Wednesday, April 9, 2008

Why easy recurrence of cervical disease

In the clinical treatment of cervical disease process, there will be times when some of the patients with repeated treatment, some of the time interval few years, but some are as short as a few months; and these patients because of repeated attacks, often do not feel happy. Why, then, cervical spondylosis easy to relapse? The major reasons are:
(1) of the cervical spine from the perspective of anatomical and physiological perspective. Cervical thoracic and lumbar spine than the activities of larger, high-frequency activities. For cervical flexion to extension, about Zeque, about Cezhuai, such as the direction of rotation of movement, and the support structure cervical thoracic and lumbar spine than weak. Thoracic a thoracic, and lumbar muscle back there in the pelvis, such as a certain degree of support. In addition, after the cervical vertebral joints structure than the thoracic, lumbar weak, it is also more stability in the thoracic, lumbar poor. High activity and low stability once the loss of coordination and balance, that is, activities over the neck or neck instability induced by certain factors, which will result in the recurrence of cervical disease.
(2) As many cervical spondylosis and pathological changes of nerve, blood vessels and other closely related, such as bone degeneration is often irreversible. When pathological changes affecting the intervertebral foramen, transverse holes, as these anatomical characteristics of the site itself (vertebral artery through the transverse spinal vertebrae other hole is not), will enable the clinical symptoms is very obvious. Therefore, the local minor pathological changes that can cause or aggravate symptoms, it is easy to clinical recurrence of cervical disease one of the reasons why.
(3) from the biomechanical point of view. Once in a segmental degeneration, and from a bone hyperplasia causes brake, its adjacent vertebral Festival biomechanical load there will be corresponding changes in time for a long time, the festival will also occur adjacent vertebral degeneration. For example: 4-5 or 5-6 cervical produce bone, ligament calcification, and other serious degeneration, activity decreased after. Corresponding section 2-4, 6 1 7 cervical will also be corresponding changes. Posterior stretch, the pressure and cervical distortion of the largest bear part will be transferred to the No. 4 or above the cervical vertebral flexion, then dropped to 6-7 vertebrae. With this degeneration and the biomechanics of changes, but also a recurrence of cervical disease basis. Particularly in the cervical fusion surgery after the recurrence of the problem, this change in the biomechanical factors may be even more important.
(4) bad posture and position have not been corrected, or recurrent inflammation of the throat, tiredness, head and neck sprain, and so did not timely processing and treatment, symptoms improved after treatment or not thorough, not effect the consolidation will lead to relapse. In the high incidence of cervical spondylosis of the crowd, work and sleep in the posture is bad posture and cervical disease-induced hardship, and if the treatment has not improved working conditions, sleep position, then it is inevitable recurrence of cervical disease.
Of course, should not be overlooked because of the disease in patients with self-awareness and attention. Recurrence of those easy cervical spondylosis, the majority can not adhere to formal treatment; intermittent treatment, not law; symptoms eased slightly automatically abandon the treatment effects are not consolidated; do not follow your doctor's instructions, after the end of treatment, we can persist in self-training or correct bad habits, which are undoubtedly lead to a recurrence of cervical disease. Indeed, the reasons for this situation is not entirely subjective does not want to cure patients, and indeed the work of busy tired. However, we advise patients, even busy, we should also point out of time to adjust, like the rest.

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