Neck pain

Introduction Neck pain, upper limb weakness, finger numbness, etc. are clinical symptoms of hyperosteogeny. Osteoproliferation, also known as proliferative osteoarthritis, osteoarthritis (OA), degenerative joint disease, senile arthritis, hypertrophic arthritis, is due to the soft tissue degeneration of cartilage, intervertebral disc, ligament, etc. Degeneration, formation of bone spurs at the edge of the joint, changes in synovial hypertrophy, and bone destruction, causing secondary bone hyperplasia, resulting in joint deformation, a disease that causes joint pain, limited mobility, etc. when subjected to abnormal load .

Cause

1. Primary osteoarthrosis is caused by age and long-term fatigue, resulting in degenerative changes in bone joints, ligament relaxation, decreased muscle strength, joint stability, and bone spurs around the joints, causing arthritis.

2. Secondary osteoarthrosis is caused by joint trauma and developmental malformation, which leads to uneven joint surface and uneven force.

Osteoporosis is a category of "sputum syndrome" of traditional Chinese medicine, also known as "bone sputum". Chinese medicine believes that this disease is related to trauma, strain, blood stasis, feeling cold and dampness, phlegm and dampness, liver and kidney deficiency.

an examination

Related inspection

Cervical neck test

(1) Most of the patients with this disease are middle-aged and elderly people over 40 years old, accompanied by lumbar stiffness pain or numbness of lower limbs. Some patients have abnormal lumbar vertebral curvature and tenderness on both sides of the lumbar spine.

(2) changes in lumbar X-ray films (positive position, lateral position, left and right oblique position), such as patients with lumbar curvature abnormalities, lumbar scoliosis, lumbar vertebral body space narrowing, lumbar vertebral body and facet joint hyperplasia, Lumbar spondylolisthesis, intervertebral foramen stenosis and other changes.

(3) The various symptoms of lumbar vertebra hyperplasia should be differentiated from a variety of lumbar diseases, such as lumbar disc herniation, vertebral body malformation, vertebral body tumor, lumbar tuberculosis and other diseases.

Differential diagnosis

Need to be identified with the following symptoms:

Cervical muscle spasm: neck and back muscle spasm is one of the clinical manifestations of cervical spondylosis, cervical spondylosis, also known as cervical vertebra syndrome, is the general term for cervical osteoarthritis, proliferative cervical spondylitis, cervical nerve root syndrome, cervical disc herniation, It is a condition based on degenerative pathological changes.

Maternal neck pain: "Some mothers often feel aching on the back of the neck after feeding the child. As the feeding time is extended, the symptoms become more obvious. This is called lactating neck pain.

Diffuse severe pain in the neck and back in the morning: Patients with chronic strained neck and back fascia fibrosis often complain of diffuse pain in the back of the neck (sometimes including the chest and back), which is characterized by the junction of the medial shoulder and neck and chest. It is very painful in the morning, and the activity is relieved after a few minutes or half an hour. However, it seems that the pain is repeated due to too much activity in the evening, and it is improved after rest, which is similar to hypertrophic spondylitis.

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