Common Clinical Observation Of The Tender Point Of Cervical Spondylosis

In recent years, the incidence of cervical spondylosis is upward trend. The causes are: Cervical vertebra degenerative changes, trauma, strain, developmental spinal stenosis. In recent years, the importance of the neck muscle and the cervical spine biomechanics research, as the etiology of cervical disease has opened up new ideas. Pathogenic factors of cervical spine biomechanics can be divided into endogenous and exogenous both endogenous factors:body of vertebra, vertebral arch and its processes, intervertebral disc and associated ligaments and other structures subject to mechanical stress imbalance in the promotion of cervical degenerative lesions; exogenous factors are mainly cervical muscle movement imbalance of muscle strength imbalance, increasing the occurrence and development of cervical spondylosis. Spondylosis pain mechanisms:discogenic nerve root, dura, ligament and joint capsule and muscle-derived origin.Related cervical lesions in patients with soft tissue tenderness are present, there are some scholars believe that the tender point is closely related with the biological mechanics, and more in the direction of muscle force starting point and vertical line through which mechanical stress concentrated on the site. Its diagnosis and treatment of cervical spondylosis have this significance.Chinese medicine (TCM), cervical spondylosis is evidence of the vacuity of its being the liver and kidney deficiency, marked blood stasis. Wind, cold, wet attacks, fatigue and injuries is an important factor in the disease, the overall pathogenesis for the liver and kidney deficiency, bones dystrophy, Meridian closed resistance, blood runs sluggish, there is not pain or General Wing is pain. The clinical performance of cervical disease and the performance by the tendons are very similar. A meridian on the diagnosis and treatment of cervical disease has important significance. The tendon of the knot together, "festival will be" the place is prone to pain point where the "pain as the Meridian" is an important treatment by the law of tendon disease.The modern treatment of cervical spondylosis heteropoly, however, practice showed that differentiation to tender point acupuncture acupoints good therapeutic effect, less side effects, so look for and identify tenderness is an important part of treatment. Review of the literature, few of the specific location of tender point, even fewer tender points on the observation of distribution.Objective:117 cases of cervical tenderness in patients with common point of distribution, provide the basis for clinical diagnosis and treatment. Methods:In accordance to the muscle from the bone, from top to bottom, from the contra lateral to the affected side of the order, ordered to find patients with neck and shoulder and upper arm of the tender point. Tender points and regular analysis, summarized the law. Study, asked the examiner force balance, and mark VAS score of 4 or tender spot. Finally consolidation of tender points, tender points summed up on the patients in the cervical distribution.The results showed:(1) in different locations, tender point a bit, beam, the distribution of the different sheet; (2) tender points were located around the joints; (3) tender point over the start and end points in the muscle, bone side, between the muscle and the muscle or tendon;(4) in the body mostly by the Ministry of tendon bundles, the tenderness between many points in the reinforcement beams; in the chest and back by the bar over the sheet, and point tenderness over the tendons on by; (5) tender points are distributed in the hand, foot Sanyang meridians on, and by the reinforcement of the "intercourse gather for" closely related; (6) 52.7% of the tender points and acupoints or meridian Extra points are located close to or overlapping,69.4% of the tender point in the meridian line;(7) neck tenderness point behind not only found in cervical, were distributed in the side and front; (8) tender points associated with the vertebral transverse process and the lesions are mainly located at the spinal process involved close to transverse staggering pain; (9) is tender points around the scapula emerging high-frequency region, in particular, infraspinatus fossa, and the point of pain, pain here than even; (10) tender points are not limited to the affected side, there appeared unaffected, and the pain is not necessarily lower than the affected side.