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Cervical spondylosis
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.
How to alleviate cervical spondylosis?
Patients with cervical spondylosis are advised to do the following, which can help alleviate the symptoms of the condition. Patients should develop correct habits of using their necks in daily life, such as avoiding prolonged sitting with the head bowed down, and move the neck appropriately after sitting for a long time; they can also perform some medical neck exercises; additionally, it is important to use a slightly lower pillow during sleep and to keep the neck warm. These measures can help maintain the physiological curvature of the cervical spine and improve symptoms of neck discomfort. When patients with cervical spondylosis experience symptoms such as pain, they can also use anti-inflammatory and pain-relieving medications, and apply methods like heat therapy to improve symptoms; when the symptoms are severe, it is necessary to visit the hospital for further medical consultation, to clarify the specific condition, and then receive targeted treatment.
Symptoms of cervical spondylosis
Cervical spondylosis is a very common clinical disease, which is classified into different types, each with distinct symptomatic characteristics. Let's discuss them broadly. Local type cervical spondylosis primarily manifests with local cervical pain, neck stiffness, and restricted neck movement. Cervical radiculopathy mainly features symptoms such as upper limb sensory changes, numbness, radiating pain, or weakness in the extremities. Myelopathy type cervical spondylosis presents with symptoms like weakness in the limbs, unstable walking, urinary or fecal dysfunction, or even severe symptoms like paralysis of the limbs. Sympathetic and vertebral artery type cervical spondylosis mainly have symptoms including headache, dizziness, blurred vision, nausea, unclear vision, and excessive sweating, among others. There is also a special type called esophageal cervical spondylosis, where patients might experience symptoms like esophageal compression.
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.
Features of headaches caused by cervical spondylosis
Cervical spondylosis can also cause headaches, and the headaches caused by cervical spondylosis have their own characteristics compared to headaches caused by other reasons. Headaches resulting from cervical spondylosis generally stem from the irritation or compression of the cervical vertebrae and vertebral arteries due to the growth of cervical bone spurs, leading to constriction of these arteries and insufficient blood supply to the cerebral arteries, causing headaches and dizziness. Typically, these headaches are accompanied by symptoms of dizziness. Additionally, the headache is related to the movement of the neck and cervical spine, and neck movements can intensify the headache.
Is a "wealth bag" a cervical spondylosis?
In clinical practice, Dowager's hump and cervical spondylosis are two different conditions. A dowager's hump primarily results from long-term forward head posture, which increases the external force on the back of the cervical spine, leading to the formation of subcutaneous cysts in this area and the appearance of a dowager's hump. This condition commonly develops between the seventh cervical vertebra and the first thoracic vertebra. Patients with a dowager's hump typically experience localized swelling, pain, sourness, or even a feeling of chest tightness. Patients with cervical spondylosis primarily suffer from bone growth and degeneration in the cervical spine area, which compresses the spinal cord, nerve roots, and blood vessels, leading to symptoms of nerve compression damage. Therefore, when patients exhibit symptoms of either dowager’s hump or cervical spondylosis, it is imperative that they seek medical attention promptly. Doctors need to make a clear differential diagnosis and then proceed with symptomatic treatment.
How to treat cervical spondylosis by oneself?
Self-treatment for cervical spondylosis can adopt the following methods: First, correct daily behaviors to avoid excessive strain, load, and stress on the neck, such as avoiding prolonged desk work, and frequent usage of smartphones while looking downward, to prevent the neck muscles from being in a state of prolonged tension. Second, regularly perform appropriate cervical spine health exercises, such as the "Mi Zi" exercise and neck muscle resistance training, etc. Third, locally apply methods like heat therapy, infrared radiation, electromagnetic therapy, and ultrasound for self-treatment. Fourth, treatment can also include the use of non-steroidal anti-inflammatory and analgesic drugs, medications that nourish the nerves and those that relieve muscle tension.
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.
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.
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.