Saturday, March 29, 2008

A series of clinical manifestations of cervical disease

Cervical spondylosis, gradually became a common disease, and long-term operations bow, the Fuan work. The main cause is due to daily life, leading to prolonged adverse posture of cervical degenerative disease, oppression or stimulate the spinal cord or nerve roots caused by the series of vascular clinical manifestations. The most common cervical disease in the following categories: 1, nerve root: As the dominant upper limb nerve was stimulated, shoulders, upper extremity numbness, pain, poor fingers activities, and can not be completed with chopsticks, and other movements of the button. 2, spinal cord: Early to dual leg numbness, difficulty activities, difficulty walking, walking pace, I feel like a pair of "hitting the cotton," the late urine can be obstacles to the development of both upper limbs numb, unable to. 3, sympathetic type: dizziness, headache, Shiwumohu, palpitation, sweating abnormalities, such as tinnitus. 4, vertebral artery type: As vertebral artery stimulated, leading to cerebral insufficiency, performance dizziness, headache, may result in sudden increases in the old, even syncope (temporary coma) 5, Mixed: two or more types exist . Except for a small number of cervical spondylotic myelopathy need inpatient surgery, the other various types are generally conservative treatment. Inspection methods: X-ray, magnetic resonance imaging (MRI), CT, EMG, and somatosensory evoked potential (SEP). Treatment Methods: 1, day-to-day care: Do not sleep pillows too high or too low, the neck is straight suitable (8-10 cm high pillow), the texture should be soft; not lying down reading books, watching television; avoid long Time bow, Fuan workers, preferably 2-3 hours every 15-20 minutes to outdoor activities, or do Baojiancao neck, but cut violent activities; attention to the neck warm and avoid fans, air-conditioning blowing straight; ride attention to the campaign or neck protection against radical turning, braking or sudden urgency to the neck. 2, medication: under the guidance of a doctor, take anti-inflammatory painkillers, neurotrophic, Blood Circulation and other drugs. 3, physiotherapy include: traction, massage, physical therapy, and so on, need to be a formal conditional hospitals. 4, surgical treatment: For severe symptoms, conservative treatment fails patients need surgical treatment; conservative treatment of spinal cord rarely effective, despite the early symptoms of lighter, a clear diagnosis, surgery should be as soon as possible. 5, neck and Wai receive care: cervical restricted mainly to excessive activities, and operations will not be affected patients. At present, there are an inflatable-type cervical traction, with the exception of fixed cervical spine, there are some traction role.

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