How to determine cervical spondylosis

Written by Cheng Bin
Orthopedics
Updated on March 14, 2025
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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 Cheng Bin
Orthopedics
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Is cervical spondylosis serious?

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 Cheng Bin
Orthopedics
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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 Na Hong Wei
Orthopedics
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Can cervical spondylosis be cured?

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 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.

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Written by Cheng Bin
Orthopedics
45sec home-news-image

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.