Is cervical spondylosis serious?

Written by Li Jie
Orthopedics
Updated on November 16, 2024
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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 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 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 Li Jie
Orthopedics
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What to do if cervical spondylosis causes vomiting?

Vertebral artery type cervical spondylosis may cause nausea and vomiting. This is because the vertebral artery runs through the transverse foramen in the cervical spine. If the patient has cervical disc herniation or cervical hyperostosis that compresses the vertebral artery in the transverse foramen, it can cause spasm of the vertebral artery. This leads to insufficient blood supply to the brain, resulting in symptoms such as headaches, dizziness, nausea, vomiting, and blurred vision. Once these symptoms occur, we recommend that patients first limit the movement of the cervical spine. Secondly, some drugs that improve microcirculation and alleviate cerebral ischemia can be used. Thirdly, antiemetic medications, which are also commonly used clinically, can be employed. If conservative treatment is ineffective and the condition recurs frequently, surgical treatment should be considered. (Specific medications should be used under the guidance of a doctor.)

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Written by Na Hong Wei
Orthopedics
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Cervical spondylosis treatment

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.

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Written by Cheng Bin
Orthopedics
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How to determine cervical spondylosis

The diagnosis is mainly based on the patient's clinical symptoms, physical signs, and auxiliary examinations. If the patient presents with neck pain, discomfort, or a stiff sensation, along with dizziness, headache, blurred vision, decreased hearing, numbness in the arms, weakness, swelling pain, unsteady walking, a feeling of stepping on cotton, and even symptoms like palpitations, chest tightness, loss of appetite, and profuse sweating, cervical spondylosis is highly suspected. To confirm whether it is cervical spondylosis, further auxiliary examinations are needed, such as CT scans and MRI of the cervical spine.