spondylosis with traditional Chinese medicine?

There are many TCM treatments for cervical spondylosis, including acupuncture, massage, traction, external use of traditional Chinese medicine, and oral administration. However, it should be noted that not all types are suitable for Chinese medicine treatment. It is recommended to go to a professional institution with relevant medical qualifications for treatment after a clear diagnosis in a regular hospital.

needle therapy

Including acupuncture, you can take Jiaji point, Fengchi, Fengfu, Tianzong, Dazhui, Waiguan and Hegu of the neck for acupuncture or moxibustion.

Regulating qi and blood.

massotherapy

The neck is mainly released locally, combined with manual reduction, which can dredge the blood and relax the muscles of the neck.

traction therapy

Generally, cervical traction belt is used to relieve cervical muscle spasm, release soft tissue adhesion, and improve or restore normal physiological curvature of cervical spine.

External use of traditional Chinese medicine

Traditional Chinese medicine preparations, such as hematoxylin, with different effects of promoting qi circulation, removing blood stasis, warming channels and dispelling cold, relaxing muscles and activating collaterals or clearing away heat and toxic materials, are applied to the relevant parts of patients with cervical spondylosis.

kudzu

bark of eucommia

rhizome of Chuanxiong

Wait a minute. Commonly used treatment methods are dressing and spraying.

Oral Chinese medicine

Traditional Chinese medicine should be administered according to the syndrome differentiation of patients. Wind-cold-dampness type can be given Fangfeng decoction; People with qi stagnation and blood stasis can be given Tongqiao Huoxue decoction; Phlegm-dampness blocking type can be treated with Banxia Baizhu Tianma Decoction.

What other treatment measures are there for cervical spondylosis?

physiatrics

Treatment methods such as direct current iontophoresis, low frequency modulation medium frequency electrotherapy, ultrashort wave therapy, ultrasonic therapy and high potential therapy are commonly used to dilate blood vessels, improve local blood circulation, relieve muscle and vascular spasm, eliminate inflammation and edema of nerve roots, spinal cord and its surrounding soft tissues, reduce adhesion and promote the recovery of nerve and muscle functions.

other

At present, research shows that the treatment of osteoarthritis

Glucosamine hydrochloride tablets

It may be effective for patients with cervical spondylosis, which is helpful to relieve the condition and improve the clinical treatment effect. After further research, it will enter the category of clinical treatment of cervical spondylosis.