Treatment for Cervical Radiculopathy Video

视频脚本

治疗神经根型颈椎开始与的基础的神经根，所以你可以适当地集中精力加以解剖的一个很好的理解。从本质上讲，治疗颈椎神经根病，虽然是像治疗大多数其他肌肉骨骼疾病，这是我们需要减少炎症，神经根周围这种情况下，然后我们需要解决的生物力学，所以我们可以采取压断的那神经根，使其不回来。通常情况下，治疗与物理治疗拉伸，加固，体位练习神经根型颈椎开始，得到了生物力学正确的帮助采取压断了脊椎，使神经基本上有机会自行痊愈。一路上，口服药物是非常有帮助，以帮助缓解症状，让人们与物理疗法参加。

In addition, within physical therapy there are many passive modalities, such as gentle spinal manipulation, traction, ultrasound, electrical stimulation, soft tissue massage—different modalities that help to control the symptoms and also, ideally, to help take away some of the inflammation from around the nerve roots.

When the symptoms are persistent despite the physical therapy, or if the symptoms are restricting the person's ability to really fully participate in physical therapy, then sometimes an epidural steroid injection can be very helpful to take away the inflammation. Now it's important to remember that an epidural doesn't fix a herniated disc, it doesn't change the arthritis in the spine, but nor does it simply mask the pain either. What it does is it reduces the inflammation, essentially attempts to reset the inflammatory clock back down to zero. If a person can then take advantage of this time where the inflammation is not there and use it more as a window of opportunity during which he or she can stretch, strengthen, really address the mechanics and tweak the mechanics so that, you know, in three months, six months, nine months, a year, the same stresses aren't going through the spine, and so they won't be going through the nerve and, ideally, the pain won't return and then you won't have to be sitting back there in several months having to do any more injections.

When symptoms in those rare cases that symptoms aren't getting better with conservative treatments, there are surgical alternatives. And the surgical alternatives really depend on the underlying anatomy in terms of whether you can do a discectomy, a foraminotomy, or a more extensive surgical procedure. It just depends on the underlying anatomy as to what kind of surgical alternatives would may be appropriate.