10 office workers, 9 cervical spondylosis, occupational diseases may have new members in the future

- Jun 28, 2020-

10 office workers, 9 cervical spondylosis, occupational diseases may have "new members" in the future

"Dizziness and nausea, I've committed this cervical spondylosis again." "You are a work injury..." Unexpectedly, a joke in life is expected to become a reality.

A few days ago, I uploaded a message from the "Health China Action Promotion Committee Office Press Conference": The occupational health protection action listed cervical spondylosis, scapulohumeral periarthritis, low back pain, bone hyperplasia, and sciatica as the diseases that workers should prevent. In response to these current "non-occupational diseases", Sun Xin, deputy director of the Institute of Occupational Hygiene and Poison Control of the Chinese Center for Disease Control and Prevention, said that in the future it may be classified as a legal occupational disease.

Increasing incidence rate, the inclusion of occupational diseases is still controversial

 "10 office workers, 9 cervical spine pains." At present, with the changes in working methods, people have been sitting for longer and longer. Correspondingly, the incidence of cervical spondylosis, scapulohumeral spondylitis, sciatica and other diseases is also increasing, and it is showing a younger trend. Therefore, the call to include it in occupational diseases is also one after another. So, what exactly is an occupational disease, is it necessary to include the above diseases in the category of occupational diseases?

Sun Xin introduced that occupational diseases refer to the diseases caused by the exposure of dust, radioactive substances and other toxic and hazardous substances to the workers of employers such as enterprises, institutions and individual economic organizations during their professional activities. In our country, only the diseases listed in the occupational disease list fall into the category of legal occupational diseases.

At present, my country's "Occupational Disease Classification and Catalog" contains 132 diseases in ten categories. Specifically, these ten categories of occupational diseases are: occupational pneumoconiosis and other respiratory diseases, occupational skin diseases, occupational eye diseases, occupational otolaryngology and oral diseases, occupational chemical poisoning, occupational diseases caused by physical factors, occupations Sexual radiation diseases, occupational infectious diseases, occupational tumors and other occupational diseases.

That is to say, according to the Classification and Catalog of Occupational Diseases, diseases such as cervical spondylosis, periarthritis, low back pain, bone hyperplasia, and sciatica have not yet been listed as occupational diseases. These types of diseases are not legal occupational diseases in my country. But Sun Xin emphasized that these diseases are actually diseases related to professional activities.

As for whether it is expected to be included in occupational diseases, some experts said that according to my country's "Work Injury Insurance Regulations", occupational diseases are automatically regarded as work injury, and ordinary workers can enjoy the treatment of work injury insurance. Whether a disease is included in the category of occupational diseases should be considered from the basic characteristics of occupational diseases. Specifically, the working posture or working status of a worker engaged in a certain occupation will inevitably lead to a certain disease.

From a theoretical and practical point of view, there are major obstacles to including cervical spondylosis and other diseases into occupational diseases. Occupational diseases emphasize the occupational relevance of diseases, that is, workers are sick because of occupational hazards. However, it is difficult to determine that diseases such as cervical spondylosis and occupation are inevitable. Long-term use of computers or sedentary occupations may lead to cervical spondylosis; but personal bad habits in life, such as incorrect sitting posture, long-term use of mobile phones and other behaviors , May also cause cervical spondylosis.

The scope is expanding, the courier brother is also a high-risk group

"The scope and number of occupational groups prone to neck, waist and leg pain, shoulder and shoulder disease, and bone hyperplasia are expanding." Song Fei, deputy chief physician of the Department of Orthopedics, Tsinghua University Beijing Tsinghua Changgeng Hospital, said that in the past, these were only heavy manual workers. Symptoms that are easy to appear, with the acceleration of life rhythm and changes in lifestyle, many mental workers and teenagers also suffer from the same problem.

Which specific occupational groups are more susceptible to such diseases? According to Song Fei, first of all, heavy manual workers, especially those who bend more or carry heavy objects, are overloaded with lumbar spine and are still the main group of people suffering from diseases. At present, in addition to traditional industrial workers, with the development of the logistics industry, the express courier has also become a high-risk group.

Followed by long-term desk workers. Comparing various postures, the sitting posture and the hunchback exert the greatest pressure on the spine and intervertebral discs. For a long time, it may cause bone hyperplasia and degeneration and protrusion of the intervertebral discs. Teachers, IT practitioners, including doctors themselves are susceptible to such diseases.

Then there are people who are overweight. The spine joint is an organ that bears the weight of the human body and maintains the stability of the body. Among them, the cervical spine and the lumbar spine are the organs that carry activities on the basis of weight-bearing and "maintenance stability". If you are overweight, the risk of spine fatigue and "premature aging" will increase. Among working women, people in pregnancy and pregnancy have gained weight rapidly, coupled with loosening of ligaments during pregnancy and childbirth.

 In addition, there are people who lack exercise. Improper exercise may damage the body's movement structure, but long-term lack of exercise is a high-risk factor for low back pain. Because healthy and strong muscles are the most important structure for protecting bones, joints, and ligaments, muscles share the load and stable work, and the "work" of the spine joints can be easier.

Song Fei said that in summary, the key to preventing neck, waist and leg pain, shoulder disease, bone hyperplasia and other diseases is to avoid overwork, poor posture and sedentary, pay attention to diet and weight loss, choose the appropriate Exercise methods, so as to effectively prevent spinal joint disease. From a policy perspective, labor protection should be strengthened, overtime and high-intensity work should be restricted, workers should be guaranteed time to rest and exercise, and employers should be encouraged to create sports venues and conditions.

Sun Xin also believes that strengthening occupational health requires the participation of the government, enterprises and individuals. The government should play a leading role, responsible for formulating the design and planning of the occupational health system, and supervise the implementation and strengthen supervision. Enterprises must bear the main responsibility for the health of employees. Personally, as stated in the Healthy China Action, everyone is the first person responsible for their own health, and they should strengthen their precautions and improve their own occupational health awareness and literacy.


Exercise should be moderate, perseverance can relieve the pain


Working with illness, minor injuries can not go down the frontline... In life, there are not many such people. So, for those who have unfortunately been "recruited" and have to continue to do related work, is there a good way to relieve the pain?


Song Fei said that the basic principle of relieving and preventing disease progression for spinal joint degeneration and strain-related diseases is that the acute period of symptoms requires adequate rest and appropriate medication and physical therapy. During the remission period, muscle and soft tissue functional exercises should be strengthened, with emphasis on the exercise of muscles around the affected area to share the load and protect the joints. In sports, swimming and jogging are more effective exercise methods, but exercise should also be appropriate and not excessive. In daily work and life, you should avoid sedentary, bowing, bending, weight-bearing, and climbing and climbing activities such as repeated flexion and extension activities.


Taking back pain as an example, Song Fei suggested that you can try the following easier exercise methods: First, "Little Yanfei". "This method is simple and effective, but it requires physical strength." Song Fei said that the specific method is to lie on the bed, the chest and abdomen touch the bed surface, the head and limbs are straight and upward, and insist on 5-10 seconds, repeated operation . Every 5-15 minutes, this method is suitable for young and middle-aged people with better physical strength. It is convenient to make a group before going to bed and getting up early.


The second is "flat support". Mainly exercise the core muscle groups, of course, including the spinal stabilizing muscles of the lower back. However, we must do our best. The one-time record is not important, the key is to maintain exercise habits and perseverance.


The third is "five-point support." This method has a lower difficulty coefficient than "Xiaoyanfei". You just lie on the bed, bend your elbows and knees, land on the headrest, elbows, and feet, and lift the waist and hips away from the bed surface.


Song Fei said that other exercise methods, such as cervical spine, knee and shoulder joints, also have the same principle, just a moderate amount. (Reporter Fu Lili)


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