Causes of Cervical Spondylosis

Written by Li Xin
Pediatric Orthopedics
Updated on June 30, 2025
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Cervical spondylosis is a syndrome characterized by degenerative changes in the cervical intervertebral discs accompanied by strain or trauma, leading to an imbalance in the dynamic and static forces of the cervical spine. This results in intervertebral disc herniation and protrusion, ligament calcification, and osteophyte formation, which in turn stimulates or compresses the cervical nerve roots, spinal cord, or blood vessels, causing a range of symptoms and signs. The cause lies in the cervical functional units, which are composed of two adjacent vertebral bodies, two facet joints, two uncinate joints, and the intervertebral disc. Due to the high mobility of the cervical spine, it is prone to degeneration, especially among those who engage in long-term sedentary work, have cervical trauma, or congenital cervical canal stenosis. The segments of the cervical spine that are most vulnerable to injury and most prone to disorders are typically C5-6, followed by C4-5, and then C6-7. The clinical manifestations vary depending on the pathology.

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Written by Li Jie
Orthopedics
1min 18sec home-news-image

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 Liu Yan Hao
Neurology
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Symptoms of cervical vertigo

Cervical spondylosis dizziness typically occurs in the case of vertebral artery type cervical spondylosis, where the patient experiences episodes or exacerbation of dizziness when turning the head to one side. This is because, in vertebral artery type cervical spondylosis, due to bone hyperplasia or changes in curvature of the cervical spine, one side's vertebral artery is compressed. When the patient turns their head to the other side, the healthy vertebral artery is also compressed. At this time, the vertebral artery compressed by the bone hyperplasia cannot compensatively increase the blood flow, leading to insufficient cerebral blood supply, resulting in symptoms of dizziness or worsening dizziness. This is a typical manifestation of dizziness associated with cervical spondylosis. Treatment includes the use of drugs that invigorate the blood and improve cerebral blood supply, in conjunction with cervical physiotherapy. It is important to protect your cervical spine regularly, and avoid using a pillow that is too high at night. (Please take medication under the guidance of a doctor)

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Written by Su Zhen Bo
Orthopedics
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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 Li Jie
Orthopedics
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How is cervical spondylosis treated?

Cervical spondylosis is a very common disease in clinical practice. Its pathological manifestations mainly include local muscle tension, spasm, and adhesion in the cervical spine, combined with disorder of the cervical facet joints, straightening or reversal of cervical curvature, and some cases may also involve protrusion of cervical vertebrae and intervertebral discs. After the onset of cervical spondylosis, it is generally recommended that patients initially undertake comprehensive conservative treatment. Conservative treatment measures include physiotherapy, oral non-steroidal anti-inflammatory and analgesic drugs, oral traditional Chinese medicines that activate blood circulation, reduce swelling, relieve pain, relax tendons and unblock collaterals, as well as topical plasters that have similar effects. After such comprehensive conservative treatments, symptoms of cervical spondylosis largely get alleviated. If the patient does not respond to conservative treatment and the symptoms severely affect their normal life and work, surgical treatment may then be considered.

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Written by Li Jie
Orthopedics
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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.