Neck Pain
Definition
Cervical spondylosis is a disorder caused by abnormal wear on cervical vertebrae with degeneration and mineral deposits in the attachments of the cervical vertebrae, causing pain and weakness in the neck and arm, and changes in sensation.
Pathogenesis
Intervertebral disc herniation:
① Injury;
② degenerative changes.
Degeneration of cervical vertebrae:
① Osteophytosis of the vertebral bodies.
② Hypertrophy of the facets and laminal arches.
Ligamentous and segmental instability.
Points of Diagnosis
1) Age: the most cases are over 40 years old, and men more than woman.
2) Pain in the neck, headache (back of head), shoulder, or radiating pain in the arm or fingers.
3) Numbness or tingling in the arm or fingers or thumb.
4) Dizziness.
5) Loss of balance.
6) Dry eyes, visual disturbances (eg, blurred vision, diplopia)
7) Tinnitus.
8) Disturbed concentration and memory
9) Hot flash (rarely).
10) X-ray, MRI, CT: will find particular problem.
Symptoms
• Neck pain (may radiate to the arms or shoulder)
• Loss of sensation or abnormal sensations of the shoulders, arms, or (rarely) legs
• Weakness of the arms or (rarely) legs
• Neck stiffness that progressively worsens
• Loss of balance
• Headaches, particularly in the back of the head
• Loss of control of the bladder or bowels (if spinal cord is compressed)
Differential Diagnosis
1) Brain tumor.
2) Migraine.
3) Thoracic outlet syndrome (TOS).
4) Cervical strain.
5) Frozen shoulder.
6) Tennis elbow.
Treatment by TCM
1) TuiNa: RouGun (rolling and kneading), NaRou (Grasping and kneading), An (pressing), Ban (adjustment).
2) Acupuncture: GB20 (风池)，GB21 (肩井)，DU14 (大椎)，SI11 (天宗)，LI12 (曲池)，SJ 14 (外关)，LI 4 (合谷)，DU20 (百会)，DU (上星).
3) Chinese herbs:
① Wind Bi: FangFengTongShenWan,DuHuoJiShengWan.
② Blood stagnation: FuFangDanShengWan.
③ ShenYang deficiency: ShenQiWan,BuYangHuanWuWan,TanWangBuXinWan.
4) Traction.
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