Cervical spondylosis is a common and prevalent disease in clinical practice today. In clinical manifestation, it can show different symptoms depending on the type of lesion. Generally, the common ones are: heaviness, soreness and pain in the back of the head and neck, shoulders and scapula with different emphasis, dizziness, headache, dull and unrefreshing head, numbness, numbness, pain and even weakness of the fingers of the upper limbs, and also palpitations and panic, suffocation and discomfort in the throat and chest, and even chest pain, distention and fullness in the stomach, dullness and stomach pain, etc. The clinical manifestations of cervical spondylosis are complex and diverse, because cervical spondylosis is clinically divided into various types such as cervical, nerve root, vertebral artery, spinal cord, sympathetic and other special manifestations, and the corresponding effects on the surrounding tissues are different due to the onset of the disease in different anatomical areas. Therefore, the treatment of cervical spondylosis should be diagnosed accordingly before selecting drugs. Generally, cervical spine X-rays are of great help in diagnosing cervical spine disease. When looking at the films, it is important not only to understand the osteophytes, but also to carefully analyze the relationship between the vertebrae, which is especially important for the typing diagnosis. There are many times in clinical practice when osteophytes in the cervical spine are found to be obvious during physical examination, but the symptoms of cervical spine disease are mild or even uncomfortable. Under normal circumstances, osteophytes are the repair of wear and tear and damage to the body’s bones and joints, which is a normal phenomenon in a certain physiological or pathological state, just as tables and chairs are reinforced with leg pads and wedges after years of use. So for the cervical spine is not a see hyperplasia on the medicine, but according to the size of the impact of symptoms to decide how to go to the doctor. Wang Ruiqi, Department of Traditional Chinese Medicine, The First Affiliated Hospital of Baotou Medical College
Attachment: cervical spondylosis subtypes
1, cervical type Degenerative changes in the cervical disc, acute and chronic injuries to the muscles, ligaments and joint capsule of the neck, and misalignment of small joints are the basic causes of this disease. It causes local or reflex head, neck and shoulder pain in the cervical spine. 2.Nerve root type Cervical disc herniation, cervical spine hyperplasia, hook joint and posterior joint degeneration, stimulation and compression of spinal nerve root, causing sensory and motor dysfunction. It is divided into acute and chronic types. 3. spinal cord type The spinal cord is compressed and ischemic due to factors such as bone redundancy at the posterior edge of the vertebral body, displacement of the vertebral body, hypertrophy of the ligamentum flavum, and spinal cord injury, causing spinal cord conduction dysfunction. 4. vertebral artery type The degenerative changes of the hook vertebral joint stimulate and compress the vertebral artery, causing incomplete blood supply to the vertebral artery; or the total length of the cervical vertebrae is shortened due to disc degeneration, and the balance between the vertebral artery and the length of the cervical vertebrae is destroyed. 5.Sympathetic type Degenerative changes of the cervical intervertebral discs stimulate and compress the sympathetic nerve fibers in the neck, causing a series of reflex symptoms. 6.Other types Refers to the esophageal compression type, which is caused by the compression of the esophagus by the bones of the anterior edge of the vertebral body.