Cervical spondylosis treatment

Written by Na Hong Wei
Orthopedics
Updated on September 03, 2024
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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 Na Hong Wei
Orthopedics
1min 31sec home-news-image

Causes of cervical spondylosis

The causes of cervical spondylosis are actually of two types. The first type is intrinsic causes, which refer to the degeneration of the cervical intervertebral disc, a physiological process. Starting from the age of 20, the cervical intervertebral disc begins to degenerate, varying from person to person; some degenerate faster, others slower. However, as one ages, the cervical discs also gradually deteriorate. The second cause is the pathological changes secondary to the degeneration of the cervical intervertebral discs. For instance, after the discs degenerate, it can lead to instability of the cervical spine, formation of osteophytes around it, calcification of ligaments, and instability of small joints, among others. Due to these reasons, it results in a series of pathological changes affecting nearby soft tissues, such as blood vessels, nerves, spinal cord, and sympathetic nerves. This is the definition of cervical spondylosis. Thus, the causes of cervical spondylosis boil down to two main points: first, the degeneration of the cervical intervertebral discs; second, due to this degeneration, it induces other pathological changes such as the formation of peripheral osteophytes, ligament calcification, joint instability, etc., ultimately compressing the surrounding soft tissues, leading to cervical spondylosis.

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Written by Na Hong Wei
Orthopedics
1min 25sec home-news-image

Treatment of Cervical Spondylosis

The treatment of cervical spondylosis is divided into surgical treatment and non-surgical treatment. Currently, it is reported that 95% of patients with cervical spondylosis can be cured or relieved after non-surgical treatment. Only a small number of patients, whose conditions worsen after ineffective non-surgical treatment, require surgical intervention. Conservative treatments include traditional Chinese medicine and herbal treatments, external application of herbal medicine, massage and bone-setting, acupuncture, rehabilitation therapy, traction therapy, physical therapy, and exercise therapy. Surgical treatments are mainly for patients with myelopathic or radiculopathic cervical spondylosis whose symptoms have worsened significantly affecting work and life, or who have experienced muscle dysfunction or even muscle atrophy. Furthermore, other types of cervical spondylosis that are ineffective in conservative treatment, have poor results, or are recurrent, all fall within the scope of surgical treatments. Surgical treatments include minimally invasive procedures and conventional procedures, with the conventional procedures being divided into anterior cervical and posterior cervical approaches. Minimally invasive treatments include nucleolysis, percutaneous nucleotomy, PFDD, and radiofrequency ablation.

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Written by Li Jie
Orthopedics
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Cervical spondylosis cupping locations

We can roughly divide into two main categories. The first category is the Ashi points. What this means is using the pain point as the location for cupping. We can press the most painful part and use that as the center point for cupping; this is one method. The second method is the meridian acupoint method. We can perform a cupping treatment on the acupoints in the neck area, through which the treatment flows. For example, acupoints such as the Dazhui, Fengchi, and Fengmen in the neck area can all serve as the central points for cupping.

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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.

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Written by Li Jin
Orthopedics
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Do cervical spondylosis patients fear the cold?

Cold weather has certain effects on patients with cervical spondylosis, as cold weather can impact blood circulation, which may aggravate symptoms of neck pain and discomfort. Therefore, patients with cervical spondylosis should pay attention to protecting their neck and keeping warm during cold weather. Cervical spondylosis is primarily caused by degenerative changes in the cervical spine, chronic wear and tear, leading to neck pain, limited movement, and sensory and functional impairments. Therefore, patients with cervical spondylosis should also focus on resting, maintaining good posture, and may use heat applications, physical therapy, functional exercises for the neck, or medications to improve symptoms and slow the progression of the disease.