How is cervical spondylosis treated?

  Cervical spondylosis, also known as cervical spine syndrome, is a general term for cervical osteoarthritis, proliferative cervicitis, cervical nerve root syndrome and cervical disc prolapse, and is a disorder based on degenerative pathological changes. It is a clinical syndrome with a series of dysfunctions mainly due to long-term cervical spine strain, osteophytes, or disc prolapse and ligament thickening, resulting in compression of the cervical spinal cord, nerve roots or vertebral artery.  It manifests as a series of pathological changes of cervical disc degeneration itself and its secondary effects, such as destabilization and loosening of vertebral joints, protrusion or prolapse of the nucleus pulposus, formation of bone spurs, ligamentous hypertrophy and secondary spinal stenosis, etc., which stimulate or compress the adjacent nerve roots, spinal cord, vertebral artery and cervical sympathetic nerve and other tissues, and cause various symptoms and signs of the syndrome.  The symptoms of cervical spondylosis are very rich, diverse and complex, and most patients start with mild symptoms that gradually worsen later, while some have more severe symptoms. This is related to the type of cervical spondylosis suffered, but often there are few simple types, and one type is the main type and one to several types are mixed together, which is called mixed cervical spondylosis, so that the symptoms are very rich, diverse and complex. Its main symptoms are head, neck, shoulder, back and arm pain, neck and neck stiffness and restricted movement. The neck and shoulder pain can be radiated to the head and occipital region and upper limbs, some are accompanied by dizziness, house rotation, heavy cases are accompanied by nausea and vomiting, bedridden, a few can have vertigo and sudden collapse. Some have fever on one side of the face and sometimes abnormal sweating. There is a feeling of heaviness in the back of the shoulder, weakness in the upper limbs, numbness in the fingers, loss of sensation in the skin of the limbs, weakness in holding objects in the hands, and sometimes unconscious gripping of objects to the ground.  Other patients have weakness in the lower limbs, unstable walking, numbness in the second foot, and a feeling like stepping on cotton when walking. When cervical spondylosis involves sympathetic nerves, dizziness, headache, blurred vision, swelling of the second eye, dryness, inability to open the second eye, tinnitus, ear blockage, loss of balance, tachycardia, panic, tight c feeling in the chest, some even have symptoms such as gastrointestinal distention. A few people experience loss of control of bowel movements and urination, sexual dysfunction, and even tetraplegia. There are also symptoms such as dysphagia and dysphonia. These symptoms are related to the degree of onset, the duration of onset, and the individual’s physical condition. Most of the symptoms are mild at the onset and are not taken seriously, most of them can recover on their own, sometimes light and sometimes heavy. If the disease is left untreated for a long time, it can cause psychological damage and produce symptoms such as insomnia, irritability, anger, anxiety and depression.  There are still some misunderstandings in the diagnosis and treatment of cervical spondylosis.  1.Inappropriate repeated traction. Cervical traction is currently one of the more effective methods of treating cervical spondylosis, but inappropriate repeated traction can lead to relaxation of the ligaments attached to the cervical spine, accelerate degenerative lesions and reduce the stability of the cervical spine.  2.Repeated blind massage and reset. The pathogenesis of cervical spondylosis is complex, before doing massage and reset treatment must exclude spinal stenosis, serious disc herniation, cervical instability, etc. Spinal cervical spondylosis absolutely prohibits gravity massage and reset, otherwise it is very easy to aggravate the symptoms, and can even lead to paraplegia 3, do not pay attention to the recovery of cervical physiological bending in the treatment process. Blind traction, so that the muscles and ligaments of the neck are in a long-term non-physiological state, will cause chronic damage, so in the treatment process should pay attention to the recovery and maintenance of the physiological bending of the cervical spine.  4, too unilaterally exaggerate the effect of surgical or non-surgical treatment methods.  5.Take the prevention of cervical spondylosis lightly. Long-term fixed a posture, easy to cause soft tissue strain in the neck, and gradually develop into cervical spondylosis.  The treatment of cervical spondylosis is mainly divided into non-surgical treatment and surgical treatment.  Non-surgical treatment: The treatment for cervical spondylosis is mainly non-surgical.  For cases with mild symptoms, the symptoms can be reduced with proper rest and some anti-inflammatory and pain-relieving drugs such as Fenbid and sodium diclofenac. If combined with acupuncture and physiotherapy, good results can be achieved. In order to restrict the movement of the neck, a neck brace can be worn. Pain symptoms can usually be relieved within 2 weeks to 1 month.  If the symptoms are still significant, traction treatment can be performed. Cervical traction is the main means of non-surgical treatment for cervical spondylosis. The purpose of traction is to open up the cervical space and reduce the compression caused by herniated discs, as well as to rest the neck and release the spasm of the cervical muscles. With the above treatment methods, some of the pain caused by cervical spondylosis will disappear.  If nerve root symptoms such as pain and numbness occur, the doctor can also control the pain with a nerve block. In the acute phase of pain, medication can be injected directly into the inflamed nerve root. In the chronic phase, the pain is generally considered to be caused by a vicious cycle of pain, so sympathetic nerve blocks that promote blood circulation should be used first, and epidural blocks can be performed if the results are not good, etc.  Surgical treatment: If the spinal cord itself is compressed, resulting in motor paralysis, urination or defecation disorders, the doctor may recommend surgical treatment. However, it is important not to think that “there is no alternative to surgery” just because medication and traction treatments do not work.