I have cervical myelopathy, how to treat spinal stenosis

Your cervical spondylosis can be good. But the key is whether you can overcome the incorrect posture and habits in your daily work and life. For example, straighten your head and close your chin, bow your head for a long time, tilt your head to do things, lie down with your pillow crooked, etc., the process of cervical spondylosis is the process of fighting against your incorrect posture and habits.

This is the most critical problem, otherwise it will not take long to cure cervical spondylosis. How to do cervical spondylosis**I tell you the method, 1, first of all, to correct the physiological curvature of the cervical spine straightening or reverse arch problem: use a beer bottle to pillow the position of the cervical spine 1 2 3.

The center point of the occipital is on cervical vertebra 2 (cervical spine on beer bottle). The back of the head must be dangling. The height of the pillow and beer bottle together is about 12 cm, which is too low for good results.

Stick to it for more than 60 minutes. Because it takes about 46 minutes to reset a cervical vertebra with the weight of the head alone. If you feel that there is pain in the cervical spine (that is, dislocation), put the painful place on the beer bottle, for example, the pain in the right side of the cervical spine 3 is pillow on the beer bottle, and the head is twisted to the right to make the painful place into a fulcrum, and the gravity of the head and the top force of the beer bottle are used to carry out and reduce the dislocation of the cervical spine.

It is okay to make sure that the cervical spine does not feel painful and the head does not feel dizzy. Your cervical spine C34 can be corrected in this way. Pillow beer bottle reset, head and cervical spine numbness, this is because the pillow beer bottle affects the blood circulation, and sitting for a long time legs and feet numbness is a reason, the cervical spine left and right to turn the blood to restore circulation is solved.

After that, just continue to reset. Once reset, you will soon fall into a deep sleep. It's all normal, good.

2: If you find that there is still pain in the cervical spine after the pillow beer bottle, press and rub the atlantoaxial "that is, the muscle that connects the head and cervical spine" with your thumb little by little, and the atlantoaxial can be reset at the same time, and the maximum force of the vertebrae is five kilograms. Until it doesn't hurt anymore and you can open your eyes.

3: Then press the pain in the cervical spine with your thumb, and push the pain on the right side to the left. If it is pain on the left side, push it to the right.

The force of compression is from light to heavy, up to 5 kilograms, and brute force must not be used. Gradually push the pressure until the cervical spine is no longer painful, the head is not dizzy, the head is not painful, the eyes can see things clearly, it should be noted that the depressions on both sides of the cervical spine (generally only the misaligned side of the pain, the side that does not hurt do not need to press), be sure to push and press until there is no pain point, the eyes can immediately see clearly and do not hurt, your cervical spondylosis is cured. Tests should be done immediately after the reduction:

The cervical spine can rotate freely without sound and without pain, the head does not hurt, and the head does not dizzy, which means that the reduction is successful. If rotation is difficult and there is no reduction in place, thrust reduction should be continued until the cervical spine is able to rotate freely. 4：

After the whole reduction is done, it is necessary to wear a cervical spine protection bracket to forcibly correct the incorrect cervical posture. Minimum 30 days. 5：

Different types of cervical spondylosis, the symptoms are different, and the factors that cause the disease are also different, so spinal stenosis is only an imaging description, which refers to a variety of reasons that lead to the reduction of the lumen of the cervical spinal canal, such as herniation of the intervertebral disc, hypertrophy of the ligamentum flavum, calcification of the posterior longitudinal ligament, etc. For severe spinal stenosis, symptoms and signs of nerve compromise should be surgical**, and anterior cervical decompression surgery such as subtotal vertebral resection interbody fusion should be an option; Cervical spondylosis, spinal stenosis**can be used for cervical traction**.

The level of spinal stenosis** needs to be decided based on the degree of spinal stenosis and the severity of symptoms.

1.Guard**.

For patients with spinal stenosis that are not severe, the symptoms are not obvious, and the functional impairment is not serious, the methods include drugs, physiotherapy and other methods, the purpose of which is to improve microcirculation, eliminate nerve edema, and promote the recovery of nerve function.

2.Surgery**.

If the symptoms of spinal stenosis are severe, it may cause continuous mechanical compression of the nerves and spinal cord, and severe compression of the spinal nerves will lead to avascular necrosis, aggravated dysfunction, and conservative ** is ineffective, and timely surgery is required**. Surgery can open the spinal canal, increase the volume of the spinal canal, and effectively relieve the compression of the spinal cord and nerves, which is possible to promote the recovery of nerve function.

Spinal stenosis is known as what causes spinal stenosis. The causes of spinal stenosis are caused by degeneration, iatrogenic surgery, and other causes such as fractures, tumors, and deformities can lead to spinal stenosis. Spinal stenosis usually has a progression process, illustrated by the example of the most common degenerative spinal stenosis.

Degenerative spinal stenosis is a surgical condition that can be conservative** in the early stages of the disease, and surgery should be considered if symptoms are severe**. Because it is a degenerative disease, it cannot be reversed, for example, spinal stenosis occurs at the age of 55, and the age cannot be reversed, so that the spinal stenosis becomes lighter and lighter, and the patient can only increase with age, the degree of spinal stenosis becomes more and more severe, and the clinical symptoms become more and more serious. Therefore, spinal stenosis is a surgical disease, and it is generally necessary to relieve his clinical symptoms through surgery.

The onset is middle-aged and elderly people over 50 years old, and the first method is through minimally invasive surgery, open surgery, which is traditionally open surgery, internal fixation, fusion, large trauma, bleeding, and many surgical complications. With the maturity of technology, it is now possible to consider minimally invasive surgery with spinal endoscopy, which has the advantages of less trauma, no need for blood transfusion, fast, you can go to the ground after surgery, and it is also relatively fast and the cost is relatively low. Even if the effect is not good, it can be remedied by minimally invasive surgery again and short-stage fusion again in the future.

Traditional Chinese medicine believes that the main pathological mechanism of spinal stenosis syndrome is kidney deficiency, meridian blockage, qi stagnation and blood stasis, and disharmony between camp and health. Traditional Chinese medicine believes that lumbar spinal stenosis is divided into three types: kidney essence deficiency type, wind-cold and damp-resistance type, and qi deficiency and blood stasis type.

How is cervical spinal stenosis**?

Patients with mild symptoms of cervical spinal stenosis can be assisted by traction, acupuncture, hot compress and other methods**, or they can be assisted by drugs that promote blood circulation and remove blood stasis and dredge meridians**. If the disease is severe and affects daily life, surgery can be used**.

Cervical spinal stenosis surgery**:

The indications for this procedure are: the patient has a clear diagnosis, or the reverse is reversed, or the spinal cord symptoms are progressively worsening.

Among them, anterior discectomy and fusion (ACDF) or subtotal resection and fusion of the vertebral body (ACCF) are the most commonly used surgical procedures, and in general, for patients with compression in front of the spinal canal, anterior cervical approach surgery should be chosen. The main characteristics of anterior approach surgery are: this approach is less traumatic, less bleeding, and easy to expose; The operation is direct and the effect is good; It is conducive to restoring the height of cervical intervertebral space, the physiological curvature of cervical spine and the inner diameter of the spinal canal; Good stability can be obtained in the cervical spine surgical segment.

What medications are available for spinal stenosis**?

Due to individual differences, there is no absolute best, fastest and most effective medication, except for commonly used over-the-counter drugs, the most appropriate drug should be selected under the guidance of a doctor in full combination with individual circumstances.

Medications** play a role in symptom relief and include the following categories:

1.Non-steroidal anti-inflammatory drugs.

Pain and inflammation can be reduced, and in the absence of contraindications, nonsteroidal anti-inflammatory analgesics, such as ibuprofen, diclofenac, meloxicam, celecoxib, etc., should be considered first.

2.Muscle relaxants can be used alone or in combination with non-steroidal drugs, which can effectively improve muscle tension, such as chlorzoxazone, ethperisone, etc.

3.Neurotrophic drugs promote peripheral nerve repair and improve nerve function, such as methylcobalamin, nerve growth factor.

Lifestyle changes, such as weight loss and smoking cessation, may reduce pain and discomfort and improve walking ability and quality of life in people with spinal stenosis;

Physical**: such as traction, massage, balance exercises, wearing a brace strap or tight waist, hot compresses, exercise, etc.

1. Exercise conditioning.

Reasonable posture and excellent lifestyle habits can be effective in ** cervical pyramidal stenosis. If the condition is more serious, you should do targeted exercises under the guidance of a doctor, which can effectively regulate and activate the blood in the cervical spine. You can do some shoulder-related movements, exercise the cervical spine at the same time when exercising the shoulder, and if the doctor has other needs, follow the doctor's guidance to carry out scientific and orderly movements.

2. Dietary conditioning.

Reasonable diet can help cervical spondylosis**, pay attention to a balanced diet under the guidance of a doctor, and use calcium-rich foods and proteins, vitamins, etc., which are essential foods for repairing bones, muscles, ligaments and tissues. Different physique, different symptoms to choose different food, can not be partial food, strengthen a variety of nutrition, in order to benefit the cervical spondylosis, thickness with comprehensive nutrition can meet the needs of the human body, promote, as well as maintain the normal needs of the human body.

3. Surgery**.

For patients with more severe symptoms, it is recommended to start surgery as soon as possible**. At the time of surgery, the pressure will be basically reduced, and targeted surgery is a qualified operation. The doctor will generally arrange an anterior surgery, first remove the pressure-causing substance, and then graft and fuse, and after three to six months to achieve the best effect, it is often necessary to carry out a posterior decompression surgery, and the patient should carry out the operation in an orderly and reasonable manner under the doctor's arrangement to avoid aggravation of the condition.

The common methods of cervical spinal stenosis are conservative, physical, and surgical. For those who simply present with mild numbness and pain in the upper limbs or mild symptoms of cervical, spinal cord and nerve root damage, conservative**4 to 6 weeks are used, and in severe cases, long-term intermittent** is used. Physical** is generally used, but medications** such as vitamin B12 can also be used.

Symptoms of cervical spinal cord damage are obvious, and surgery should be performed as soon as the diagnosis is confirmed**.

1. Drugs**.

Vitamin B12 and folic acid: It is a nutritional psychotropic drug, and it and a variety of vitamins are important coenzymes for metabolism in the body, which can promote the effective metabolism of various substances in the body. This metabolism restores nerves and relieves pain.

2. Surgery**.

1. Anterior surgery: Anterior decompression surgery is divided into two categories, one is to remove the intervertebral disc herniation, and completely scrape the nucleus pulposus and fibrous annulus protruding to the spinal canal; The other type is to remove the hard protrusion and decompression, remove the disc that protrudes into the spinal canal or root canal along with the osteophytes, or open the bone groove of the vertebral body and graft at the same time.

2. Posterior surgery

1) Localized laminectomy with exploratory decompression: Generally, no more than 3 vertebral plates are removed, and the dentate ligament that binds the spinal cord is severed during the operation. When the spinal cord is compressed, the dura can be left unsutured, allowing it to form a smooth and loose spinal capsule.

2) Extensive laminectomy decompression: suitable for patients with developmental or secondary cervical spinal stenosis, this procedure can directly relieve the compression of the posterior wall of the spinal canal, and the posterior movement of the cervical spinal cord after decompression can indirectly relieve the compression of the anterior cervical spinal cord. However, due to the extensive formation and contraction of postoperative scars, the functional recovery is satisfactory in the early stage, and the symptoms may worsen in the long term, and cervical instability and even lordosis or kyphosis can also occur due to extensive resection of the posterior structures of the cervical spine.

3. Physics**.

1. Physiotherapy: Neck tool traction, rest and other physical methods to relieve the pain of mild cervical spinal stenosis.

2. External application method: directly make the drug force play a role in the lesion, so as to achieve the effect of activating the meridians, dispelling qi and wind, detoxifying and reducing swelling and pain.

The symptoms of early lumbar spinal stenosis cause chronic damage to the lumbar spine, and lumbar spinal stenosis occurs, that is, the effective volume of the lumbar vertebral nerves in the spinal canal is reduced, and the corresponding nerve compression symptoms appear. Common compression symptoms include numbness and pain in the lower limbs, which become more severe as the distance traveled.

Early spinal stenosis is a gap between the vertebrae that causes damage to the nerves inside. If it is not severe, it can be effective by physical traction** and slowly increasing the amount of exercise.

Patients with lumbar spinal stenosis can be operated on**, generally speaking, about a week after the operation, they can gradually move down, if the recovery is relatively smooth, the patient will be completely**, during the period, the patient must pay attention to a balanced diet, and rest on time.

You can go to the hospital for surgery** to relieve the pressure on the cervical spine, which will play a role in relieving, and you should also eat more light food in your usual diet, you can properly move your body and do some simple exercises, which are very good.