Treatment of Cervical Spondylosis

Written by Na Hong Wei
Orthopedics
Updated on February 23, 2025
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The treatment of cervical spondylosis includes two aspects. The first is non-surgical treatment, which mainly involves immobilization of the neck, followed by physical therapy for the neck, including massage, acupuncture, and treatments with microwaves or shock waves, as well as cervical traction. Prevention is also important, which includes correcting poor work postures and sleeping positions. If the pain is very severe, one might consider taking some non-steroidal anti-inflammatory painkillers, etc. Secondly, if there is severe pain due to nerve root type or spinal cord type cervical spondylosis, and there is evident neurological dysfunction, or if the symptoms of cervical spondylosis usually do not alleviate or even worsen after systematic and conservative treatment, surgery is often required. Therefore, the treatment of cervical spondylosis generally includes both non-surgical and surgical treatments, and the specific method used depends on the condition of the disease.

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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
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Symptoms of cervical spondylosis

Cervical spondylosis is mainly caused by long-term strain and degenerative changes in the cervical spine. When the spinal cord, nerve roots, or vertebral artery are compressed, a series of symptoms can occur. The symptoms of cervical spondylosis are very complex, mainly manifested as weakness in the upper limbs, numbness in the fingers, weakness in the lower limbs, dizziness, nausea, vomiting, palpitations, and heart palpitations. Therefore, when these symptoms occur, one can go to the hospital for examination or combine imaging studies, such as CT and MRI of the cervical spine, to clarify the specific condition of the cervical spondylosis. Subsequently, targeted treatment measures can be taken based on the symptoms.

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Written by Xie Yi Song
Orthopedics
1min 55sec home-news-image

Symptoms of cervical spondylosis

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 Jie
Orthopedics
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How is cervical spondylosis treated?

Cervical spondylosis is very common in clinical settings. The pathological changes mainly involve local muscle tension, spasms, and adhesions in the cervical area, combined with disturbances in the small joints of the cervical spine, as well as straightening or reverse curvature of the cervical spine. Sometimes, there may also be cervical disc herniation or cervical osteophyte formation. Once these pathological changes occur, a comprehensive conservative treatment needs to be implemented. Conservative treatment measures include massage, acupuncture, moxibustion, electrotherapy, wax therapy, etc. At the same time, some non-steroidal anti-inflammatory and analgesic medications can be taken orally. These medications can significantly alleviate pain and reduce symptoms. Additionally, some proprietary Chinese medicines that activate blood circulation, remove blood stasis, and relax tendons, as well as topical plasters with similar effects, can be taken or used. These constitute what we refer to as comprehensive conservative treatment. If the symptoms of cervical spondylosis still cannot be alleviated after these comprehensive conservative treatments and there are clear indications for surgery, surgical treatment may be necessary. (The use of medications should be under the guidance of a doctor.)

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Written by Li Jin
Orthopedics
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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.