Chronic Strain Neck and Back Fascial Fibrositis
Introduction
Introduction to chronic strained neck and back fascia fibrositis In addition to chronic traumatic factors, edema, exudation and fibrosis of the fascia and muscle tissue of the neck and back caused by some reason (cold, damp, chronic strain, etc.), accompanied by a series of clinical symptoms Membrane fibroin, this kind of disease that is not easy to be valued is more common in cold regions such as northeast, northwest and north China and humid coastal areas, especially in the long-term field operations, the incidence rate with the retention time The extension and chronic strains have multiplied and must be taken seriously. Prevent the occurrence of this disease and reduce the incidence. It is more important to stabilize the working mood of the group and improve the quality and efficiency of the work. basic knowledge The proportion of illness: 0.0006% Susceptible people: no special people Mode of infection: non-infectious Complications: cervical spondylosis
Cause
Chronic strain of the neck and back fascia fibrositis
Cold (25%):
For the most common reasons, patients have been sleeping on cold ground, vents, or staying in a cold area for a long time, but not enough cold-proof clothing, especially in late autumn, winter and early spring. See, because of the cold, especially during sleep, if the neck and shoulders are exposed for a long time, or by the cold wind, it will first cause changes in the blood circulation of the neck and back, including vasoconstriction, ischemia, congestion and edema, resulting in local fiber infiltration. Out, the formation of fibroin, for this reason, is very sensitive to climate change, especially during the season change.
Moist (25%):
Another common cause of this disease, especially when coexisting with cold, is more likely to occur in the air, in the humid environment, not only the mental mood is affected, but also due to skin metabolism dysfunction (especially perspiration function), resulting in subcutaneous and fascia The blood circulation is easy to cause microvascular congestion due to slowing of blood flow, congestion, exudation increases, and another mechanism of fibrositis formation, of course, is related to the level of atmospheric pressure.
Chronic injury and poor posture (25%):
In addition to a variety of more serious damage caused by the neck and back fascia, muscle and other fibrosis changes caused by the symptoms of peripheral nerve compression, clinically more common due to a variety of chronic strain factors, especially when the neck is flexed (including high pillow) ), not only causes an increase in internal pressure of the intervertebral space, but also causes a high tension state of the soft tissue of the neck and back, and a slight tear-like damage gradually occurs. This "endogenous damage" will eventually increase due to fibrous tissue, and The late contraction, causing local capillaries and peripheral nerves to be squeezed and appearing symptoms, this injury has a greater relationship with occupations, more common in the front and back of the neck, such as office workers, cartographers, design Personnel, accounting, assembly line operators and textile workers.
Other factors (15%):
Including the infection of certain viruses, the influence of allergic reactions of rheumatism on the cervical fascia, etc., all indicate that the cervical fascia can be affected by many factors and the aseptic inflammatory state appears. Further etiological remains to be explored in the future.
Prevention
Chronic strain and neck and back fascia fibrositis prevention
1. Establish a correct attitude, master scientific methods to prevent and treat diseases, and cooperate with doctors to reduce recurrence.
2. Strengthen the exercise of the neck and shoulder muscles. When the work is idle, the flexion, extension and rotation of the head and the upper limbs can relieve fatigue, strengthen the muscles and strengthen the toughness, thus facilitating the neck section. The stability of the spine enhances the ability of the neck and shoulder to conform to sudden changes in the neck.
3, correct bad posture and habits, avoid high sleep, do not shrug shoulders, talk, read a book when you should look positive. Keep the integrity of the spine.
4. Pay attention to the neck and shoulders to keep warm, avoid head and neck weights, avoid excessive fatigue, do not doze off while riding.
5. Thoroughly treat neck and shoulder and back soft tissue strain early to prevent the development of cervical spondylosis.
6. Avoid contusion when working or walking, avoid head and neck injuries during sudden braking, and avoid falling.
Complication
Complications of chronic strained neck and back fascia fibrositis Complications cervical spondylosis
Chronic strain of the neck and back fascia fibrositis can cause cervical spondylosis.
Symptom
Chronic strain of the neck and back fascia fibroinitis symptoms Common symptoms Chest tenderness Chest pain in the upper extremity abduction lifting difficulty subcutaneous nodules in the morning when the neck back...
1. Diffuse pain: The patient complained of diffuse pain in the back of the neck (sometimes including the chest and back), which is obvious at the junction of the medial side of the shoulder and the neck and chest. It is characterized by severe pain in the morning, and the activity is relieved after a few minutes or half an hour. However, it seems that in the evening, the pain has recurred due to too much activity, and it has improved after rest, which is similar to hypertrophic spondylitis.
2. There are many predisposing factors: there are many obvious predisposing factors in patients' morbidity. Among them, cold, damp and overwork are more common, and there are many similar situations in their past medical history.
3. Point tenderness and subcutaneous nodules: patients can use their fingers to clearly indicate their pain points (one or a few points); in addition to local pain, the pressure can be transmitted along the nerve fiber terminals distributed at the pain point, and reflexively appear The pain in the vicinity of the site, the skin is thinner, can still touch the nodular lumps deep in the pain point, the size is more than 5mm × 5mm, sometimes can also touch the "lipoma"-like nodules about 1cm in diameter (more accompanied by Radiation pain).
4. The activity of the upper limbs is affected: due to the fascia fibrositis, the deep muscle contraction activity is limited. When the upper limb is lifted up or forward, the patient has a feeling of stiffness, especially in the cold season.
The cause is rheumatic or rheumatoid lesions; negative results are used for other types of diagnosis or differential diagnosis.
5. Others: Generally do not need complicated inspections such as MR.
Examine
Examination of chronic strained neck and back fascial fibromyelitis
Clinically, the main detection of erythrocyte sedimentation rate, anti-streptolysin O and rheumatoid factor, positive results indicate that the cause is rheumatoid or rheumatoid lesions; negative results are used for other types of diagnosis or differential diagnosis.
X-ray film: It can show that the physiological curve of the cervical spine disappears, especially in the attack period, but no other specificity can be seen.
Diagnosis
Diagnosis and differentiation of chronic strained neck and back fascia fibrositis
1. History: There are many cold, wet or chronic strains.
2. Symptoms and signs: There are generally typical symptoms and signs described in clinical manifestations.
3. X-ray film: It can show that the physiological curve of the cervical spine disappears, especially in the attack period, but no other specificity can be seen.
4. Laboratory examination: clinically, the main detection of erythrocyte sedimentation rate, anti-streptolysin O and rheumatoid factor, etc., positive results table
According to the characteristics of this disease, it is generally easy to distinguish from other diseases of the neck, but it is often confused with cervical cervical spondylosis. The latter has a faster onset and better response to neck braking and traction therapy. Sometimes both can also Coexistence, because the principle of treatment is the same, so those who are difficult to identify may wish to observe the judgment in treatment.
