"KTV can't release our pressure, nightclub jumping will consume our physical strength, and the only thing that can make us linger is the health and wellness bureau ......" Recently, the "evening party" of young people in Hangzhou has become popular, and going to massage after work has become the favorite of many young people.
At around 6 p.m. last Friday, just in time for the rain to cool down, the night clinic of the Tuina Department of Zhejiang Provincial Hospital of Traditional Chinese Medicine was extremely hot, all the treatment beds in the three clinics were almost full, and there were still patients queuing outside the clinic.
Zhejiang Provincial Hospital of Traditional Chinese Medicine Tuina Department Night Outpatient Clinic (Photo/Chen Zhongqiu)
Most of the young office workers who come to receive TCM massage treatment in the evening
"I looked down at the computer every day at work, my neck hurt badly, and when I took a film, the doctor said that my cervical spine was arched!" Ms. Qin, 29, is a white-collar worker in a company, and after work on Friday, she hurried to the Provincial Hospital of Traditional Chinese Medicine and hung up a number for a night outpatient clinic of the massage department for treatment. "My cervical spine basically has to come for treatment once a week, forty or fifty minutes each time, and after the treatment, my neck feels significantly lighter, and I feel that my whole head has become lighter!"
"Most of the young office workers who come to receive TCM massage treatment at night, among which there are many who have bad cervical spine, and some even have symptoms such as hand numbness, dizziness, headache, and nausea. And the age is basically between 20 and 40 years old, and there is an obvious trend of youth. Jiang Zhong, deputy director of the Tuina Department of Zhejiang Provincial Hospital of Traditional Chinese Medicine, introduced.
The scene of the night clinic of the massage department (Photography/Chen Zhongqiu)
Zhejiang Provincial Hospital of Traditional Chinese Medicine opened a night clinic of Tuina Department in November last year, from 4:30 p.m. to 8 p.m. every Monday to Friday, with the original intention of relieving the pressure of daytime treatment. After opening it, I found out that most of the people who came were young office workers.
Du Honggen, director of the Tuina Department of Zhejiang Provincial Hospital of Traditional Chinese Medicine, said: "At present, the number of night outpatient visits in the Tuina Department is more than 2,000 per month, and more than 90% of them are young people aged 20-40, which our doctors did not expect. For the opening of night clinics, we prefer to serve patients who have to receive treatment and do not have time during the day, and we also call on everyone to give up the limited resources of night clinics to those who need more treatment. ”
The scene of the night clinic of the massage department (Photography/Chen Zhongqiu)
Some data show that the incidence of cervical spondylosis in mainland China is about 15%, and the incidence has increased year by year and gradually younger. Director Du Honggen said that compared with 20 years ago, the incidence of cervical spondylosis has changed a lot. On the one hand, the rejuvenation is very obvious. Twenty years ago, patients with cervical spondylosis in clinical practice were mainly middle-aged and elderly people over 50 years old, but now, only 20%-30% of patients with cervical spondylosis in clinical practice are middle-aged and elderly, and young people account for 70%-80%.
On the other hand, cervical spondylosis is more difficult to treat now than it was 20 years ago. Cervical spondylosis is often associated with work pressure, school Xi stress. In the past, most of the cervical spondylosis could be relieved after a few massages. But now many patients with cervical spondylosis have been relieved after doing massage this time, but after a period of time, it is not good again, and it is always repeated. In fact, because their working and living environment has not changed, the pressure has not been relieved, and it is difficult for cervical spondylosis to get better.
A few times, it was almost midnight, and my daughter was still leaning on the bedside to watch mobile phone videos
The lower age limit of cervical spondylosis is still being broken. Taking the First People's Hospital of Hangzhou as an example, among the cervical spondylosis patients treated in the orthopedic outpatient clinic, in addition to office workers in their twenties and thirties, there are also many school students, some of whom are primary and secondary school students, and the youngest patient is only 9 years old.
The 9-year-old girl, surnamed Shi, is in the third grade at a primary school in Hangzhou. My mother said that her daughter always said that her neck hurts, she can't sit still when she is in class, she is dizzy when she does her homework, her fingers are always numb, and sometimes she has difficulty holding a pen, which has seriously affected her Xi.
After listening to the description of the symptoms, Dr. Tian Fei, who received the consultation, had already made a rough judgment in his heart and arranged an X-ray examination for Xiaoshi.
Dr. Tian was shocked when the results came out – X-rays showed that the curvature of Xiaoshi's cervical vertebrae had bent in the opposite direction, becoming "a straight line", and the degree of degeneration was equivalent to that of a 50-year-old adult.
The left is the normal cervical vertebrae, which should be in a "C" shape, and the right is the 9-year-old Xiaoshi's cervical vertebrae that are straight and even reversed.
"A normal person's cervical spine should have a forward curvature, like the letter 'C', and her cervical curvature has almost disappeared. Tian Fei said that the straightening of the cervical spine is actually the disappearance of the curvature of the cervical spine, which is an early manifestation of cervical spondylosis. It is relatively rare for the cervical spine to degenerate so severely at such a young age as Xiaoshi.
A 9-year-old child
How can the cervical spine age like this?
"She is too grinding, usually eating and doing homework slower than others, other students finish their homework at 8 o'clock, she has to do it at 9 or 10 o'clock. Xiaoshi's mother said that her daughter is more introverted, usually doesn't like to go out to play, and there are few social activities, usually the adults in the family are busy with business, and have no time to accompany her, so as soon as she is free, her daughter holds her mobile phone to play games to kill time, and often plays for several hours, "A few times I came back at night It was almost midnight, and she hadn't slept yet, leaning on the bedside to watch mobile phone videos." ”
"Long-term bowing of the head hurts the cervical spine the most, has the child had no symptoms before, why is it so serious to find out?" Tian Fei asked.
"She has also said a few times before that she is uncomfortable, we think that children grow up, and it is normal to have a little pain, so we didn't take it to heart......" Xiaoshi's mother's voice became lower and lower, and her eyes were red, and it could be seen that she was very remorseful. "What are we going to do now? Can we go back to the way we were?"
In response to Xiaoshi's condition, Tian Fei carried out traction, physiotherapy and other multi-pronged treatment methods for her, and her symptoms improved. Tian Fei told Xiaoshi's mother that the child's bones, intervertebral discs and surrounding ligaments and soft tissues are elastic and plastic, and can still return to a relatively normal state after active rehabilitation exercises and daily attention to maintaining a correct posture, but they must pay attention in the future, and must not bow their heads for a long time.
Just before receiving Xiaoshi, the Department of Orthopedics also received another 12-year-old patient, who also had cervical spine degeneration like a straight line. Tian Fei said that at that time, he already felt that 12 years old was too young, but he did not expect that this lower age limit was still being broken.
Tian Fei said that children are in the stage of growth and development, and the harm of cervical spondylosis is greater than that of adults. Children's bones are relatively soft, more susceptible to external force and deformation, cervical spondylosis will affect the development of the cervical spine, and in severe cases, it will even affect the development of thoracic spine, lumbar spine and other bones, thereby affecting children's height. In severe cases, it can also lead to insufficient blood supply to the vertebral arteries, resulting in memory loss and even dizziness and vision loss.
A 17-year-old high school student has been bowing his head for a long time to brush the questions, and the cervical spine is aging, just like a 70-year-old man
Under normal circumstances, the cervical spine begins to age at the age of 20, and the symptoms of cervical spondylosis generally appear at the age of forty or fifty. But now, with the increase of young people with low heads, the phenomenon of premature accelerated aging of the cervical spine is very common.
Fang Bin, chief physician of the Department of Orthopedics and Traumatology of Zhejiang Provincial Hospital of Traditional Chinese Medicine, once received a patient who impressed him, a 17-year-old high school student named Xiao Li. When they came to the outpatient clinic, the family's expressions looked a little heavy, and Xiao Li's mother said anxiously as soon as she entered the door: "Doctor, help my child take a look, how can this be!"
After reading Xiao Li's X-ray examination and CT examination report, Fang Bin immediately understood why Xiao Li's mother was so anxious. At the age of 17, he had a severe reverse arch of the cervical spine, just like the cervical spine of a sixty or seventy-year-old man!
It turned out that Xiao Li always felt that his neck was uncomfortable before, and he couldn't move when he got up in the morning for several days, and he was like carrying thousands of pounds of things on his neck every day, and he also had symptoms of dizziness and numbness in his hands, so he thought of going to the hospital to see a doctor.
Later, during the conversation, Fang Bin learned that Xiao Li's academic Xi grades were among the best in the class, and he sat at his desk every day after he got home to do his homework and brush up on the questions, maintaining a posture for a long time, and almost didn't get up and walk.
Dr. Fang Bin said that the normal cervical spine is a positive 'C' shape, with a curve with a convex arc and a physiological arc to ensure a high degree of flexibility in cervical spine movement. When the neck is caused by factors such as long-term bowing of the head and poor sitting posture, the pain and spasm of the neck muscles are caused, and the muscles stretch the cervical spine, often producing posture and activities that violate the physiological curve of the cervical spine.
Cervical reflex arch can cause many diseases. The first is neck and shoulder soreness, if there is cervical instability and bone spurs near the intervertebral foramen at the same time, it can stimulate the vertebral artery in the neck, causing insufficient blood supply to the brain, followed by nerve compression, resulting in radiculopathy or spinal cord compression symptoms, and some people can be combined with sympathetic neuropathy. Limb numbness, nausea and vomiting, dizziness and headache are common, and in severe cases, paralysis can occur. In the case of Xiao Li, if there is no treatment and intervention, he will even be paralyzed.
"It is relatively rare for a cervical spine degeneration to be so serious as Xiao Li. Fang Bin formulated a surgical plan for Xiao Li, through osteotomy correction and vertebral body fusion surgery, to improve the physiological curvature of the neck and restore the stability of the neck. After the operation, Xiaoli also needs to carry out corresponding rehabilitation treatment, the most important thing is to change the previous Xi of lying down at the desk for a long time, and increase outdoor exercise to better protect the cervical spine.
The 21-year-old girl kept her head down for at least 14 hours a day and could be paralyzed if no treatment or intervention was performed
It is even more common for young office workers to have a bad cervical spine. Many young people have just entered the workplace, and the cervical spine has "lit up the red light".
Xiaofu, 21, works in a company office in Shangcheng District, Hangzhou, and usually works mainly in data entry and sorting materials, and often works overtime.
A few months ago, she always felt uncomfortable in her neck, and she woke up in the morning with a sore neck and couldn't move, and thought it was a stiff neck.
But for some time afterward, stiff neck seemed to occur very frequently, and it would occur every three or five times. Xiaofu began to think that he was sleeping too poorly, so he didn't pay attention to it. Later, her entire neck and shoulders were sore and unbearable, and she felt like she was carrying thousands of pounds of things on her neck every day, and she also had symptoms such as dizziness and numbness in her hands, and it was difficult to even type on the keyboard, so she thought of going to the hospital to see a doctor.
Dr. Xie Tao from the Department of Orthopedics of Hangzhou First People's Hospital did a relevant examination for Xiaofu, and when the results of the film came out, Dr. Xie was also shocked - the young girl in front of her had degenerated her cervical spine like a 60-year-old man, and her cervical spine curve was seriously reversed!
Compared with the normal cervical spine on the left, the curve of the cervical vertebra is severely reversed.
Further inquiry learned that in addition to working hours, Xiaofu's most common thing to do is to play games with his mobile phone, and every day after returning home, in addition to eating, he almost always holds his mobile phone, and he has to play until one or two o'clock in the morning, and he is half lying on the sofa to play. In Xiaofu's words, she bows her head for at least 14 hours a day, and is a typical "bowing family".
Dr. Xie Tao said that the situation like Xiaofu is already more serious, and if it is not treated and intervened, it will even be paralyzed. After traction, physiotherapy and drug treatment, one month later, Xiaofu's cervical reverse arch has improved, but the cervical spine injury is irreversible, and it is impossible to completely restore the cervical curve to a healthy young man.
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