Cervical spondylosis without neck pain

  In our clinical practice, we find that many patients think that cervical spondylosis must be accompanied by pain in the neck and neck, and often doubt the diagnosis of specialists because they feel that there is “no problem” with the cervical spine. Many patients with dizziness, headache, numbness or pain in the arm, when asked if they have any discomfort in the cervical spine, will readily answer “there is no problem in the cervical spine, and it has nothing to do with the cervical spine”. When the cervical neck is pressed during the palpation examination, painful expressions and avoidance responses appear, but the patient denies the pain and thinks that the doctor used too much force during palpation, but in fact the pressure point is often a misaligned joint or diseased soft tissue.  In fact, the harm of cervical spondylosis does not necessarily cause pain in the cervical region.  Because the cervical spine can damage different tissue structures (nerve roots, spinal cord, vertebral artery, veins, soft tissue, etc.) and behave differently, cervical spondylosis can be divided into six types: nerve root type, vertebral artery type, spinal cord type, cervical sympathetic type, cervical type and mixed type. Cervical spine lesions can cause different symptoms, such as: vertigo, nausea, headache, shoulder and arm pain, upper limb numbness, tinnitus, trigeminal neuralgia, facial palsy, facial muscle spasm, chest tightness, chest pain, palpitation, arrhythmia, abnormal blood pressure, etc. This shows the complexity of cervical spondylosis, so some cases need to be diagnosed by a specialist in combination with multiple tests. Nevertheless, most of the cases will achieve good results if they are diagnosed accurately and treated properly.