Rechtine G R
Department of Orthopaedics, University of Texas Southwestern Medical Center, Dallas, USA.
Instr Course Lect. 1999;48:433-5.
A regular exercise program, even something as simple as a daily walk, can help to keep the ongoing degenerative process at bay. Such efforts at prevention can help with the patient's general health and should be encouraged by the spine physician. The vast majority of patients with degenerative cervical disease that is manifesting itself as neck and arm pain will respond to nonsurgical treatment. However, a very small percentage of patients who have cervical radiculopathy will require surgical treatment. Each practitioner must develop his or her own protocol based on personal experience, using a combination of the methods we have just discussed. An accurate diagnosis is necessary to avoid treating the wrong problem (i.e., lung cancer, shoulder impingement, etc). Patients should be knowledgeable about their disease. They should be empowered to participate in their care and encouraged to work with the physician and/or therapist to accomplish the goal of returning to a reasonable lifestyle at work as well as at home. An ongoing exercise program and an ergonomic evaluation at home and work can be helpful in reducing recurrences.
一个规律的锻炼计划，哪怕只是像每天散步这样简单的活动，都有助于抑制持续的退行性病变过程。这种预防措施有助于患者的整体健康，脊柱科医生应予以鼓励。绝大多数表现为颈部和手臂疼痛的退行性颈椎疾病患者对非手术治疗会有反应。然而，极少数患有神经根型颈椎病的患者需要手术治疗。每位从业者必须根据个人经验制定自己的方案，结合我们刚刚讨论过的方法。准确的诊断对于避免治疗错误的问题（如肺癌、肩部撞击等）是必要的。患者应该了解自己的疾病。他们应该有能力参与自身的护理，并被鼓励与医生和/或治疗师合作，以实现恢复到合理的工作和家庭生活方式的目标。持续的锻炼计划以及在家和工作场所进行的人体工程学评估有助于减少复发。
