Cervical spondylosis is a common degenerative disease of the spine, a syndrome in which degenerative changes in the cervical intervertebral disc involve the surrounding tissue structures and result in corresponding clinical symptoms. It is common in middle-aged and elderly people, and the incidence of cervical spondylosis in young people has gradually increased in recent years due to the popularity of computers. The symptoms are diverse due to the different tissues involved, mainly pain and numbness in the neck, shoulders and back, anterior chest wall and upper limbs, accompanied by headache, dizziness, chest tightness, panic, tinnitus, deafness, blurred vision, nausea, vomiting, swallowing discomfort, sweating, insomnia, blood pressure changes, etc. In severe cases, the limbs are numb and weak, and even paralysis occurs. Patients with cervical spondylosis must receive standardized treatment in a timely manner, and avoid unnecessary secondary damage to health because of the wrong choice of treatment. At present, there are many misconceptions in the understanding and treatment of cervical spondylosis. First, the misconceptions: 1, cervical spine osteophytes is cervical spondylosis Many patients with cervical spine film worriedly said to the doctor: “I have cervical spondylosis, the situation is still very serious, you see if I develop to the end will be paraplegia.” The doctor took the X-ray picture and saw that there was only mild osteophytes in the cervical spine, and then gave him other examinations, which did not reveal any clinical signs and symptoms. X-ray examination and other imaging examinations only reflect changes in bone and tissue structure, and it is an auxiliary examination means for doctors to clinically diagnose cervical spondylosis, which can only be diagnosed when the X-ray examination matches the symptoms and signs of the doctor’s clinical examination. At present, most scholars in the medical field believe that those who simply have cervical spine osteophyte image manifestations without clinical manifestations cannot be diagnosed as cervical spondylosis. Therefore, you should not conclude that you have cervical spondylosis based on an X-ray alone. 2. If you feel soreness in your neck and shoulders, you think it is cervical spondylosis. Most of the soreness in the neck and shoulders is still caused by muscle fatigue. Most of the real cervical spondylosis has symptoms such as radioactive pain or numbness in the upper limbs and a feeling of stepping on cotton in the feet, so don’t equate the soreness in the neck and shoulders to cervical spondylosis. 3, some young people often turn their heads when the cervical spine sound, they think they have cervical spondylosis. Many young people just work with their heads down for a long time, very habitual activity of the neck, once you hear the neck emit a popping sound, you feel that the neck is much smoother, and clinical examination, no obvious symptoms and signs were found. The reason why the neck makes a “click” sound when you turn your head is mainly due to friction between the ligaments and bones in the neck, not cervical spondylosis. In fact, cervical spondylosis is still a common disease among middle-aged and elderly people, and the rate of young people is not high, but bad habits and long-term ambulatory work when you are young do increase the possibility of future disease. Second, the treatment of misconceptions: 1, inappropriate repeated traction. Cervical traction is one of the more common methods of treating cervical spondylosis, but inappropriate repeated traction can lead to relaxation of the ligaments attached to the cervical spine, accelerating degenerative lesions and reducing the stability of the cervical spine. Cervical spine traction should be individualized according to the type of cervical spondylosis and the specific situation, the weight, direction and time of traction are strictly required, if there is no individualized traction treatment plan, there may be aggravation of symptoms and counterproductive. 2, repeated blind massage, reset. Cervical spondylosis pathogenesis is complex, before doing massage and reset treatment must exclude spinal stenosis, serious disc herniation, cervical instability, etc. Spinal cervical spondylosis absolutely prohibit gravity massage and reset, otherwise it is very easy to aggravate the symptoms, and can even lead to paraplegia. In addition, appropriate massage can relieve the tension of the neck muscles and fascia and reduce neck pain, but if the force is too large, it will lead to further damage to the soft tissues, although after vigorous massage, a short period of time feel more comfortable, but the pain will reappear after a few hours, and some will be heavier than the original symptoms. This is because of the edema of muscles caused by vigorous massage, repeated vigorous massage, repeated edema, forming a non-benign cycle, the result is that the force is getting bigger and bigger, but the disease can not be cured. In addition to paying attention to the strength of the technique in the massage treatment, it is also necessary to master the time of the massage. Many patients believe that the greater the strength of the massage, the better, the longer the better, and the longer the time, in the case of unchanged strength, the greater the amount of stimulation received by the human tissue, the damage is aggravated. 3, super physiological range of motion. Some cervical spondylosis can be effectively relieved by exercise, but some patients are eager to recover from treatment, not in accordance with the needs of the condition to carry out practical functional exercise, but to do a lot of super-physiological range of movement, such as substantial shaking of the neck, resulting in further damage to the neck muscles, and because of excessive movement, excessive pulling force on the cervical spine, making the cervical spine more prone to osteophytes, further protrusion of the intervertebral disc and aggravate the condition, and even form new symptoms. Therefore, the exercise of the cervical spine must be appropriate, preferably under the guidance of a doctor, in order to achieve the purpose of exercise. 4. The effect of non-surgical treatment methods is overstated. Not everyone’s cervical spondylosis will get better with conservative treatment, and sometimes surgery may be the wiser choice. For spinal cord type cervical spondylosis should be treated with early surgery to release spinal cord compression and save nerve function, and timely surgical treatment can achieve better results. Some patients have severe impairment of spinal cord function or even paralysis due to fear of surgery or excessive belief in conservative treatment, which delays the timing of surgical treatment, and nerve function cannot be well recovered after surgery. I hope these above contents will be helpful to you, and I wish all patients a speedy recovery.