Cervical spondylosis itself is a high-risk bone and joint disease in middle-aged and elderly people. Now it is getting younger and younger. It occurs mostly in the “low-headed family”, long-term desk work and sitting postures. Degenerative changes and secondary changes of cervical intervertebral discs, cervical vertebrae joints and related muscles, ligaments, and cervical membranes, oppression or stimulation of surrounding blood vessels, nerves and spinal cord.
The early symptoms are mainly neck discomfort, such as neck stiffness, pain, pain can accumulate to the head and back, if not corrected in time to correct bad habits and other measures, it can become more serious, the upper limbs Numbness, dizziness, nausea and vomiting, and even blurred vision, tachycardia and difficulty swallowing. For cervical spondylosis, some common treatments are introduced.
I. Non-steroidal anti-inflammatory drugs
Representative drugs: aspirin, ibuprofen, acetaminophen, diclofenac sodium, indomethacin , aceclofenac, loxoprofen sodium, meloxicam, nimesulide and the like.
Characteristics of the drug:
1. Non-steroidal anti-inflammatory drugs exert analgesic and anti-inflammatory effects mainly by inhibiting the synthesis of prostaglandins.
2, such drugs have oral dosage forms and topical suppositories, ointments, gels, etc., depending on the specific circumstances of the patient.
3. For the selection of oral non-steroidal anti-inflammatory drugs, the sustained release dosage form and the enteric solvent type are preferred.
4, acetaminophen has almost no anti-inflammatory and anti-rheumatic effects, and the antipyretic and analgesic effects are similar to those of aspirin.
Notes on use:
1, such drugs may cause damage to the mucosa of the digestive tract, which is also related to the inhibition of prostaglandins. It is recommended to take after meals and combine with mucosal protection of the digestive tract. Agents, such as colloidal pectin, are contraindicated in patients with peptic ulcers, and alcohol should be avoided during medication.
2, topical dosage forms should not be used for skin damage and open wounds.
3, non-steroidal anti-inflammatory drugs can cause liver and kidney damage.
4, Nimesulide is banned in people under 12 years of age.
5, long-term application, should be alert to adverse reactions of the blood system of non-steroidal anti-inflammatory drugs, such as thrombocytopenic purpura, aplastic anemia.
Second, vasodilator drugs
These drugs are used to dilate blood vessels, improve blood supply to the brain, and relieve symptoms of dizziness caused by cervical spondylosis.
Representative drugs: flunarizine hydrochloride, diazepam, etc.
Characteristics of the drug:
1 Flunarizine hydrochloride is a selective calcium antagonist that inhibits persistent vasospasm caused by vasoconstrictor and more to the basilar artery and carotid artery. Obviously, it can be used to prevent and treat vertigo caused by cervical spine decompression and compression of the carotid artery.
2Dibazole has a direct relaxation effect on vascular smooth muscle to expand the vertebral artery and improve blood supply to the brain.
1. Patients with symptoms of depression, Parkinson’s disease, or other symptoms of extrapyramidal disease are banned with flunarizine.
2, flunarizine often has adverse reactions such as lethargy and fatigue, should be taken once a night.
3, after taking diazepam may appear redness, headache, sweating, constipation and other symptoms, related to the dose.
Three, nutrition and regulating neurological drugs
Mainly used for numbness, tingling, burning sensation, ant feeling and feeling in the shoulder, neck and upper limbs Powerless crowd.
Representative drugs: mecobalamin, vitamin B1, vitamin B12, oryzanol.
Characteristics of the drug: Mecobalamin, vitamin B1, and vitamin B12 nutrition damage the damaged nerve due to cervical degeneration, promote nerve repair; oryzanol regulates nerve function.
Precautions for use:
1, occasionally stomach discomfort after vomiting, vomiting, dry mouth, fatigue, rash, breast swelling, excessive oil secretion, hair loss, weight gain And other adverse reactions.
2. Mecobalamin is an in vivo metabolite of vitamin 12, and the two do not need to be used together.
Four Chinese medicines
Cervical spondylosis can be classified into “sickness”, “dizziness” and “sputum syndrome” according to its symptoms in traditional Chinese medicine. The main causes can be divided into three aspects: qi and blood deficiency and senile liver and kidney deficiency, cold and cold invasion, trauma and strain. The treatment consists of dehumidification and dehumidification, promoting blood circulation and removing blood stasis, replenishing qi, blood and liver.
Representative drugs: Jingkang Capsule, Gentongping Capsule, Fujigyu Jiangu Pill, Neck Fukang Granule, Gujin Pill Capsule, Jingshu Granule, etc.
Characteristics of the drug:
1 painful capsule: blood circulation, collaterals, pain relief. It is used for cervical spondylosis caused by wind-cold obstruction. It can be seen in shoulder and neck pain, limited activity, and upper limb numbness.
2 : Kidney, blood circulation, pain relief. For hypertrophic spondylitis, cervical spondylosis, spurs, proliferative arthritis, Kaschin-Beck disease.
3 Gujin Pill Capsule: activating blood circulation, relieving collaterals, relieving phlegm and relieving pain. For hypertrophic spondylitis, cervical spondylosis, calcaneal disease, proliferative arthritis, Kashin-Beck disease.
Notes for use:
1, Gentongping Capsule has mild irritation to the gastrointestinal tract and should be taken after meals.
2. The glutinous capsules contain the scorpion, which should be used at the prescribed dosage.
The above are common treatments for cervical spondylosis. They can be used in combination according to the symptoms and the causes of the disease. They can also take health foods such as glycosylated chondroitin to promote joint repair.
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