颈椎病患者的康复疗法较多,综合起来大致可有牵引、医疗体育、物理疗法、西式手法、药物、固定和制动、手术、推拿、针灸/针刀疗法和中草药等方法。但对于每个人颈椎病患者来说,并非每一种疗法均需要采用,也并非每一种疗法都适宜。由于颈椎组织结构的特点以及各型颈椎病病情不同,各种治疗方法的内容也不尽相同,但在治疗的具体实施过程中,所遵循的基本原则是大致相同的,现分述如下:
(1)任何康复手段均应符合颈椎的生理解剖特点,如牵引须掌握一定的时间和重量,推拿切忌粗暴,以避免意外或加速病程发展。
(2)非手术 疗法一般可使颈椎病症状有较大幅度的减轻,尤其是早期患者,可有较明显的好转。因此,在整个治疗措施中,应首先选用非手术治疗。非手术治疗方法的实施要求是正规治疗,针对不同患者,采取相应治疗后,基本上要按该方法循序渐进,持之以恒,切不可“三天打鱼,两天晒网”。
(3)非手术疗法可采取综合治疗的方法,例如牵引、医疗体操、推拿、理疗、针灸等方法,可起到相辅相成的作用,所以一般治疗措施不应过多,而且有时有些治疗方法(如大重量牵引、重手法推拿等较强烈的疗法)不可同时并用。
(4)手术疗法仅对正规非手术疗法效果不佳、症状仍较严重的患者方可使用。如神经根型患者上肢感觉障碍、肌力下降和反射异常明显者;脊髓型患者呈进行性脊髓损害症状者;椎动脉型有猝倒症状或食管压迫型有明显食管压迫症状者。
(5)手术疗法前后,非手术疗法的作用不可忽视。术前非手术为手术提供了有利条件,如减轻或消退了水肿、渗出等炎性反应,以降低术中意外的可能性;术后非手机疗法离则有助于加强手术疗效,更好地使患者痊愈。
由于颈椎病是一长期、慢性、进行性疾病,且容易复发,所以,基本原则中更提倡患者的自我治疗、自我保健。在家庭或工作余暇,通过简易可行的治疗方法达到治疗的目的,去除生活和工作中的不良因素,预防病情发展和复发,则是治疗颈椎病、降低复发率的更为有力的措施。
《颈椎病患者康复疗法的基本原则有哪些?》有1,317个想法
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Such an impressive answer! You’ve beaten us all with that!
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What a pleasure to find someone who identifies the issues so clearly
That’s a nicely made answer to a challenging question
IMHO you’ve got the right answer!
Wham bam thank you, ma’am, my questions are answered!
Dude, right on there brother.
Your posting really straightened me out. Thanks!
Avouons aussi que la langue française est bien complexe :Si je défends Douillet, je suis son défenseur ;pourfendant sa bévue (1), vous êtes pourfendeurs ;David ipso facto se trouve défendeur ;il attaque LSP, alors défenderessed’avoir voulu me fendre de çà gare à mes fesses(1) Yuko pas ippon
It’s great to read something that’s both enjoyable and provides pragmatisdc solutions.
What liberating knowledge. Give me liberty or give me death.
Terrible news, so sorry to hear it Anita, such a scary thing. She has to stay strong, fight it, and win. People do it all the time, every day, everywhere. I will add my prayers to yours. xoxoxo
Articles like these put the consumer in the driver seat-very important.
Thinking like that is really impressive
You’re a real deep thinker. Thanks for sharing.
You can do it! Congratulations on taking the first steps – just remember to keep it at baby steps – don’t go all out right away or you’ll burn yourself out. Good luck!
Cool! That’s a clever way of looking at it!