Features of headaches caused by cervical spondylosis

Written by Kuang Tao
Orthopedics
Updated on November 12, 2024
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Cervical spondylosis can also cause headaches, and the headaches caused by cervical spondylosis have their own characteristics compared to headaches caused by other reasons. Headaches resulting from cervical spondylosis generally stem from the irritation or compression of the cervical vertebrae and vertebral arteries due to the growth of cervical bone spurs, leading to constriction of these arteries and insufficient blood supply to the cerebral arteries, causing headaches and dizziness. Typically, these headaches are accompanied by symptoms of dizziness. Additionally, the headache is related to the movement of the neck and cervical spine, and neck movements can intensify the headache.

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Written by Li Jie
Orthopedics
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Symptoms of cervical spondylosis

Cervical spondylosis is a very common clinical disease, which is classified into different types, each with distinct symptomatic characteristics. Let's discuss them broadly. Local type cervical spondylosis primarily manifests with local cervical pain, neck stiffness, and restricted neck movement. Cervical radiculopathy mainly features symptoms such as upper limb sensory changes, numbness, radiating pain, or weakness in the extremities. Myelopathy type cervical spondylosis presents with symptoms like weakness in the limbs, unstable walking, urinary or fecal dysfunction, or even severe symptoms like paralysis of the limbs. Sympathetic and vertebral artery type cervical spondylosis mainly have symptoms including headache, dizziness, blurred vision, nausea, unclear vision, and excessive sweating, among others. There is also a special type called esophageal cervical spondylosis, where patients might experience symptoms like esophageal compression.

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Written by Na Hong Wei
Orthopedics
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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 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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What should I do about cervical spondylosis?

Having cervical spondylosis is not a big deal as long as you understand two things, which basically suffices. The first point is to determine the specific type of cervical spondylosis, as the treatment depends on the type, and different strategies are adopted for different types. The second point is to have a clear concept that once cervical spondylosis occurs, it is basically incurable. Therefore, it is essential to understand the concepts of healthcare and prevention. Let's discuss the types of cervical spondylosis. Clinically, cervical spondylosis is categorized into six types: cervical type, nerve root type, spinal type, sympathetic type, vertebral artery type, and mixed type. Cervical type cervical spondylosis generally does not require surgical treatment. The nerve root type responds best to traction. The spinal type generally requires surgical treatment. Vertebral artery type treatment involves treating both the cervical spine and arteriosclerosis. The mixed type involves the coexistence of two or more types of cervical spondylosis, and they are treated together. As for prevention, which is crucial for cervical spondylosis, it is important to pay attention to rest, maintain good sitting and standing postures, protect the cervical spine from cold, and perform appropriate cervical spine exercises to strengthen neck muscles. If cervical spondylosis episodes occur, remember not to self-medicate and seek proper treatment plans from a hospital.

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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.