5/6/08

Cervical disease in non-surgical treatment introduced

Cervical disease also known as cervical syndrome. Pathogenesis very complicated, because of the cervical strain and long-term growth in the age of physiological degeneration in the process, with the exception of performance before and after the margin of vertebral joint and bone hyperplasia, around the joint capsule and ligaments accordingly In congestion, swelling, fibrosis and calcification or ossification and a series of changes, thus stimulating the oppression or spinal nerve root and spinal cord, neck sympathetic, spinal cord or the vertebral artery, such as nutrient vessels, caused a variety of clinical manifestations. At present, the lack of an effective method of reversing bone hyperplasia or inhibit its continued development organizations around the face of the response of the changes can be applied to all kinds of medical intervention measures, to improve their clinical symptoms, and some even can be completely cured.

The treatment of cervical disease can be divided into non-surgical therapy and surgical treatment of two categories. For the current treatment of cervical disease, medical experts that most of the non-surgical treatment, only a small number of cases required surgery. Non-surgical treatment is the combination of Western medicine in combination therapy, including cervical traction, physical therapy, massage practices massage, acupuncture, medication, rest, tube or neck from medical care and physical exercise, according to different circumstances choose one or 2-3 kinds of methods, or the purposes of the application of the turn. Is introduced as follows:

First, massage and massage therapy practices:
This is the Chinese medicine treatment of the primary means of cervical disease, cervical disease is also more effective treatment measures. It is the treatment of neck and shoulder muscles to ease the tension and spasm, cervical resume activities, release the nerve root and soft tissue adhesion to alleviate the symptoms of vertebral widening gap, expanding intervertebral foramen, the restoration of vertebral slip to disarm Vascular stimulation and oppression, and promote blood circulation and received partial Shujin active, spasm analgesic effect. Can be broadly classified into two categories; One is the traditional massage manipulation other is spin-reduction practices and to shake practices. However, the approach should be treated in specialist physicians experienced under the guidance of operation, prevent accidents.

Second, cervical traction therapy:
This is the cervical disease is more effective and broader application of a treatment, the therapy applied to all types of cervical disease, in the early cases more effective. Its role is to restrict the treatment of cervical, is conducive to congestive organizations, edema dissipated; lifting of the neck muscle cramps, thereby reducing the pressure on the disc; increase intervertebral foramen Dazhui gap and so that the nerve root been to stimulate and oppression Relaxed, so that distorted hole in the transverse process between the vertebral artery can be done; being incarcerated was a small synovial; buffer disc tissue to the peripheral pressure, and is conducive to the field has highlighted the fibrous ring organizations swelling.

Traction: the commonly used pillow jaw cloth belt traction, sitting and horizontal are used in patients with mild intermittent traction, 1-3 times a day, every half an hour to one hour. Patients with severe viable sustained traction, traction 6-8 hours a day. Traction is up 3-4 kg of weight, gradually increase to 5-6 kilograms, according to patients after sex, age, physical strength, as well as the neck muscles of patients with the traction of the response, appropriate adjustments traction weight and extended Traction time. Treatment: small weight traction for a course 30 times, if effective, may continue to traction 1-2 treatment or longer, between the two treatment should rest 7-10 days, when the general requirements for traction neck flexion mild 20 degrees, But the best is to reduce the symptoms the patient's posture suitable, do not have to force a particular location.

Third, physical therapy:
In the treatment of cervical disease, physical therapy can play multiple roles, but also more effective and commonly used treatment methods. Generally believed that the acute phase of Pu feasible because of the ion permeability, ultrasound, ultraviolet light or moving between the current and so reduce pain after Zhiyong ultrasound, iodine ions into the permeability, sensors, or other hyperthermia.

Fourth, drug treatment:
Drug in the treatment of the disease could play a supporting role in the symptomatic treatment, may choose to use analgesics, sedatives, vitamins, herbs and other agents and expansion of blood vessels, easing the symptoms of a certain effect.

5, temperature hot packs:
Such treatment can improve blood circulation, ease muscle cramps, swelling to reduce the elimination of symptoms, treatment practices to help with vertebral stability. The method can be used hot towels and Re Shuidai local external, it is best to use the medicine Fumigation fomentation. Local treatment Celsius temperature should be maintained at around 50-60 ℃, fomentation 15-20 minutes each time, twice daily. The temperature is too high or too long time, can cause peripheral vascular expansion and increased symptoms. Patients with symptoms of acute pain when it is not appropriate for higher temperature fomentation treatment.

6, bed rest:
Bed rest can reduce cervical load and the tension surrounding tissue, nerve compression and response to reduce edema, thus accelerating the easing symptoms. Because cervical spondylosis lower limbs and move around freely and more will not be affected, the disease even to doctors often overlook the issue rest, it stressed that this is important.

7, functional training:
In the acute phase, patients pain due to heavier at rest, that reduce the symptoms, the displacement of the vertebra with a more stable, people can start in the back of the neck and functional training, exercise and neck when the scope of activities to smaller, force Should not be excessive.

8, the other:
The treatment of cervical disease also closed therapy, acupuncture, electro-acupuncture, ear acupuncture, magnetic therapy, Wai from cervical and other health care protection measures to improve symptoms also have a certain effect.

No comments: