How to treat cervical ankylosis

How to treat cervical ankylosis

Many people are not particularly familiar with cervical ankylosis, which is also a common manifestation of cervical spondylosis. When this symptom occurs, it must be treated in time. There are many treatment methods. The more common ones are acupuncture, massage and traditional Chinese medicine treatments, which can all play a role in alleviating the condition. In addition, you can also take some painkillers, such as ibuprofen, chlorzoxazone tablets, etc. In addition, traction therapy and other methods can also be used.

Drug treatment

The main ones are anti-inflammatory and analgesic drugs (Fenbid, one pill, twice a day, chlorzoxazone 2 tablets, three times a day, soda tablets 4 tablets, three times a day) and Chinese medicine for relaxing muscles and promoting blood circulation (Shujin Huoxue tablets). The above medicines can be taken at the same time. The side effect is irritation to the stomach. If you suffer from stomach problems and neurasthenia, you can take: Jiannao Bu Shen Wan, Zhuangyao Jian Shen Wan, Xiao Huo Luo Dan instead.

Chinese medicine prescription: Modified Pueraria Decoction Composition: Pueraria root 20g, cinnamon twig 15g, wine peony root 15g, ephedra 5g, licorice 15g, ginger 5g, jujube 15g, angelica 15g, Chuanxiong 15g, Shenjiang 15g, dog spine 15g, Eucommia 15g, Achyranthes bidentata 15g, antler glue 15g (crushed and taken with water). Efficacy: dispel wind and cold, nourish blood and blood, nourish liver and kidney, strengthen tendons and bones, relieve pain. Indications: cervical spondylosis. Usage: decoction, 1 dose per day.

Traction therapy

1. Indications: Cervical traction is often used as the first choice treatment for radiculopathy, cervical spondylosis and sympathetic cervical spondylosis. However, it is not suitable for patients with cervical spondylotic myelopathy who have obvious spinal cord compression and obvious cervical segmental instability.

2. The method of cervical traction generally uses a cervical pillow traction belt for cervical traction.

(1) Posture: The body can be in a sitting or lying position. For convenience, it is recommended to sit in a stable reclining position with the neck tilted forward about 10°-30° from the longitudinal axis of the trunk to avoid hyperextension. Ask the patient to fully relax the neck, shoulders and entire body muscles. The traction posture should make the patient feel comfortable, and if there is any discomfort, it should be adjusted as appropriate. For patients with vertebral artery type, the forward tilt angle should be smaller, and patients with spinal cord type cervical spondylosis should adopt a nearly vertical posture and avoid forward flexion traction.

(2) Traction weight and duration: Commonly used traction weights vary greatly, ranging from 1/10 to 1/5 of the patient's body weight, with most using 6-7kg. Use a smaller weight at the beginning to help the patient adapt. At the end of each traction, the patient should have a clear feeling of neck stretching, but no special discomfort. If this feeling is not obvious, the weight should be increased as appropriate. Each traction session usually lasts 20-30 minutes. The traction weight and duration can be combined in different ways. Generally, the duration is shorter when the traction weight is larger, and the duration is longer when the traction weight is smaller.

(3) Traction frequency and course of treatment: Generally, traction is performed 1-2 times a day, and sometimes 3 times a day. A course of treatment is 10-20 days, and several courses of treatment can be continued until the symptoms are basically eliminated. (4) If sitting traction is ineffective, or the patient has severe symptoms or is too weak to sit for a long time, supine traction can be used. Use a pillow to maintain proper posture, and the traction weight is generally 2-3kg. After 2 hours of continuous traction, rest for 15 minutes and then traction again. The total traction time per day can reach 10-14 hours. (5) Intermittent traction can be performed using an electric traction device, which is believed to help relax muscles and improve local blood circulation. Generally, traction is done for 2 minutes, followed by relaxation or reduction of traction weight for 1 minute, and this is repeated for about half an hour.

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