Do cervical spondylosis patients fear the cold?

Written by Li Jin

Orthopedics

Updated on September 07, 2024

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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.

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Written by Xie Yi Song

Orthopedics

1min 55sec

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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.

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Written by Na Hong Wei

Orthopedics

1min 25sec

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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.

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Written by Cheng Bin

Orthopedics

53sec

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How is cervical spondylosis treated?

The treatment plan is primarily determined by the severity of the patient's cervical spondylosis. If the cervical spondylosis is very severe, for instance, if the patient suffers from leg pain, numbness, and instability while walking, and conservative treatment fails to improve these symptoms, significantly affecting the patient's normal functions, it is essential to actively conduct CT and MRI scans. If the patient has a significant disc herniation and severe spinal canal stenosis, surgical treatment becomes necessary. Typically, the surgery requires general anesthesia and is performed either from the anterior or posterior approach of the cervical spine. The procedure involves the removal of the disc and decompression of the spinal canal, followed by intervertebral bone grafting and fusion surgery.

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Written by Li Jie

Orthopedics

1min 13sec

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Does cervical spondylosis hurt?

Cervical spondylosis is a very common disease in clinical practice, and it has many pathological types. Generally, we divide it into nerve root type cervical spondylosis, spinal cord type cervical spondylosis, local type cervical spondylosis, vertebral artery type cervical spondylosis, sympathetic nerve type cervical spondylosis, and mixed type cervical spondylosis. Pain is a major symptom in these types of cervical spondylosis, but some cervical spondylosis do not primarily present with pain, and the pain experienced can vary widely. For example, the pain in local type cervical spondylosis primarily manifests as localized pain in the cervical region; in nerve root type cervical spondylosis, the pain is typically a shooting pain in the extremities, particularly radiating pain in the upper limbs; in spinal cord type cervical spondylosis, the pain is not very typical and mainly presents as weakness in the limbs; in vertebral artery type and sympathetic nerve type cervical spondylosis, the primary manifestation is pain in the head, with less noticeable pain in the limbs. Thus, while pain is a common symptom in patients with cervical spondylosis, the characteristics of the pain vary.

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Written by Liu Yan Hao

Neurology

54sec

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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.