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 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.

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Written by Li Jie
Orthopedics
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Is cervical spondylosis serious?

Cervical spondylosis is a relatively common clinical disease that can be divided into many types. The more common types are localized cervical spondylosis and cervical radiculopathy. Other types include spinal cervical spondylosis, vertebral artery cervical spondylosis, sympathetic cervical spondylosis, and mixed cervical spondylosis. Generally, cervical spondylosis only manifests as local pain in the cervical spine, limited neck movement, and muscle tension in the neck. Sometimes there may be radiating pain in the upper limbs. These symptoms are not particularly severe and usually do not require surgical treatment. However, more severe cases, such as severe cervical radiculopathy or spinal cervical spondylosis, compress the local nerves and spinal cord of the cervical spine, causing symptoms like weakness in the hands and feet, tightness in the lower limbs, unstable walking, poor grip strength, numbness in the limbs, difficulty walking, incontinence or urinary retention, and limb paralysis, leading to being bedridden. In these cases, cervical spondylosis is considered serious and may require surgical treatment. Like all diseases, the severity of cervical spondylosis varies and should not be generalized.

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Written by Cheng Bin
Orthopedics
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Do cervical spondylosis patients fear cold?

Patients with cervical spondylosis are sensitive to cold. Exposure to cold can cause vasoconstriction and muscle contraction, thus aggravating the clinical symptoms of cervical spondylosis. Therefore, it is said that cervical spondylosis is sensitive to cold. Patients with cervical spondylosis should avoid cold environments and actively keep warm. It is recommended to persistently apply heat using a hot water bottle or salt bag twice daily, for at least thirty minutes each time for more noticeable effects. For those experiencing severe pain, oral non-steroidal anti-inflammatory drugs can be taken to alleviate pain. Additionally, topical plasters that activate blood circulation and disperse stasis can be used, along with therapies like acupuncture, electric heating, cupping, traction, and massage, which may progressively lead to recovery.

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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
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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.