How to treat cervical spondylosis

Written by Su Zhen Bo
Orthopedics
Updated on January 08, 2025
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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 Cheng Bin
Orthopedics
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How to exercise for cervical spondylosis

In general, for patients with cervical spondylosis, exercises such as swimming, playing badminton, flying kites, or performing "Mi Zi" exercises can effectively strengthen the neck muscles and thereby better protect the cervical spine. These are the exercise methods for cervical spondylosis. Additionally, patients should also pay attention to rest and protection, apply local heat, and combine treatments such as acupuncture, massage, traction, electrical stimulation, and cupping. For severe pain, topical ointments that invigorate blood and remove stasis can be used, along with oral non-steroidal anti-inflammatory drugs, drugs that invigorate blood and remove stasis, and drugs that nourish the nerves. (Specific medications should be taken under the guidance of a physician.)

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Written by Na Hong Wei
Orthopedics
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What should I do about cervical spondylosis?

Having cervical spondylosis is not a big deal as long as you understand two things, which basically suffices. The first point is to determine the specific type of cervical spondylosis, as the treatment depends on the type, and different strategies are adopted for different types. The second point is to have a clear concept that once cervical spondylosis occurs, it is basically incurable. Therefore, it is essential to understand the concepts of healthcare and prevention. Let's discuss the types of cervical spondylosis. Clinically, cervical spondylosis is categorized into six types: cervical type, nerve root type, spinal type, sympathetic type, vertebral artery type, and mixed type. Cervical type cervical spondylosis generally does not require surgical treatment. The nerve root type responds best to traction. The spinal type generally requires surgical treatment. Vertebral artery type treatment involves treating both the cervical spine and arteriosclerosis. The mixed type involves the coexistence of two or more types of cervical spondylosis, and they are treated together. As for prevention, which is crucial for cervical spondylosis, it is important to pay attention to rest, maintain good sitting and standing postures, protect the cervical spine from cold, and perform appropriate cervical spine exercises to strengthen neck muscles. If cervical spondylosis episodes occur, remember not to self-medicate and seek proper treatment plans from a hospital.

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Written by Liu Yan Hao
Neurology
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Cervical vertigo characteristics

Dizziness is a typical symptom of cervical spondylosis, usually exacerbated when the patient turns their head to one side. In a normal person, when turning the head to one side, the vertebral artery on that side might be compressed, but the opposite vertebral artery can compensate by increasing blood flow, preventing cerebral insufficiency and dizziness. Conversely, in a patient with cervical spondylosis, due to osteophyte formation or changes in the curvature of the cervical spine, the vertebral artery on one side may be compressed. When the patient turns their head to the other side, the compressed vertebral artery cannot compensate by increasing blood flow, leading to insufficient cerebral blood supply and an increase in dizziness or the onset of dizziness symptoms. This explains the characteristics and mechanism of dizziness caused by cervical spondylosis.

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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 Liu Yan Hao
Neurology
1min 6sec home-news-image

Does cervical spondylosis cause dizziness?

Not all cervical spondylosis will cause dizziness. Vertebral artery type cervical spondylosis can cause dizziness due to the hyperostosis of the cervical spine or changes in curvature that compress one of the vertebral arteries. When patients turn their heads to one side, the compressed vertebral artery cannot compensatory increase the blood flow, which does not lead to an increase in blood supply to the brain, resulting in insufficient cerebral blood supply and causing dizziness. A typical manifestation of these patients is that turning the head to one side intensifies the dizziness due to the reasons just mentioned, which is a typical symptom of dizziness caused by vertebral artery type cervical spondylosis. For treatment, drugs that invigorate blood circulation and improve cerebral blood supply are needed, along with cervical physiotherapy treatment. Generally, avoid sitting for too long, don’t use pillows that are too high, and pay attention to protecting your cervical spine. (Please follow professional medical advice for medication usage and do not self-medicate.)