Cervical spondylosis of all shapes and sizes

  Cervical spondylosis refers to a variety of conditions caused by cervical spine osteoarthropathy or (and) soft tissue lesions inside and outside the cervical spinal canal. Due to the different sites and segments of cervical spine lesions, the types and severity of the compressed tissues are different, the symptoms vary greatly, and the clinical manifestations are diverse, so it is very easy to misdiagnose. For example, patient Liu, female, 50 years old, had recurrent dizziness, migraine, tinnitus, blurred vision, palpitation and chest tightness, hypertension, weakness of limbs, cold hands and feet, abdominal pain and diarrhea for 4 years, and was diagnosed with menopausal syndrome, hypertension, cardiac neurosis, migraine, chronic gastroenteritis and other diseases in several hospitals, with unsatisfactory symptom control, and gradually developed neck pain with weakness of the right upper limb, and took The cervical spine film revealed straightening of the physiological curvature of the cervical spine, obvious hyperplasia of the cervical 3 and 4 hook vertebral joints, narrowing of the cervical 5/6 intervertebral space, and MRI showed that the cervical 5/6 intervertebral disc protruded to the right posterior side. After 2 weeks of treatment with cervical traction, massage, physiotherapy and stellate ganglion block, the symptoms disappeared completely except for pain and numbness in the right upper limb, and the blood pressure also returned to normal, and after radiofrequency treatment of the herniated disc, the pain and numbness in the right upper limb disappeared.  Cervical spondylosis can be divided into seven types according to pathological features and clinical manifestations.  1.Cervical type, which is caused by soft tissue injury and strain in the neck and shoulder area, resulting in headache, pain and discomfort in the neck and shoulder area, and limitation of neck movement.  2.Neurogenic type, due to cervical disc herniation or osteophytes or soft tissue lesions causing radicular pain, manifested as upper limb pain, numbness, muscle atrophy and weakness, etc.  3, spinal cord type, due to cervical disc herniation or osteophytes or yellow ligament hypertrophy caused by spinal cord compression degeneration, appearing weakness of the limbs, lower limb stiffness, walking with a cotton-like feeling.  4.Vertebral artery type, mainly due to insufficient blood supply to the vertebral artery caused by dizziness, tinnitus, etc.  5, sympathetic nerve type, mainly cervical sympathetic nerve irritation or compression, can be manifested as sympathetic excitation symptoms or inhibition symptoms, such as dizziness, headache, tinnitus, migraine, visual impairment, palpitations and chest tightness, hypertension, hypotension, asthma, gastrointestinal dysfunction (abdominal pain and diarrhea or constipation), menstrual disorders, fear of cold and heat, cold limbs, insomnia, dreaminess, weakness of limbs, anxiety, tension, nervousness, and many other Clinical manifestations.  6.Other types, such as cervical disc protrusion or vertebral frontal osteophytes stimulating the esophagus or phrenic nerve, manifesting as dysphagia or refractory eruption.  7, mixed type, mainly for two or more types of mixed symptoms, can be manifested as a variety of clinical manifestations, and even feel that the whole body is sick.  Therefore, if the whole body has a variety of symptoms and conventional treatment is not effective, it should be investigated to see if it is suffering from cervical spondylosis.