Is cervical spondylosis serious?

Written by Cheng Bin
Orthopedics
Updated on September 21, 2024
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The severity of cervical spondylosis largely depends on the clinical symptoms of the patient. If the patient with cervical spondylosis experiences discomfort and stiffness in the neck, along with headaches, dizziness, nausea, vomiting, blurred vision, hearing loss, unsteady walking, a sensation of stepping on cotton, numbness and weakness in both upper limbs, and swelling pain, it indicates that the cervical spondylosis is very serious and has caused significant compression on the vertebral artery and spinal nerve roots. Such patients need to be actively treated, and if necessary, surgical treatment should be carried out, involving the removal of the intervertebral disc and decompressive surgery to expand the spinal canal.

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Written by Guan Yu Hua
Orthopedic Surgery
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How to do cervical traction for cervical spondylosis?

Cervical traction therapy can restore the physiological curvature of the cervical spine to relieve the compression of nerves and blood vessels caused by cervical spondylosis. You can purchase a cervical traction device from a pharmaceutical company or pharmacy, as it is a ready-made product. Additionally, there is an integrated traction belt made from canvas, which grips the forehead, lower jaw, and the back of the head. The belt then folds into a triangle shape upwards, with a loop in the middle through which a rope is threaded. This rope can be hung from a beam or a traction frame. By holding the rope, you perform a neck traction exercise by pulling upwards. This vertical traction can alleviate the symptoms of cervical spondylosis. It is recommended to perform traction once or twice daily, ideally morning and evening, with each session lasting about 20 minutes. Typically, symptoms can be relieved in about seven to ten days, and this is quite beneficial for cervical spondylosis. Additionally, when sleeping, try to use a low pillow, and avoid prolonged periods of bending your head down or engaging in activities such as working at a desk, playing mahjong, reading, or using a computer. Generally, following these guidelines can help prevent the recurrence of cervical spondylosis.

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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 Cheng Bin
Orthopedics
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How to relieve cervical spondylosis?

For the issue of alleviating cervical spondylosis, usually, patients need to pay attention to rest and protection, apply local heat, avoid looking down for long periods or keeping the neck in one position. Routine activities such as swimming, flying kites, or playing badminton can help strengthen the neck muscles and thereby better protect the cervical spine. Additionally, patients should use medications that expand blood vessels, non-steroidal anti-inflammatory painkillers, and drugs that nourish the nerves, and combine these with acupuncture, massage, traction, massage, electrotherapy, and cupping therapy. These physiotherapeutic methods are more beneficial for the clinical symptoms improvement of patients with cervical spondylosis. (Please use medication under the guidance of a doctor.)

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Written by Li Jie
Orthopedics
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What to do if cervical spondylosis causes vomiting?

Vertebral artery type cervical spondylosis may cause nausea and vomiting. This is because the vertebral artery runs through the transverse foramen in the cervical spine. If the patient has cervical disc herniation or cervical hyperostosis that compresses the vertebral artery in the transverse foramen, it can cause spasm of the vertebral artery. This leads to insufficient blood supply to the brain, resulting in symptoms such as headaches, dizziness, nausea, vomiting, and blurred vision. Once these symptoms occur, we recommend that patients first limit the movement of the cervical spine. Secondly, some drugs that improve microcirculation and alleviate cerebral ischemia can be used. Thirdly, antiemetic medications, which are also commonly used clinically, can be employed. If conservative treatment is ineffective and the condition recurs frequently, surgical treatment should be considered. (Specific medications should be used under the guidance of a doctor.)

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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.