Cervical spondylosis treatment

Written by Na Hong Wei
Orthopedics
Updated on September 03, 2024
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The treatment of cervical spondylosis firstly requires identifying the specific type of the condition, as treatment is determined based on the classification.

The first type, cervical type cervical spondylosis, generally is asymptomatic, merely presenting as degeneration at the edges of the cervical spine. Even if symptoms are present, satisfactory effects can generally be obtained through conservative treatment, so cervical type cervical spondylosis does not require surgical treatment.

The second type, nerve root type cervical spondylosis, is the most common type. The vast majority can be cured through conservative treatment, with approximately ninety-five percent achieving cure, leaving only about five percent who require surgery due to very clear nerve damage sites which have not improved with conservative treatment and worsened nerve compression symptoms.

The third type, spinal cord type cervical spondylosis, basically requires surgical treatment, and it is better to perform the surgery sooner rather than later.

The fourth type, vertebral artery type cervical spondylosis, is usually treated conservatively, mainly focusing on immobilization, anti-inflammatory, and pain relief treatments, while also addressing arteriosclerosis concurrently.

The fifth type, sympathetic nerve type cervical spondylosis, requires coordinated treatment with internal medicine while treating this type of cervical spondylosis.

Thus, the treatment of cervical spondylosis is actually not complicated. First, ascertain which type of cervical spondylosis you have, and then, treat accordingly.

Other Voices

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Written by Su Zhen Bo
Orthopedics
1min home-news-image

How to treat cervical spondylosis

The patient has cervical spondylosis and can be treated using traditional Chinese medicine methods. For instance, firstly, it's important to advise the patient to minimize the loading activities on the head and neck area and to keep warm. Regular bed rest is beneficial, and local treatment can be applied to the neck using traditional Chinese herbal medicine ion penetration, acupuncture, and moxibustion. These therapies stimulate effective acupuncture points in the neck, which can unblock the muscle meridians, restore normal circulation of qi and blood, and help the neck muscles absorb nutrients, increasing their strength, toughness, and elasticity. These treatments can also enhance the strength and density of the cervical vertebrae, reduce irritation to the spinal cord, nerves, and blood vessels, and alleviate the patient's clinical symptoms. Under the guidance of traditional Chinese medicine methods, manual therapies like massage can significantly relieve clinical symptoms.

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Written by Cheng Bin
Orthopedics
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Symptoms of cervical spondylosis

The symptoms of cervical spondylosis in clinical practice are relatively complex. Patients with cervical spondylosis typically experience neck pain and discomfort, or stiffness. Furthermore, the patients may suffer from headaches, dizziness, nausea, vomiting, blurred vision, reduced hearing, and numbness, weakness, or swelling pain in the bilateral or unilateral upper limbs. Some patients might also experience palpitations, loss of appetite, unsteady walking, and a sensation of walking on cotton. These are the common clinical symptoms of cervical spondylosis. Usually, the diagnosis of cervical spondylosis requires the support of auxiliary examinations, such as CT scans and MRI of the cervical spine.

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Written by Li Jin
Orthopedics
1min 5sec home-news-image

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 Li Jie
Orthopedics
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Is cervical spondylosis threading good?

The pathological manifestations of cervical spondylosis primarily include local tension, spasm, and adhesion in the cervical muscles, accompanied by disorders of the cervical facet joints, as well as changes in the curvature of the cervical spine, such as straightening or kyphosis. Once diagnosed with cervical spondylosis, it is recommended that patients undergo comprehensive conservative treatment. Thread embedding is one method among these, involving the insertion of absorbable threads at acupoints or pain points on the patient's neck. These threads then stimulate the local acupoints and pain points to produce a therapeutic effect. Cervical spondylosis thread embedding is a relatively minor treatment option and has not been well-validated clinically. Clinically, thread embedding is not particularly advocated; it is generally recommended that patients undergo various verified physical therapies, such as massage, acupuncture, moxibustion, electrotherapy, wax therapy, and hot compresses. Overall, thread embedding is still considered a not very mature or effective treatment method and is not widely recommended in clinical practice.

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Written by Qiu Xiang Zhong
Orthopedics
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Symptoms of cervical spondylosis

The cervical spine refers to the part of the spine located in the neck, consisting of seven vertebrae, intervertebral discs, and ligaments between the vertebrae. When cervical spondylosis occurs, it mainly causes pain in the head, neck, and shoulders, as well as numbness or pain in the arms and fingers. When the neck is stiff, the patient's movement is restricted, and neck and shoulder pain may also be accompanied by dizziness, nausea, vomiting, or even sudden collapse. Some patients may also experience a heavy feeling in the shoulders and back, weakness in the arms, numbness in the fingers, decreased skin sensation in the limbs, and weakness in gripping objects; other patients may also experience weakness in the lower limbs, a feeling of treading on cotton when walking, unsteady walking, or numbness in the feet.