Spine health management process
Analysis of health risk factors, analysis of organs and limbs, analysis of spine appearance
Function department, laboratory department, imaging examination, spine imaging structure analysis
Organ health assessment, spine health assessment
Health risk intervention
Spinal function rehabilitation
Symptomatic treatment of internal medicine
Spine-related diseases is an emerging discipline developed in recent years to study the relationship between spinal mechanical imbalance and multidisciplinary diseases, involving neuropsychiatry, cardio-cerebrovascular, endocrinology, gastroenterology, orthopedics, ENT, urology, and gynecology. There are more than 100 diseases related to spinal mechanics imbalance, most of which are related to the cervical spine. In the clinic, we use comprehensive analysis of the appearance of the spine, the appearance of related structures, spinal and spinal nerve examination, cranial nerve examination, imaging examination, functional examination, laboratory examination and other comprehensive analysis to evaluate the various functions of the human spine After 7 years of clinical application verification, compared with the previous orthopedics or neurology physical examination, it has comprehensive content, strong operability, and can objectively reflect the corresponding relationship between various functions of the spine and related diseases and symptoms, and provide for the prevention and treatment of spinal related diseases Basis and method.
1. Evaluation of spine function: spine motor function, support function, protection function, shock absorption function.
a. Wang: Observe the appearance of the spine and related structures from the front and side. It includes two aspects. One is the appearance of the spine, which refers to the curvature and scoliosis of the spine in a static state, and the flexion, extension, scoliosis, rotation and other functions of the spine in an active state.
b. Touch: Touch the spinous process arrangement and joint arrangement of each segment of the spine with the thumb of the hand, as well as the volume and strength of the muscles around the spine.
Spinal nerve examination: including cranial nerve examination, deep and superficial sensory examination of limbs, muscle strength examination, physiological reflex, pathological reflex examination, and emphasis on comparative examination on both sides.
c. Spine imaging examination: It is divided into cervical, thoracic, lumbar, sacral (pelvic) and other segments, and select the shooting segment according to symptoms and physical examination analysis. Spine X-rays mainly understand the arrangement of the spine, vertebral body shape, curvature, and intervertebral relationship, especially the functional position of the cervical spine, which can better show the segment and degree of cervical spine instability; CT tomography of the spine can show the extent to which the intervertebral disc affects the section of the spinal canal. Three-dimensional reconstruction can show the relationship between the intervertebral joints; MR examination of the spine not only shows the relationship between the spinal canal and the spinal cord, the intervertebral disc and the spinal cord, but also shows the spinal cord, vertebral artery, spinal ligament and adjacent tissue structures, each has its own advantages.
d. Functional examination: cranial nerves, spinal nerves, exercise tests, etc. can clearly and identify systemic manifestations related to spinal function.
According to the first three inspections, the segment and degree of spinal dysfunction can be determined.
2. Analysis of spine-related diseases: including cardiovascular, cerebrovascular, five sense organs, breathing, digestion, endocrine, urinary, reproduction, etc.
⑴Head and face: dizziness, headache, heavy head, dizziness, tight head, tinnitus, ear plug, deafness, hard of hearing, vertigo, eye swelling, eye drowsiness, eyelid twitch, diplopia, nasal congestion, facial asymmetry, hemifacial spasm , Facial paralysis, facial numbness, poor speech, eating and drinking, insomnia, drowsiness, dreaminess, sleep snoring, sleep apnea, motion sickness, nausea, abnormal sweating.
⑵Neck: torticollis, neck pain, neck stiffness, neck weakness
⑶ Chest and back: hunchback, straight back, chest and back pain, chest tightness, shortness of breath, heart rate, slow heart, irregular heartbeat,
⑷ Waist and abdomen: bowed waist, low back pain, waist stiffness, waist weakness, abdominal distension, abdominal pain, constipation, irregular stools,
⑸Pelvic sacrum: abdominal pain, poor urination, dry stool, hemorrhoids, impotence, premature ejaculation, dysmenorrhea, menstrual disorders.
⑹ Upper limbs: upper limb radiation numbness, shoulder pain, shoulder pain, elbow pain, wrist pain, upper limb weakness,
⑺ Lower limbs: lower limbs are radiating pain and numbness, lower limbs are heavy, lower limbs are sleepy and weak, hip pain, knee pain, and ankle pain.
a. Function department: electrocardiogram, electroencephalogram, brainstem evoked potential, somatosensory evoked potential, balance function, cardiovascular and cerebrovascular color Doppler ultrasound, lung function, gastrointestinal endoscopy, gastrograph, sleep breathing monitoring, liver, gallbladder and kidney bladder ultrasound examination.
b. Imaging examination: CT, MR, cardio-cerebral angiography, heart, lung, liver, gallbladder, kidney, brain, thyroid, thymus, adrenal glands,
c. Laboratory: Blood biochemical examination, glucose tolerance monitoring, hematuria and stool routine
e. Isotope: Thyroid examination
The above special examinations are to exclude organic organ diseases and are selected based on symptoms and physical examination.
3. Lifestyle analysis: including eating habits, sleep patterns, rest and leisure posture, exercise methods, etc.
The shape of the spine is closely related to the usual posture, exercise style, diet and nutrition, bed time, etc., and is also a major and intervenable health risk factor.
4. Health management content
a. Rehabilitation of spinal function: mechanics therapy, hyperthermia, exercise therapy, occupational therapy. Regular functional evaluation.
b. Symptomatic treatment in internal medicine: Relieve symptoms in time and assist rehabilitation treatment.
c. Lifestyle intervention: controllable treatment for the cause.