Symptoms of cervical spondylosis

Written by Xie Yi Song
Orthopedics
Updated on September 26, 2024
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Many people think that cervical spondylosis is just neck pain, but actually, after developing cervical spondylosis, there can be other symptoms. For example, the early symptoms of cervical spondylosis are generally diverse and complex. Most patients initially experience mild symptoms, which gradually worsen over time. Some patients have severe symptoms, and clinically, it is generally divided into five major types. The first type is cervical cervical spondylosis, where the main symptoms are soreness and swelling in the head, neck, shoulders, back, and arms, neck stiffness, and limited movement. The soreness in the neck and shoulders can radiate to the suboccipital area and upper limbs. The second type is vertebral artery type, where patients generally experience dizziness, a sensation that the room is spinning, and severe cases may include nausea, vomiting, and bedrest, with a few instances of vertigo and sudden collapse. The third, and most common, is spinal cervical spondylosis, where it is particularly strenuous to hold objects, which often fall to the ground, instability in walking, as well as spasms in the neck and shoulder muscles, increased muscle tone in the limbs, and even paralysis. The fourth type is radicular cervical spondylosis, with neck pain, acid swelling and distension pain in the unilateral or bilateral upper limbs, numbness, and sometimes intense pain that is unbearable. The fifth most common type is sympathetic nerve cervical spondylosis, where patients may experience blurred vision, dizziness, abnormal sweating, persistent low-grade fever, palpitations, chest tightness, rapid heartbeat, often with insomnia and frequent dreaming. The sixth type is the mixed type, which may present a combination of symptoms from the types mentioned above.

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Written by Li Jin
Orthopedics
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How to alleviate cervical spondylosis?

Patients with cervical spondylosis are advised to do the following, which can help alleviate the symptoms of the condition. Patients should develop correct habits of using their necks in daily life, such as avoiding prolonged sitting with the head bowed down, and move the neck appropriately after sitting for a long time; they can also perform some medical neck exercises; additionally, it is important to use a slightly lower pillow during sleep and to keep the neck warm. These measures can help maintain the physiological curvature of the cervical spine and improve symptoms of neck discomfort. When patients with cervical spondylosis experience symptoms such as pain, they can also use anti-inflammatory and pain-relieving medications, and apply methods like heat therapy to improve symptoms; when the symptoms are severe, it is necessary to visit the hospital for further medical consultation, to clarify the specific condition, and then receive targeted treatment.

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Written by Guan Yu Hua
Orthopedic Surgery
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How to do cervical traction for cervical spondylosis?

Cervical traction therapy can restore the physiological curvature of the cervical spine to relieve the compression of nerves and blood vessels caused by cervical spondylosis. You can purchase a cervical traction device from a pharmaceutical company or pharmacy, as it is a ready-made product. Additionally, there is an integrated traction belt made from canvas, which grips the forehead, lower jaw, and the back of the head. The belt then folds into a triangle shape upwards, with a loop in the middle through which a rope is threaded. This rope can be hung from a beam or a traction frame. By holding the rope, you perform a neck traction exercise by pulling upwards. This vertical traction can alleviate the symptoms of cervical spondylosis. It is recommended to perform traction once or twice daily, ideally morning and evening, with each session lasting about 20 minutes. Typically, symptoms can be relieved in about seven to ten days, and this is quite beneficial for cervical spondylosis. Additionally, when sleeping, try to use a low pillow, and avoid prolonged periods of bending your head down or engaging in activities such as working at a desk, playing mahjong, reading, or using a computer. Generally, following these guidelines can help prevent the recurrence of cervical spondylosis.

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Written by Cheng Bin
Orthopedics
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How to treat cervical spondylosis?

The treatment plan primarily depends on the severity of the patient's cervical spondylosis. If the cervical spondylosis is very severe and there is significant compression on the spinal nerve roots, resulting in symptoms such as pain, numbness, and weakness in the legs, numbness and swelling pain in the arms, abnormal bladder and bowel functions, and evident spinal stenosis, then it is necessary to aggressively pursue surgical treatment. This usually involves the removal of the intervertebral disc, decompression and expansion of the spinal canal, and surgical treatment with intervertebral bone grafting and internal fixation. For cases where the disc herniation is not very large and the neck pain is not very severe, conservative treatment may be chosen. This includes measures like rest and protection, local heat application, and combining therapies such as acupuncture, electrotherapy, cupping, and traction.

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Written by Cheng Bin
Orthopedics
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How to relieve cervical spondylosis?

For the issue of alleviating cervical spondylosis, usually, patients need to pay attention to rest and protection, apply local heat, avoid looking down for long periods or keeping the neck in one position. Routine activities such as swimming, flying kites, or playing badminton can help strengthen the neck muscles and thereby better protect the cervical spine. Additionally, patients should use medications that expand blood vessels, non-steroidal anti-inflammatory painkillers, and drugs that nourish the nerves, and combine these with acupuncture, massage, traction, massage, electrotherapy, and cupping therapy. These physiotherapeutic methods are more beneficial for the clinical symptoms improvement of patients with cervical spondylosis. (Please use medication under the guidance of a doctor.)

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Written by Cheng Bin
Orthopedics
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The Harm of Cervical Spondylosis

The harm caused by cervical spondylosis is quite significant. Typically, patients with cervical spondylosis will experience pain, discomfort, or stiffness in their necks. When the vertebral artery is compressed, patients might exhibit a range of clinical symptoms, including dizziness, headaches, nausea, and vomiting. Furthermore, some patients may experience blurred vision, decreased hearing, numbness, weakness, and distension pain in either or both upper limbs. Some patients also suffer from symptoms like profuse sweating, loss of appetite, palpitations, instability while walking, and a sensation as if stepping on cotton, and in severe cases, they may experience abnormalities in urination and bowel movements.