脊椎病

先把資料放好，有時間再整理

Science Daily: Three studies re: Backpain (1. 及早醫治. 2. 填充法治骨陷效果良好)

記憶棉床裖FAQ

改善睡眠的Therapeutica健康枕

手術性治療：

1. 微創腰椎椎間融合術
2. 椎板成形術治療脊髓型頸椎病的長期臨床效果

非手術性治療：

0)  脊椎病因治療學 (by 龍層花) – 經典，主要是給醫生看的，內容詳盡+全面，數據亦多。

1)  松井孝嘉 (摘自 頸部決定健康) – 內容超簡單，摘要如下：

頸部是神經，血管的交集之處，頸部肌肉一出問題，會衍生大量併發症(病徵容後補上)。現代醫學很多時會將這些問題誤診，以致失救。

Advice:

1. 平時注意頸部不要著涼，溫度低肌肉僵硬，頸部肌肉容易受傷也。
2. 讓頸部有充份休息

工作勞累的人，頸部會一直處於一種緊繃收縮的狀態。讓頸部每隔10~15分鐘休息30秒。

以下是「松井式松法」的具體操作

首先，找把帶靠背的椅子坐下。椅子的靠背到腋下為佳不要太高，才容易做這個動作。其次，要牢牢穩穩地坐好。

簡法：
①靠著椅子，將手置於頸部後面頭頸分界處，同時兩手交叉抱在一起。
②將頭部向後傾，並將這種姿勢保持30秒的靜止狀態。
③手不動，慢慢地將頭部儘可能地向前移動，然後反向後傾。如此反覆做②~④次。

松井療程：沒有詳細說明。原理是放鬆和活化頸部肌肉。主要工具：

1. 低周波治療器
2. 遠紅外線 (即人造氣功場)
3. 電針
4. 注射 調整神經的維生素
5. 儘量不要做頸部牽引或頸部固定套，因為很易拉傷，做得不好病情會惡化，或引起其他病症。

每天上下午各做一次，並儘量橫躺讓頸部休息，少至一個月可見效。 (他的方法和中國廣州樓花橋醫院的方法近似)

2) 淺談下背痛(pdf )  / 下背痛復健方法(類似 Yoga) (pdf)

3) 手腳麻痺，全身無力 (by  蔡清標醫師)

天氣一變冷，手麻腳麻、手腳冰冷、中風與腦血管意外的患者就立刻增多；因此只要突然肩頸僵硬、肢體麻木無力，很多人就擔心是不是中風？事實上，手麻腳麻、肢體無力的原因很多，大部分只是神經壓迫或腕隧道症候群、尺神經麻痺、骨刺、多發性神經炎、間歇性跛行症、慢性疲勞、肌無力等，只有少數可能中風或出現罕見疾病。本書詳述中風發作前的徵兆，以及利用肉毒桿菌改善神經肌肉毛病的新方法

4) Glucosamine & Collagen- – 修服關節軟骨的元素

The cartilage is a rubbery material that covers the ends of bones in normal joints. The main function of a cartilage is to act as a shock absorber and reduce the friction between joints. It requires four things to stay healthy. Firstly, it requires water for nourishment and lubrication. Secondly, it requires proteoglycans to attract and hold the water. Thirdly it requires collagen to keep the proteoglycans in place, and finally, it requires chondrocytes.

Cartilage contains about 70 percent water. It acts as a shock absorber and nourishes the cartilage. Proteoglycans are a combination of proteins and sugar. They trap water in the cartilage and later redistribute it. Collagen is a protein that occurs naturally through the body in the skin, muscles, tendons and bones. It is made up of interwoven mesh of collagen threads that create a framework to house the other components of the cartilage. The proteoglycans are woven in and around the cartilage, thereby allowing cartilage to change shape when they are pressed. Chondrocytes are cells that produce new collagen and proteoglycans as they wear out.

Studies have shown that glucosamine stimulates the production of collagen, which is why collagen is used along with glucosamine, chondroitin and MSM to treat arthritis related problems. Sulfate of glucosamine and chondroitin are components of normal cartilage. They are the building blocks of proteoglycans and stimulate chondrocytes to produce collagen. Glucosamine has also been shown to expedite the production of both collagen and proteoglycans. It helps to normalize cartilage metabolism, which helps the cartilage to stay in tact.

If the cartilage is damaged the collagen threads become weak and loose their nourishment. The proteoglycans tend to float away from the damaged collagen. Thus cartilage cannot withstand heavy shocks and might tear out completely. It is made to regain its original shape with the help of glucosamine and collagen supplements.