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 Li Jie
Orthopedics
1min 13sec home-news-image

Does cervical spondylosis hurt?

Cervical spondylosis is a very common disease in clinical practice, and it has many pathological types. Generally, we divide it into nerve root type cervical spondylosis, spinal cord type cervical spondylosis, local type cervical spondylosis, vertebral artery type cervical spondylosis, sympathetic nerve type cervical spondylosis, and mixed type cervical spondylosis. Pain is a major symptom in these types of cervical spondylosis, but some cervical spondylosis do not primarily present with pain, and the pain experienced can vary widely. For example, the pain in local type cervical spondylosis primarily manifests as localized pain in the cervical region; in nerve root type cervical spondylosis, the pain is typically a shooting pain in the extremities, particularly radiating pain in the upper limbs; in spinal cord type cervical spondylosis, the pain is not very typical and mainly presents as weakness in the limbs; in vertebral artery type and sympathetic nerve type cervical spondylosis, the primary manifestation is pain in the head, with less noticeable pain in the limbs. Thus, while pain is a common symptom in patients with cervical spondylosis, the characteristics of the pain vary.

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Written by Li Jin
Orthopedics
1min 2sec home-news-image

How to treat cervical spondylosis?

For the treatment of cervical spondylosis, it is necessary to consider various factors such as the patient's symptoms, the stage of disease progression, and imaging examinations comprehensively. Treatment for cervical spondylosis is mainly divided into non-surgical and surgical treatments. Non-surgical treatment includes cultivating good neck usage habits, avoiding prolonged sitting with the head down, and not sleeping on pillows that are too high. Performing neck exercises can also be beneficial in alleviating symptoms of cervical spondylosis. Additionally, when symptoms occur, symptomatic treatment can include the use of anti-inflammatory and pain-relieving medications, nerve-nourishing drugs, and cartilage nutrition drugs, combined with hot compresses, physical therapy, and cervical traction, which can positively improve symptoms. In cases of severe nerve or vascular compression symptoms, surgical treatment may be necessary.

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Written by Na Hong Wei
Orthopedics
1min 25sec home-news-image

Treatment of Cervical Spondylosis

The treatment of cervical spondylosis is divided into surgical treatment and non-surgical treatment. Currently, it is reported that 95% of patients with cervical spondylosis can be cured or relieved after non-surgical treatment. Only a small number of patients, whose conditions worsen after ineffective non-surgical treatment, require surgical intervention. Conservative treatments include traditional Chinese medicine and herbal treatments, external application of herbal medicine, massage and bone-setting, acupuncture, rehabilitation therapy, traction therapy, physical therapy, and exercise therapy. Surgical treatments are mainly for patients with myelopathic or radiculopathic cervical spondylosis whose symptoms have worsened significantly affecting work and life, or who have experienced muscle dysfunction or even muscle atrophy. Furthermore, other types of cervical spondylosis that are ineffective in conservative treatment, have poor results, or are recurrent, all fall within the scope of surgical treatments. Surgical treatments include minimally invasive procedures and conventional procedures, with the conventional procedures being divided into anterior cervical and posterior cervical approaches. Minimally invasive treatments include nucleolysis, percutaneous nucleotomy, PFDD, and radiofrequency ablation.

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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 Su Zhen Bo
Orthopedics
1min 16sec home-news-image

How to determine if it is cervical spondylosis

In clinical settings, cervical spondylosis can be diagnosed by evaluating the patient's subjective symptoms, medical history, and physical examination, combined with corresponding auxiliary examinations. Patients with cervical spondylosis often have a history of long-term chronic strain or injury in the neck. Patients may experience increased muscle tone in the limbs, muscle weakness, and sensations of tingling and numbness in the upper limbs. There may also be difficulties in walking involving the lower limbs, with sensations like walking on cotton; accompanying symptoms can include dizziness, nausea, vomiting, unstable blood pressure, and blurred vision. Electromyography, cervical spine X-rays, CT scans, and MRI can be taken to confirm the diagnosis. In terms of treatment, conservative treatments are primarily used in the early stages of the disease. Patients are advised to rest in bed, wear cervical collars for stabilization, and use a chin strap for traction. Acupuncture and moxibustion are used on the neck, along with enhanced functional training and the administration of neurotrophic medications.