Is cervical compression of the spinal cord serious? The cervical spine compresses the nerves, how to

Cervical compression of the spinal cord is more serious, the occurrence of this compression of the spinal cord, may be caused by cervical spondylosis, or may be caused by trauma, joint dislocation or fracture, compression of the spinal cord will cause weakness of the lower limbs, numbness of the limbs, superficial sensory loss, severe may lead to paraplegia, conservative ** often has no effect, should cause high attention, you can go to the spine surgery or orthopedics department of a regular hospital for surgery**.

For mild cervical myelopathy, minimally invasive surgery can be taken**, if the spinal cord compression is caused by fracture, surgery can be considered for spinal canal decompression and implantation of internal fixation** to maintain the stability of the cervical spine.

Severe overwhelmed nerves are more serious, paralysis of the lower limbs is possible, you need to feel like going to the hospital**, you can't delay early** recovery well.

This general findings should be dural sac compression. Look at the clinical symptoms, don't worry about the normal symptoms**.

I don't know what to talk about**, and it's not to treat a cold and tell you what medicine to use. Due to insufficient understanding of the disease, please explain in detail the cause of the disease, the age of onset, the time of onset, the exact location of the disease, the results of the examination (magnetic resonance**), the detailed symptoms of the current condition, and what has been done**, the more detailed the better, which is of great help to the qualitative analysis and evaluation of the disease and the agreement of the **merger** plan.

Senile degeneration generally does not require special treatment, but can be treated with physiotherapy, and the numbness persists and worsens, requiring orthopedic diagnosis and treatment.

The best ** for cervical compression of the spinal cord ** is to perform surgery, and now it is all microsurgery **, ** the effect is good.

Hello, traction with acupuncture is generally used.

Cervical spine compression of the spinal cord can relieve symptoms through general**, drugs**, etc.

1. General**: Patients should reduce the load of the cervical spine, pay attention to bed rest, and wear neck circumference, cervical brace and other braces to fix the cervical spine under the guidance of doctors. If necessary, physiotherapy such as acupuncture and warm compresses may be given to relieve symptoms.

2. Drugs**: When the cervical spine compresses the spinal cord, patients can follow the doctor's instructions to take Chinese patent medicines that invigorate blood circulation and eliminate blood stasis, such as Dahuo Luo capsules, etc., and can be combined with drugs to nourish nerves, such as methylcobalamin tablets, etc., which can help improve discomfort symptoms. In addition, symptoms can be relieved by surgery** and other things.

In addition to some methods during the day, it is recommended to understand the spine support mattress, which can often be used to traction the spine, this method is called Mackenzie**, please refer to it.

The clinical symptoms of cervical spinal cord compression are mainly as follows:

1. Pain: After the cervical spinal cord nerve is compressed, ischemia and hypoxia will occur, and the nerve sensitivity will be enhanced, and the patient will have reflex neck muscle pain symptoms.

2. Limitation of cervical spine movement: The cervical spine is compressed, the neck muscles will have obvious spasm, tension and stiffness, and the range of motion of the cervical spine will also be seriously affected, including flexion and extension activity disorders and rotational activity disorders.

3. Limb dysfunction: For example, in the early stage, it will manifest as radiating pain, numbness and muscle strength loss in the upper limbs, and in the middle and late stages, it will cause muscle weakness in the limbs, and the patient can not even stand and walk, and cannot take care of himself. Cervical spinal cord compression can be confirmed by MRI and clinical physical examination, and should be performed as soon as possible** to relieve nerve compression in order to relieve the above clinical symptoms.

The decision to compress the spinal cord from the cervical spine needs to be determined based on the specific situation of the patient and the professional judgment of the doctor. Not all cases of cervical compression of the spinal cord necessitate surgery**.

Under normal circumstances, the cervical spine compresses the spinal cord first conservatively, such as rest, physics, drugs, training and poor exercises. These non-surgical** methods can reduce symptoms, improve neurological function, and are indicated for mild or moderate cervical spinal cord compression symptoms.

However, surgery may be a necessary option in the following cases:

1.Severe symptoms: If the patient has severe symptoms such as pain, muscle weakness, and sensory impairment that affect daily life and work, even if the results are not good after conservative**, surgery may be considered.

2.Progressive neurological impairment: if the patient's neurological impairment tends to worsen, surgery may be required to reduce the compression of the cervical spine on the spinal cord in time to avoid further deterioration of neurological function.

3.Surgical feasibility: Surgery may be recommended when conservatively** is ineffective or inconclusive, and the procedure is feasible and safe.

Whether or not to proceed with surgery requires full communication between the patient and the doctor, and careful evaluation of all options. When you have symptoms related to cervical spine compression of the spinal cord, please see a doctor in time and receive guidance and advice from a professional doctor.

Clause.

1. Cervical spine compression of nerve roots can cause neck and shoulder pain, loose pain and numbness of one side of the upper limb, the patient is extremely painful, and the pain symptoms can be aggravated when sleeping in the lateral decubitus position.

Clause. 2. Compression of cervical spinal nerves can cause weakening of the strength of both upper limbs, and patients can not hold objects, affecting life and work.

Clause. 3. When the cervical spine compresses the spinal nerve, quadriplegia or complete paralysis can occur, resulting in serious consequences such as inability to take care of oneself.

Limb pain can occur, and in severe cases, respiratory function can be affected. If the spinal cord compression is caused by the upper cervical spine, it can cause the sensation of walking on cotton.

Mild numbness in the hands and feet, sometimes headache, severe can lead to paralysis, so this disease should not be taken lightly.

**Cervical spondylosis, entering the era of "minimally invasive surgery" Whether surgery is required for cervical spine compression of the spinal cord** should be considered from the following aspects: 1. Mainly look at the symptoms (whether there is numbness, weakness, walking and cotton feeling, and inflexibility in receiving fine movements). If the above symptoms are present, cervical spondylosis is diagnosed as spinal cord type.

The absence of symptoms does not make a diagnosis of cervical myelopathy, which may be an early stage of the disease, or a high-risk group. 2. Secondly, look at the results of the MRI examination. If your spinal cord is not compressed and "the spinal cord signal and morphology are normal", there is no need to rush to surgery**.

Surgery may be considered if the spinal cord is severely compressed or if the spinal cord signal is altered (note that surgery is recommended, not mandatory). 3. There is still controversy about whether or not to operate. For patients with spinal cord compression but no symptoms (numbness, weakness), many doctors in Japan recommend surgery to relieve spinal cord compression prophylaxis.

Their reasoning is that there is a risk of acute spinal cord injury when traumatized. But here's the thing:

1. No one can say clearly how much of the risk of this kind of trauma is; 2. Logically speaking, it is recommended to observe whether to use the risk of surgery to prevent the risk in life. 4. If the symptoms of spinal cord compression are relatively mild or absent, they can be observed. 5. If the symptoms gradually worsen, surgery is recommended**.

6. At present, there is no effective conservatism of cervical myelopathy. However, patients should avoid neck trauma in their daily life, and work at the desk, computer, and play cards for a long time. Overall, the chance of surgical complications is 1-3%.

So "surgery is a good way to do it when there is no way". You shouldn't hesitate too much when you should do it, and you should still rely on yourself when you can.

Traditional Chinese Medicine for Cervical Spondylosis**.

Before using traditional Chinese medicine ** cervical spondylosis, we must first understand what cervical spondylosis is. Cervical spondylosis is known as cervical paralysis in traditional Chinese medicine, it is a kind of rheumatism in traditional Chinese medicine, which can have changes in physiological curvature in the early stage, and can form cervical disc herniation, cervical spinal stenosis, and cervical bone hyperplasia when the disease develops to a certain extent, which is called cervical spondylosis.

How is cervical spondylosis formed? In the early stage of cervical spondylosis, it is due to external wind, cold, dampness, evil, long-term neck strain, bowed head to work, playing computer for too long, flash contusion, and the internal cause is the gradual decline of kidney essence in middle age. The main reason is early untreated, and the cold and dampness invade the periosteum over time.

The clinical manifestations also range from mild to severe. The main manifestations in the early stage are: neck soreness, axial sinking, and severe fatigue in the neck and back.

With the development of the disease, the first method is lacking, and the cold forms bone hyperplasia, protrusion, and stenosis over time, compressing nerves and blood vessels, resulting in headache, dizziness, nausea, severe pain in the neck, shoulder and back, numbness on one or both sides of the upper limbs (more common), muscle atrophy in severe cases, and even spasms and paralysis.

There are many methods for cervical spondylosis, such as acupuncture, massage, hot compress, plaster, traction, etc. The above ** mild cases can relieve symptoms, and severe cases may not be effective. At present, there is no better method in Western medicine, when the pain symptoms are severe, give painkillers to relieve the pain, and then surgery**, but the operation is risky and easy to be disabled.

According to my years of clinical experience, the use of traditional Chinese medicine: relaxing tendons and channels, dispelling cold and dampness, and softening bone spurs has relieved the suffering of many patients with cervical spondylosis.

Cervical 3 nerve roots.

Because the posterior root ganglion of the cervical 3 nerve root is close to the dural sac, it is susceptible to compression by the hypertrophic and hypertrophic cervical 3 uncinate process and superior articular process, while the cervical 2 3 intervertebral disc herniation is not easy to compress the nerve root. The pain is severe and superficial, radiating from the neck to the auricles, eyes and temporal, and there may be burning and numbness in the head, ears and jaw on the affected side. Physical examination can sometimes reveal sensory disturbances in the back of the neck, around the ears, and in the jaw.

There is no significant muscle weakness.

Cervical 4 nerve roots.

It is common and mainly painful, with pain radiating from the back of the neck to the scapular region and anterior chest, and the pain can be exacerbated by posterior extension of the cervical spine. On physical examination, the strength of the upper scapular lift is weakened.

Cervical 5 nerve roots.

The sensory deficit area is located on the outside of the shoulder and upper arm, which is equivalent to the area where the epaulette is located. Complaints mostly include shoulder pain, numbness, difficulty lifting upper limbs, difficulty in dressing, eating, combing hair and other movements. Deltoid weakness may be detected on physical examination, and other muscles such as infraspinatus, supraspinatus, and some elbow flexors may also be affected, but they are difficult to detect on physical examination.

The biceps reflex may also be diminished.

6 nerve roots in the neck.

It is common, second only to cervical 7 nerve root involvement. The pain radiates from the neck along the biceps brachii to the outside of the forearm, the dorsum of the hand (between the thumb and forefinger), and the fingertips. Hypostrength of the biceps brachii and decreased biceps reflex can occur in the early stages, as can other muscles such as supraspinatus, infraspinatus, serratus anterior, supranator, extensor pollicis muscle, and extensor carpi radialis.

The sensory impairment area is located on the outside of the forearm and the "tiger's mouth area" on the back of the hand.

Cervical 7 nerve roots.

Most common. Patients complain of pain that radiates from the neck along the posterior shoulder and triceps muscles to the posterolateral aspect of the forearm and middle finger, and the triceps muscles weaken in the early stages, but are often unnoticed and occasionally noticeable when the elbow is forcefully extended. Sometimes the pectoralis major muscle is involved and atrophied, and other muscles that may be affected include the pronator muscle, wrist extensor, extensor digitorum and latissimus dorsi.

The area of sensory impairment is located at the distal middle finger.

Cervical 8 nerve roots.

Sensory deficits occur predominantly on the ulnar side of the ring finger and little finger, and patients complain of numbness in this area, but rarely beyond the wrist or below. Pain is often subtle, and physical examination may reveal weakness in the intrinsic muscles of the hand.