颈椎炎

颈椎炎 (I) traction 1. indications cervical traction is often used as the first choice for nerve root, cervical and sympathetic cervical spondylosis. But it is not suitable for patients with cervical spondylotic myelopathy and those with obvious cervical segmental instability. The traction method of the 2. cervical vertebra is generally used as cervical vertebra traction belt for cervical vertebra traction. (1) posture: position can be taken to sit or lie position; for convenience, take more secure seat by sitting, so that the neck from the trunk longitudinal forward forward about 10 degrees -3O degrees, avoid hyperextension. Ask the patient to relax his neck, shoulders, and whole body muscles. The traction position should make the patient feel comfortable and should be adjusted as soon as possible. In the patients with vertebral artery type, the anteversion angle should be smaller, and the patients with cervical spondylotic myelopathy should take almost vertical posture, and avoid flexion traction. (2) traction weight and duration: the commonly used traction weight varies greatly from 1/10 to 1/5 of the patient's own weight, most with 6-7kg, and at the beginning with less weight to adapt the patient. At the end of each drawing, the patient should have a distinct neck feel, but without any special discomfort. If this sensation is not apparent, the weight should be increased as appropriate. The duration of each traction is usually 20-30 minutes. Traction weight and duration can be different combinations, the general traction weight is greater, the duration is shorter, traction weight smaller, longer duration. (3) traction frequency and course of treatment: general daily traction 1-2 times, there are 3 times a day, 10-20 days for a course of treatment, sustainable several courses of treatment until the symptoms are basically eliminated. (4) if the traction effect of the seat is not good, or if the patient has severe or weak symptoms, the supine position can be used for traction. With pillow pad to maintain proper posture, traction weight is generally 2-3kg. After 2 hours of continuous traction, rest for 15 minutes, and then traction, traction a total time of up to 1O-14 hours. (5) electric traction apparatus can be used for intermittent traction, which is thought to help relax muscles and improve local blood circulation. Usually traction for 2 minutes, relaxing or Reduce traction weight 1 minutes, repeated for half an hour or so. (two) massage 1. effects and indications of TCM cervical spondylosis neck due to long-term fatigue, blood loss, and exogenous cold, caused by massage therapy can block the meridians, Qi and blood, Guangxi wind and cold, Shujin Tongluo, so as to achieve the effect of relieving spasm and pain. Massage is suitable for all types of cervical spondylosis except for severe cervical spinal cord compression. For cervical spondylotic myelopathy, do not advocate for traditional massage therapy, that may aggravate the damage of spinal cord, but there are safe and effective traction and massage therapy reported, therefore, is not necessarily a contraindication for light massage cervical spondylotic myelopathy, but practices should be moderate, avoid rotating pulling manipulation. 2. methods of cervical spondylosis massage techniques should be rigid combination, should not be rude, commonly used procedures, such as: (1) in the back of the neck, a repeated palm massage method and Pushing Manipulation with one finger, then the shoulder and neck Du, three yang meridians of hand part of Yu Xueru Fengchi, Fengfu, shoulder Yu, shoulder, Tianzong, quepen point point, pressure or take law, then in the trapezius muscle and levator scapulae for plucking method. If the nerve root type, manipulation treatment should include the shoulder, elbow, hand of the main points; if the vertebral artery type, should include the head, face, Baihui, sun and other points. Then use the wrench. Finally, with the method of wiping, knocking and patting. (2) the implementation of rotating pulling manipulation, first ask the patient to the side under the rotation of the neck, occipital and occipital performer hands were placed in the patient with head and neck rotation force at the same time slightly. At this point must pay attention: 1) rotation angle can not be too big. 2) do not unilaterally pursue the "neck" may be issued "click" sound. 3) the cervical spondylotic myelopathy and the vertebral artery type of cervical spondylosis do not perform the manipulation of rotation. Home news center, hospital culture, hospital honors, public utilities, bone disease, encyclopedia Department of orthopedics, research and rehabilitation health care equipment, expert recommendations, online consultation, online registration, medical guidance Your present position: home page, cervical spondylosis, characteristic therapy The scientific treatment of cervical spondylosis is the foundation of rehabilitation Release time: 2009-03-17 16:14:51 source: Shanghai Xijiao Orthopaedics Hospital visits: 177074 "Scientific treatment is the foundation of recovery."!" Interview with evening news reporter -- senior Department of orthopedics expert in Shanghai Symptoms: because cervical vertebra disease caused by finger numbness, dizziness, palpitation, insomnia, neck pain, stiff neck, neck sprain easily; Etiology: lack of exercise leads to cervical hypofunction, narrowing of the intervertebral space, and disappearance of the physiological curvature of the cervical spine; Prescription: five Zhuanggu therapy, radical treatment based on disease, comprehensive use of various treatments to features in Zhuanggu Tongluo main vein, formed a new therapy for treatment of cervical spine disease unique. Cervical spondylosis, also known as cervical spondylosis, is common in middle-aged and elderly people, with a younger tendency. Is a group of symptoms caused by human cervical intervertebral disc degeneration gradually, cervical bone hyperplasia or normal cervical physiological curve changes after stimulation or compression of cervical nerve root, spinal cord, cervical vertebral artery and cervical sympathetic nerve. In China, the incidence rate is high, and there is a trend of increasing year by year! Clinical statistics show that older than 40 years old more than 40% cervical and lumbar activity is limited; most of them have lumbar and cervical lesions, nerve system symptoms; these patients often feel light head, neck, shoulder and arm numbness, stress can lead to limb numbness, not timely treatment, will lead to hypertension, stroke, incontinence, and even cause cervical and lumbar paralysis! Evening news reporter interviewed a special authority in Shanghai ---- Shanghai Xijiao Orthopaedics Hospital specialist member of the cervical section expert group Members of the group chief expert: many effective methods in the treatment of cervical spondylosis, according to the summary of my clinical experience of many years, mostly ineffective treatment or relapse due to basically not in accordance with the differentiation of cervical spondylosis, simple blindly using acupuncture therapy, or physical traction caused by the use of blind massage, often aggravate cervical spondylosis the condition, to deepen the pain patients! So here, I would like to talk about the type of cervical spondylosis, classification, which should cause the attention of patients, because they do not know the cause of their illness, blind treatment, counterproductive! Reporter: then, please introduce the chief expert, what kind of cervical spondylosis? So that we can have a conceptual understanding. Chief expert group members: General cervical spondylosis is divided into 4 types, of course, there are some academic journals are divided into 6 kinds, we are mainly in the field of clinical treatment in accordance with the 4 types: 1, radiculopathic type: the highest incidence, main symptoms: pain to the upper arm, forearm and finger finger numbness radiation, allergies, strange feeling, fingers, head, activity is ineffective cough, sneeze can aggravate the pain, shoulder, upper arm, chest pain area. 2, sympathetic nervous type: manifested as dizziness, bias, headache, occipital pain, drooping eyelids, blurred vision, mydriasis or narrowing of the pupil, or even blindness. Orbital pain, tachycardia, bradycardia, precordial pain, chills limb, limbs, head and neck, facial numbness and pain. 3, vertebral artery type: manifested as narrowing of the intervertebral space, instability of the cervical spine or hyperosteogeny of the cervical spine, hand compression or stimulation, temporary obstruction of the arterial blood flow, obstruction or infarction due to spasm. 4, spinal cord type: early for unilateral or bilateral numbness of the lower limb, and later developed into muscle weakness, walking difficulties, dysfunction of defecation and dysfunction, or all types of paralysis. Once the patient meets the cervical vertebra discomfort, first must go to the specialized hospital to diagnose, then according to the different classification, the cervical vertebra disease has the different treatment method. Reporter: Oh, there is so much about the original cervical spondylosis, here we also suggest that the majority of citizens have cervical uncomfortable symptoms, should go to professional hospital diagnosed, please get yourself exactly what type of cervical spondylosis. Chief expert panel member: Yes, that's right. Next， I briefly explain, "treatment of cervical spondylosis common three step therapy"; it is based on the development of China's traditional Chinese medicine and modern medicine, the treatment of cervical spondylosis to ascend to a new level to fundamentally, compose a new chapter in the treatment of cervical disease, to fill the gaps exist long term medical. It can quickly eliminate the disease symptoms, and can solve the problem of repeated, fundamentally unique curative effect, really received the double effect of palliative measures, avoiding the problem of recurrence after healing, the cervical disease, the medical problems also laid a smoothly done or easily solved, director of the domestic system of TCM treatment of cervical spondylosis of leading position the. A step of "noninvasive lysis", by using the combination of balance and immune balance, balance acupuncture therapy, the main acupoints Collocation: neck pain, shoulder pain point acupoint point for acupoints; cross acupoints: right lesions from the left point, the right and left hemisphere lesions: bilateral acupoints acupoints; the bilateral lesions acupuncture treatment once every day, 15 days for a course of treatment, balance acupuncture cure, adjust the immune function of Xie, repair of neck, anti-inflammatory and analgesic effects of the trauma strain; improve local blood circulation, is conducive to gradually restore the physiological curvature of cervical spine, achieved good therapeutic effect. The two step "ion drug penetration" with "skill", by stimulating the meridians, and the needle knife lysis effect to dredge meridians, Qi and blood, separating adhesion, relieve the oppression to remove pain. The mechanical effect of acupotomy in the diseased tissue, produce micro mechanical thermal energy, this promotes local telangiectasia, accelerate blood flow and microcirculation lesion patency, the local blood supply is adequate, local pain caused by accumulation of The new supersedes the old. accelerate, accelerate the absorption of lesions. After the operation with manual treatment, the first point of abdominal pressing, kneading neck and back muscles, and then pull out traction, neck oblique pulling and other treatment. The combination therapy has definite curative effect and is the most effective method for the treatment of mixed cervical spondylosis. The three step "traction" and "ion drug penetration", through the special cervical traction instrument, the partial braking, reduce the stimulation, change the relationships between microstructure and compression compression, improve nerve root blood circulation and nutrition, thereby eliminating inflammatory swelling, alleviate the stimulation and oppression of nerve root. Iontophoresis, can not only strengthen the nutrition and metabolism of local tissue, promote the absorption of inflammation, nerve root to eliminate inflammatory edema, reduce the excitability of the peripheral nerve, increase pain threshold and can be warm through the pain drug iontophoresis in vivo, play the role of the drug, to relieve symptoms. Through the treatment, the treatment of nerve root type of cervical spondylosis, the use of cervical traction combined with drug penetration of ions is obvious. Reporter: listen to experts say so, indeed in the treatment of cervical spondylosis there are many stresses, and finally asked experts to give some suggestions to patients? Chief expert group members: early detection, early treatment, treatment, found that there are early symptoms of cervical spondylosis, should be promptly to the professional department of orthopedics, hospital treatment.