Can cervical spondylosis be cured?

Written by Na Hong Wei
Orthopedics
Updated on September 17, 2024
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Can cervical spondylosis be cured?

First, it is necessary to understand what cervical spondylosis is. Cervical spondylosis refers to a series of diseases characterized by clinical symptoms due to degenerative changes in the cervical intervertebral disc and its secondary pathological changes that involve surrounding tissues, including the spinal cord, nerve roots, blood vessels, and sympathetic nerves. Therefore, the main causes of cervical spondylosis are:

First, the degenerative changes of the cervical intervertebral disc, which is the degeneration of the cervical disc, begin to degenerate from the age of twenty, mainly showing a decrease in the elasticity and toughness of the annulus fibrosus and dehydration of the nucleus pulposus. This is a normal aging process of the human body and cannot be changed.

Second, the degeneration of the cervical intervertebral disc causes secondary pathological changes, mainly referring to the formation of peripheral osteophytes, relaxation of the intervertebral joints, leading to joint instability, and ossification of the posterior ligament causing spinal canal stenosis. Therefore, analyzing from the cause, cervical spondylosis is a necessary process as the body ages from youth to old age, so it cannot be cured. It is only possible to slow down the aging process or, through other means, prevent the degenerative changes from causing too much compression on the surrounding tissues, leading to too many symptoms.

In summary, cervical spondylosis cannot be cured.

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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 Na Hong Wei
Orthopedics
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Treatment of Cervical Spondylosis

The treatment of cervical spondylosis includes two aspects. The first is non-surgical treatment, which mainly involves immobilization of the neck, followed by physical therapy for the neck, including massage, acupuncture, and treatments with microwaves or shock waves, as well as cervical traction. Prevention is also important, which includes correcting poor work postures and sleeping positions. If the pain is very severe, one might consider taking some non-steroidal anti-inflammatory painkillers, etc. Secondly, if there is severe pain due to nerve root type or spinal cord type cervical spondylosis, and there is evident neurological dysfunction, or if the symptoms of cervical spondylosis usually do not alleviate or even worsen after systematic and conservative treatment, surgery is often required. Therefore, the treatment of cervical spondylosis generally includes both non-surgical and surgical treatments, and the specific method used depends on the condition of the disease.

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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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What is cervical spondylosis and what are the symptoms of cervical spondylosis?

In clinical practice, cervical spondylosis refers to the condition where the cervical spine experiences growth and degeneration of bone tissues, along with ossification of the posterior longitudinal ligament, exerting pressure and irritation on the spinal cord, nerves, and blood vessels. This results in a series of symptoms of nerve compression, which can be diagnosed as cervical spondylosis. After developing cervical spondylosis, a patient may exhibit increased muscle tone in the limbs and weakened muscular strength. Symptoms include numbness in the limbs, which can affect walking activities. When walking, there may be a sensation as if stepping on cotton, and pathological reflexes can appear in the lower limbs. Additionally, some patients may experience dizziness, nausea, and vomiting. Diagnostic clarity can be achieved through electromyography, cervical spine X-rays, CT scans, and MRI.

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Written by Na Hong Wei
Orthopedics
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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.