neck pain and headache – Cervical lymph node division

neck pain

neck pain

Area I contains the submental lymph nodes and the submaxillary lymph nodes.

The ii zone consists of the anterior cervical lymph node and the internal jugular vein lymph chain from the base of the skull to the level of the hyoid bone (superior internal jugular lymph node, above the level of the hyoid bone to the base of the skull).

The zone iii consists of the internal jugular vein lymph node chain from the hyoid bone to the cricoid cartilage (middle internal jugular vein lymph node, between the level of the hyoid bone and the level of the cricoid cartilage).

Iv area of the ring cartilage and clavicle between the internal jugular vein lymph node chain (inferior internal jugular vein lymph node, cricoid cartilage level below and between the clavicle).

The lymph node in this site follows the spinal accessory nerve chain behind the sternocleidomastoid (accessory nerve lymph node).

Region refers to the lymph node (anterior cervical lymph node) bounded by the carotid sheath from the hyoid bone to the suprasternal notch.

The lymph node in the vii region lies in the upper mediastinum (upper mediastinal lymph node).

The first zone (level 1)

Including submental and submaxillary lymph nodes. There are approximately 1-14 lymph nodes, containing lymph fluid from the chin, lips, buccal, base of mouth, anterior tongue, palate, sublingual and submandibular glands.

I area with the digastric muscle as the boundary divided into two parts, inside the lower part for I a area, outside the upper part for I b area.

neck pain

Zone (level 2)

It is the superior region of the internal jugular vein lymph node, namely, below the digastric muscle, which corresponds to the level of the skull base to the hyoid bone, with the lateral border of the sternohyoid muscle in the anterior border and the posterior border of the sternocleidomastoid muscle in the posterior border. The lymph node in this region is often the first site of metastasis of laryngeal cancer, which has important reference value in clinic.

The ii region is divided into two parts by the accessory nerve, the anterior lower part is the ii a region, the posterior upper part is the ii b region.

neck pain

Level iii

It is the middle region of the internal jugular vein lymph node, from the level of hyoid bone to the intersection of omohyoid muscle and internal jugular vein, and the anterior and posterior boundaries are the same as the ii area.

neck pain

Iv area (level iv)

This is the inferior region of the internal jugular vein lymph node. From the omohyoid to the supraclavicular. The anterior and posterior boundaries, as well as the ii zone, lie within the lateral margins of the omohyoid, clavicle, and sternocleidomastoid.

Iv area ii, iii and iv area jointly constitute the internal jugular vein lymph chain, which contains lymph fluid from parotid gland, subjaw, subchin, posterior pharyngeal wall and anterior cervical lymph nodes, so it is the key area in neck dissection.

neck pain

V area (level 5)

These include the posterior occipital triangle lymph nodes or accessory nerve lymph chains and supraclavicular lymph nodes. The posterior border is the anterior border of the trapezius, the anterior border of the sternocleidomastoid, and the lower border is the clavicle.

The v region is bounded by the lower belly of the omohyoid muscle, with a v a region above and a v b region below. The supraclavicular lymph node belongs to the v b region.

Region v is a high-risk area for metastasis of nasopharyngeal, oropharyngeal, subglottic, piriform fossa, cervical esophagus and thyroid tumors.

neck pain

6 area (level 6)

For internal surrounding lymph nodes (juxta visceral nodes), or the area before the said (anterior compartment). About 6 ~ 16 lymph nodes, including circumthyroid lymph nodes, lymph nodes around the trachea (recurrent laryngeal nerve), and lymph nodes around the thyroid gland, are included. This area is bounded by the common carotid artery and the internal jugular vein. The upper boundary is the hyoid bone and the lower boundary is the superior sternal fossa. Among them, the anterior laryngeal lymph node is located in the cricothyroid membrane and receives lymphatic fluid in the subglottic area, which is of great clinical significance.

The vi area is the high-risk area for occult metastasis of thyroid gland, glottis and inferior larynx, piriform fossa roof and cervical esophageal tumors.

neck pain

6 area (level 6)

When the American joint committee on cancer (ajcc) published TNM staging, it added the 7th division, namely, the upper mediastinal lymph node, bounded by the common carotid artery on both sides, the upper sternal superior socket, and the lower border by the level of arterial arch.

The xvii area is closely related to the metastasis of thyroid cancer, hypopharyngeal cancer and cervical esophageal cancer.

neck pain

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Editor in charge:

neck pain and headache – Chiropractic method of neck

neck pain

Figure 2-2-1 a and b neck – holding and head-shaking method

neck pain

neck pain

Figure 2-2-2 a, b neck rotation head method

Rapid neck rotation

[position]Sit upright with slightly forward craning of the head.

[methods]After the doctor stands up, hold the top of the patient's head with one hand and the lower jaw with the other hand, gently shake the head from left to right for 3 ~ 5 times to relax the neck muscles of the patient, and then force both hands in the opposite direction to make the head rotate rapidly to one side, and the sound of playing is often heard (figure 2-2-3a, b).

neck pain

Figure 2-2-3a rapid neck rotation method

neck pain

FIG. 2-2-3b rapid neck rotation method

Four, side clamping method

[position]The patient sits upright and the doctor stands behind him.

[methods]The doctor pressed the root of the neck with one hand and the other hand pressed the top of the head on the opposite side. Both hands pushed the neck side with relative force, gradually increasing the range of motion of the neck side flexion. When it reached a certain range and felt resistance, the doctor pushed the neck side with a little force, and often heard the sound of playing (figure 2-2-4a, b).

neck pain

Figure 2-2-4a side clamping method

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Figure 2-2-4b – neck lateral manipulation

Double neck rotation

[position]The patient sits upright, the assistant stands on the healthy side in front, and supports the patient's jaw with one palm, and the other hand touches the patient's posterior occiput, and the doctor stands on the affected side behind, and supports the high and tender spinous process with one thumb, and gently supports the neck on the healthy side with the other four fingers, and holds the assistant's lower jaw hand.

[methods]Hold the position, the assistant hands together hard up, pull the healer hands together in patients with head and neck to the flip side, the patients with head and neck above along the sagittal axial rotation about 30 °, the healer top for spine to the contralateral horizontal pushing force of thumb, the noise can be heard of cervical vertebra, at the same time can feel refers to the displacement of the spine to the contralateral (FIG. 2-2-5 a, b).

neck pain

neck pain

Figure 2-2-5 double neck rotation method for a and b

Fixed point neck rotation method

[position]Patients seated, healers who stand behind, the spines of thumb to resist high up and tender or transverse process, the remaining four fingers gently lifted the contralateral neck, on the other hand to make the patients with head and neck forward bends 35 °, 45 ° to the contralateral partial (or patients can tolerate the maximum), the healer prone before the upper part of the body, in patients with chest compressions in the head, to keep the patients with head and neck forward bends, cornering posture.

[methods]The doctor supported the patient's jaw with the palm, and pulled the patient's head and neck outward and upward to the affected side, making the head and neck rotate 45° along the sagittal axis. At the same time, the doctor pushes the thumb against the spinous process or the transverse process hard to the healthy side. At this time, the sound of cervical spine can be heard, and at the same time, the doctor feels the displacement of the spinous process or the transverse process under the finger to the healthy side (figure 2-2-6a, b).

neck pain

Figure 2-2-6a fixed-point neck rotation method

Figure 2-2-6b fixed-point neck rotation method

Seven, pull neck stretch method

[position]The patient sits upright and the doctor stands behind him. The doctor put one hand on the patient's head and the other hand on the affected hand with 2 ~ 5 fingers.

[methods]The doctor pushed and pressed the patient's head to the uninjured side with one hand, and made the patient bend his elbow and stretch his arm with the other hand, exerting force in the opposite direction (figure 2-2-7a and b).

neck pain

FIG. 2-2-7a neck pulling and stretching method

neck pain

FIG. 2-2-7b neck pulling and stretching method

Eight, pressure shoulder rotation neck method

[methods]The doctor presses the shoulder of the patient and fixes the trunk of the patient. The other elbow supports the lower jaw of the patient, and the hand presses the patient's neck, gently pulling upward, and then slowly rotating to the left or right. The movement should be steady and powerful, and the amplitude gradually increases, and the bouncing sound of cervical vertebra can be heard (figure 2-2-8a and b).

neck pain

Figure 2-2-8a shoulder – rotation neck press

neck pain

FIG. 2-2-8b shoulder-turning neck press

Nine, embrace head kick leg method

[position]The patient sits upright and the physician walks parallel to the back.

[methods]The thumb on one hand supports the high and tender spinous process or transverse process, and the elbow on the other side supports the patient's jaw. Hold the patient's head and stick to the shoulder to fix the patient's head and neck forward bend and sideways posture. In this position, the doctor kick up force, the patient's head and neck to the affected side outside the upper; The doctor pushes the thumb of the top against the spinous process or transverse process to the healthy side, at this time, the bouncing sound of cervical vertebra can be heard (figure 2-2-9a, b).

neck pain

neck pain

Figure 2-2-9a and b kicking with head in hand

Ten, supine drafting method

[position]Client in supine position with head out of bed; The physician steps in front of the patient's head, placing his hands on his cheeks and behind his pillow.

[methods]The doctor first pulls the patient's neck and gently shakes it to relax the neck muscles. Under the maintenance of the traction, both hands gradually force the patient's neck to rotate left and right (figure 2-2-10a and b).

neck pain

neck pain

Figure 2-2-10a and b supine drafting method

Eleven, by the head push shoulder method

[position]Client in supine position with head turned to the uninjured side. The healer rode up to the bed.

[methods]The doctor holds the patient's back pillow with one hand and presses his head with his forearm; Push the affected shoulder with the other hand, and use the opposite force with both hands. You can hear the bouncing sound of cervical vertebra (figure 2-2-11).

neck pain

Figure 2-2-11 pushing shoulder by head

Twelve, fork hand head neck method

[position]Patient supine, head neutral. The healer rode up to the bed.

[methods]The hands of doctor crosses fist, thumb holds up the vertebra after patient neck to go up, double forearm clip patient cheek ministry is pulled up, can rotate to right and left flabby patient ministry muscle, below head neutral position, doctor both hands sends force up, can hear the bouncing sound of cervical vertebra (figure 2-2-12a, b).

neck pain

neck pain

Figure 2-2-12a and b forklift neck

Thirteen, according to the neck head method

[position]Client in supine position with head turned to the uninjured side. The healer lunged before the bed.

[methods]The doctor presses the patient's ipsilateral (or contralateral) high and tender cervical transverse process or articular process with one thumb, and gently supports the patient's submaxillofacial region with the other four fingers; With the other hand, support the patient's head (slightly on the upper cervical vertebra, 30° on the middle cervical vertebra, and try to support the lower cervical vertebra), and then rotate forward and upward 45° to hear the bouncing sound of cervical vertebra (figure 2-2-13a, b).

neck pain

Figure 2-2-13a and b according to the method of neck turning head

Fourteen, push shoulder method

[position]Client in prone position with head turned to affected side. The healer lunged before the bed.

[methods]The surgeon holds the patient's jaw with one hand and presses his head with his forearm; Push the affected shoulder with the other hand, and use the opposite force with both hands. The bouncing sound of cervical vertebra can be heard (figure 2-2-14a and b).

neck pain

neck pain

Figure 2-2-14a, b push shoulder method in support of jaw

15, prone neck rotation method

[position]Client in prone position with head turned to affected side; The healer lunged before the bed.

[methods]The doctor held the patient's high and tender transverse process or articular process with one thumb, and gently supported the patient's occipital with the other four fingers; The other hand supports the patient's lower jaw and exerts force upward and backward. Meanwhile, the waist exerts force backward and upward rotation of the patient's head, and the bouncing sound of cervical vertebra can be heard (figure 2-2-15a and b).

neck pain

neck pain

The 2-2-15 a, b

There is lingering fragrance in the hand.

Editor in charge:

neck pain and headache – Always feel pain, acid or numbness in your neck? 4 types of symptoms to pay attention to

The update of electronic products, make "lower the head gens" more and more people, cervical spondylosis, myopia, tenosynovitis patients one after another, especially known by the most obvious cervical spondylosis. In the electronic products bring us great convenience today, should we also pay attention to their health life?

Think about driving, on the bus, subway, train, eating, squatting in the toilet, the prelude to sleep, etc. Are we all lowering our heads and scratching our phones with our fingers?

As the saying goes, the neck is the main road to sustain the health of human body, not only to provide nutrition blood to the brain, and neck lymph nodes is also the first article of prevent viruses and bacteria invasion protection line, there are all kinds of nerve distribution in the neck of the human body, such as the dominant human movement and feel the spinal nerve, regulating the blood pressure, breathing, cranial nerves, heart beat fast and regulation of sympathetic and parasympathetic nerve, etc. So the neck is very important to the body.

The daily life of raising head computer and lowering head mobile phone is the primary reason of cervical spondylosis getting younger and younger. Long-term lowering of the head causes the muscles in the neck to be in a state of strain, resulting in the herniation of the cervical disc, decreased stability of the cervical vertebra, and compression of the spinal cord and nerves, thus causing neck pain, acid sleepiness, numbness, and even shoulder and back pain, acid sleepiness, headache, dizziness and other head symptoms. Cervical spondylosis is not a day to develop, a long period of buried in the phone, playing games and bad habits such as lying reading, lying on the table to sleep, watching TV will again cause double injury of cervical vertebra. Such accumulated bad habits, cervical vertebra can not be affected? Said so much, what symptom does cervical vertebra disease have after all?

1. Stiff and painful neck, and resistance when the head rotates from side to side;

2. Numbness, pain and weakness of upper limbs, neck and shoulders, difficult movements to complete when fastening buttons and holding things;

3. Dizziness, headache, lack of concentration and poor sleep;

4, double eye objects will have shadow, or nausea, vomiting, etc.

If appear appeal when the symptom, want the occurrence of disease of alert cervical vertebra! It can be seen that starting from the details of life, it is particularly important to maintain our cervical vertebra in an unimpeded environment.

1. "put down your phone and become a Buddha instantly" oh!

2, when we walk we should hold our heads high, eyes flat ahead, as far as possible away from the side of the road to play mobile phone habits.

3. Keep your head down for work or study for no more than 1 hour (including looking at your phone, of course). Keep your head up, or stand up and walk anywhere.

4. Don't twist our necks too much.

In addition, in order to prevent the occurrence of cervical spondylosis, in addition to the above bad habits, but also protect our cervical vertebra from cold, by the wind, especially menstrual or after the production of female friends and long-term at the computer desk office air conditioning room.

(the pictures in this article are from the Internet, for reference only)

(by yan lingling)

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