Is it difficult to recover fully from cervical myelopathy?

The probability of recovery after cervical myelopathy is more than 90%. Cervical myelopathy is one of the more serious types of cervical spondylosis, usually caused by cervical disc herniation. At the same time, it is accompanied by factors such as calcification, hypertrophy, ossification of the ligaments and congenital spinal stenosis.

It can compress the dural sac directly, causing spinal cord injury. Spinal cord injuries cause more severe clinical symptoms than other types and recovery is slower. The removal of local oppression is the primary problem to be solved.

When compression is relieved, nerves need to be nourished**, hormones**, and dehydration** to promote nerve recovery. Some patients have only partial functional recovery due to prolonged compression.

For patients with cervical myelopathy, it is possible, if the diagnosis of cervical myelopathy is confirmed, the patient needs to undergo surgery as soon as possible**, the shorter the spinal cord compression time, the better the surgical effect, the longer the spinal cord compression, the more severe the compression, the longer the recovery time, and the worse the recovery effect.

Cervical myelopathy is difficult to heal on its own. Although the disease progresses slowly, it gradually worsens; In severe cases, the spinal nerves are compressed, and irreversible nerve damage occurs.

The difficulty of complete recovery of cervical spondylosis is relatively large, and it can be effectively and completely solved through long-term repair and daily maintenance.

Cervical myelopathy compresses the spinal cord and causes motor and sensory dysfunction, which needs to be carried out early**, and the best method is surgery**, and the choice of specific surgical methods needs to be selected according to the degree of compression of the spinal cord. If 1 segment of the spinal cord is compressed, anterior decompression internal fixation can be performed, and disc replacement may be considered if necessary. If there is compression of the spinal cord in 2-3 or more segments, decompression can be performed by the posterior route.

After the diagnosis of cervical myelopathy is confirmed, further radiographs, CT and MRI examinations are required before selecting the appropriate surgical method.

Cervical spondylosis is a relatively common spine disease, most of which are caused by long-term work and sedentary sedentary, and cervical myelopathy is a type of cervical spondylosis. Patients should go to a regular public hospital for examination in time, and cervical traction, massage, occlusion and other methods can be adopted**, if the symptoms are severe and conservative** is ineffective, surgical methods should be taken**.

Cervical myelopathy is first performed CT, or magnetic resonance examination, after the diagnosis, traction with massage, two times a day to turn the head left and right and tilt the head back to do it, if the pain is now, you can take the neck service Kang, the effect is very good.

You spinal cord type, and ask for a mouth disease, pay attention to how the disease is better, because I want to raise it at home, it will be raised after a long time, so I don't have any good way, and I don't go to the root temporarily? But you will still make it in the future, there is no good way, unless you are good at the hospital to get some injections or something, or take some medicine or something, so that cervical spondylosis will be cured, and it will be committed after it is cured, so I don't go, so if I get sick, it is easy to get sick, and it is difficult to get sick, that's it.

The method of cervical myelopathy should be selected according to the degree of the disease, and it is better to choose different methods for different conditions. It is recommended to improve the MRI examination before **, and the methods mainly include general**, drugs**, and surgery**.

1. General**: Cervical myelopathy needs to pay attention to avoid weight-bearing fatigue of the cervical spine, avoid working with your head down for a long time, and avoid neck wrestling and collision, so as not to aggravate spinal cord injury;

2. Drugs**: Patients with mild illness can use oral glucocorticoids, such as prednisone acetate tablets, methylprednifol rearone tablets, etc., which can eliminate nerve edema and reduce patients' pain. You can also take vitamin B12 tablets, methylcobalamin dispersible tablets and other nutrients to reduce the damage caused by the compression of the nerves by laughter and walking;

3. Surgery**: If the condition is serious and the drug is ineffective, surgery** can be taken, such as decompression bone graft fusion internal fixation or spinal canal enlargement plasty, which can alleviate nerve compression and improve nerve symptoms such as numbness and decreased muscle strength.

1. The speed of the development of cervical myelopathy mainly depends on the compressed material and the degree of compression of the spinal cord, including cervical disc herniation, cervical vertebra bone spur formation, and calcification of cervical ligaments.

If it is a soft compression, there is still a certain amount of room for maneuver, so the development may still be unhappy; However, if it is caused by bone spurs or opll entrapment, it is cervical spondylosis spinal stenosis, in which case it has little room to move, so the development is very fast.

Regardless of whether the development of cervical myelopathy is fast or slow, as long as it is diagnosed, it is ineffective after conservative ** or the condition is getting worse, it must be actively operated, otherwise, it will cause quite serious consequences to the patient.

2. The best way to treat cervical myelopathy is to solve the spine through minimally invasive means.

At present, the more popular is the intervertebral foraminoscope, first of all, it is relatively safe, and secondly, the trauma is very small, and the work area can be reached by making a hole. Third, it can solve most of the causes of cervical myelopathy entrapment, such as intervertebral disc entrapment, bone spur entrapment, or posterior longitudinal ligament entrapment.

However, this method still has certain limitations, first of all, it can only solve a part of the cervical myelopathy, and secondly, there is a certain chance after surgery, so although this intervertebral foraminoscopy is currently the best method for cervical spondylosis, it is necessary to strictly grasp the surgical indications, and at the same time to explain to the patient, this surgical method is not perfect, and there will be some complications, so that the patient has a preparation and reduces the patient's psychological expectations.

3. Cervical myelopathy can be warmed.

The main cause of cervical myelopathy is the pathological changes caused by the degeneration of the cervical intervertebral disc, and a series of clinical symptoms caused by spinal cord ischemia and cervical compression caused by hydrops. The warm compress is of little use for the degeneration of the cervical disc itself, but it still has a certain alleviating effect on the pathological changes of the secondary cervical disc herniation.

First of all, it can promote blood circulation, and then it can improve the metabolism of surrounding tissues, alleviate or alleviate the edema formed after spinal cord compression to a certain extent, and alleviate the symptoms caused by spinal cord ischemia.

4. Cervical myelopathy can be moxibustion**.

Although moxibustion is not very useful for cervical disc degeneration, it still has a certain effect on the pathological changes caused by cervical disc degeneration, it can promote local blood circulation, increase the metabolism of surrounding tissues, and alleviate the symptoms of spinal cord ischemia to a certain extent, and can also reduce the swelling of the spinal cord and alleviate the symptoms of cervical myelopathy. However, it cannot cause the healing of cervical myelopathy, because it is only a symptom and cannot cure the root cause.

Cervical spinal cord injury is a subset of central nervous system injury, and patients have different ability to recover depending on the degree of injury. Recovery from cervical spinal cord injury is possible if symptoms are mild, but recovery is usually difficult if symptoms are severe. Mild injuries such as the spinal cord**, similar to the brain**, belong to the transient loss of spinal cord conduction function in the short space pure osmosis, and the patient may temporarily develop neurological dysfunction, which is manifested as sensory, motor and other functional loss below the level of injury.

However, after a period of recovery, nerve function can gradually recover or even return to normal levels through immobilization, medication, etc. in about 48 hours.

For more serious injuries such as spinal cord contusion, local bleeding or nerve crush injury, the fighting spine may have conduction function halt or cause a prolonged injury. Patients may need immobilization, medication, or even surgical decompression to speed up recovery, which usually takes at least 5 days, and the lesions will leave certain sequelae, that is, neurological function cannot be fully recovered. If it is a more serious injury, such as spinal cord transection, that is, the spinal cord is completely severed, or the spinal cord is broken due to various reasons such as fractures, such as trauma, firearm injury, etc., the patient cannot fully recover, and may cause sensation below the level of injury, closed sweatpants, and loss of bowel and bowel function.

Cervical spondylosis of the myelotype is generally carried out by adjusting lifestyle habits**, and the original cervical spondylosis needs to be treated with drugs**, as follows:

1. Adjust living habits: Patients with cervical spondylosis with myelopathy are recommended to develop good living habits. Usually exercise, do not bow your head for a long time to play with mobile phones, computers, avoid long-term neck braking, work, study for about an hour should get up to move, look into the distance.

Learn to do cervical spine exercises from the Internet and carry out effective exercises on the neck, so as to effectively prevent the further development of cervical spondylosis.

2. Comprehensive**: For the original cervical spondylosis, it is recommended to take some drugs appropriately, and it is generally recommended to properly apply drugs to promote blood circulation and remove blood stasis, and hot compresses can be used with towels every night, which can effectively promote neck blood circulation and also have a good role in improving the symptoms of patients. For more severe cases, neck braces or traction may be considered, which can also be helpful.

Life habits on a brother has already said.

**It depends on your clinical symptoms, whether you feel that you are walking deflected, or walking unsteadily. Personally, it is recommended that acupuncture and massage techniques be reduced, and if the condition is severe, it can be combined with traditional Chinese medicine.

There are many ways to treat cervical myelopathy, but more often than not, the results are not very good. So let's take a look at the new methods of cervical myelopathy, I hope it will help you. Experts point out that minimally invasive methods are the safest and most effective methods for cervical myelopathy.

The pulse technique of spinal cord hyperthermia, which is bitter, has quickly replaced the traditional method in the treatment of cervical myelopathy, and has been recognized by the majority of patients for its strong adaptability and anti-drug advantages. Thousands of patients have been successfully treated so far.

The most advanced technique for this type of cervical myelopathy is based on pulsed radiofrequency at its core. The pulse current is intermittently transmitted by the radiofrequency instrument to the tip of the needle, and under the precise guidance of the navigation system, it reaches the diseased nerve tissue. The pulsed radiofrequency energy will highlight the degeneration, coagulation and contraction of the nucleus pulposus, rapidly reduce the pressure in the intervertebral disc, achieve the effect of relieving spinal cord compression, and make the collagen fibers in the annulus fibrous contract, resulting in the healing and self-reconstruction of the broken part, thus effectively stopping the disease**.

The pulsed technique of spinal cord hyperthermia is particularly effective in patients with neuropathic pain who are not candidates for radiofrequency thermocoagulation. It can accurately achieve analgesic effect, without nerve heat cutting effect, and will not cause hypoesthesia, soreness or burning pain, and will not cause motor dysfunction. It can be described as the "nemesis" of cervical myelopathy.

Drugs**. Medications** only provide temporary relief of symptoms and relieve discomfort, but do not**.

1. Non-steroidal anti-inflammatory drugs: celecoxib, meloxicam, diclofenac sodium, etc. are commonly used.

2. Muscle relaxant and sedative: commonly used diazepam, phenagen, etc.

3. Drugs to promote blood circulation and eliminate blood stasis: such as Dahuoluo capsules, etc.

4. Nutritional nerve drugs: methylcobalamin tablets, dibazole tablets, etc.

Surgery**. 1. Anterior cervical spine surgery: It can open the narrow vertebral space and nerve root foramen, restore the height of the intervertebral foramen, relieve nerve root compression, and promote vertebral fusion.

Anterior cervical spine surgery can eliminate the pressure triggers in front of the spinal cord through the anterior cervical approach, relieve spinal cord compression, improve spinal function, and reconstruct cervical spine stability through bone graft fusion. However, this anterior cervical surgery without internal fixation may result in the bone graft detaching and collapsing, resulting in cervical flexion and deformed reflexes. Due to complications such as the formation of pseudoarthrosis, an increasing number of clinicians are performing internal fixation procedures.

2. Posterior cervical surgery: Posterior surgery is to open the spinal canal and part of the nerve root canal under direct vision, explore and clarify the true state of the spinal cord and nerve roots, and relieve pressure, so that the spinal cord and nerve roots have a certain buffer space, so as to achieve the purpose of decompression. Posterior surgery has advantages for posterior compression and more extensive anterior compression.

With the development of endoscopic techniques, some scholars believe that minimally invasive spondyloplasty is performed by endoscopy.