Ms. Jiang called to ask: I am an IT industry employee, long-term overtime has made my neck more and more uncomfortable, neck, shoulder tightness, swelling pain. Recently, I went to the hospital for a film examination, and the doctor said it was cervical spondylosis, so am I sure this is cervical spondylosis and how to determine it? Doctor’s answer: Cervical spondylosis mainly involves the cervical intervertebral disc and surrounding fibrous structures, accompanied by obvious degeneration of cervical nerve roots and spinal cord. The main clinical symptoms include pain in the head, neck, arms, hands and forehead, and there may be progressive sensory and motor disorders in the limbs. In severe cases, weakness of the limbs, even incontinence and paralysis may occur. When the vertebral artery and sympathetic nerve are involved, clinical manifestations such as dizziness, panic and heartbeat may occur. The main causes of cervical spondylosis include: strain, long-term head and neck in a single posture position, prone to cervical spondylosis. Head and neck trauma, some patients have cervical spinal canal in a narrow critical state due to cervical spine osteophytes, cervical disc bulge, soft tissue lesions in the spinal canal, etc., and neck trauma can easily induce the symptoms. Bad posture, such as lying in bed watching TV, sleeping on a high pillow, etc. In the treatment of cervical spondylosis, the doctor will advise the patient to choose non-surgical treatment or surgical treatment according to his or her specific situation. After the patient is diagnosed, non-surgical treatment can be considered first if there are no manifestations such as paralysis of the body below the neck, varying degrees of sensory and motor impairment, and worsening or sudden intensification of spinal cord compression symptoms. For example, acupuncture, tui na, acupoint injection, acupoint application, Chinese medicine fumigation, Chinese medicine sealing package, physical therapy, functional training, etc. Only a small number of patients with serious conditions need to receive surgical treatment. In addition, in recent years, minimally invasive surgery is also the first choice for patients with cervical and lumbar spondylosis.