Effects of treating sympathetic cervical spondylosis

  Sympathetic cervical spondylosis is a group of sympathetic nerve irritation in the neck caused by degenerative changes in the cervical spine.  In addition to nerve stimulation, the degeneration of the cervical spine, changes in the physiological curvature of the cervical spine, misalignment of the synovial joints, vertebral instability, and bone spurs of the hook vertebral joint and vertebral body can cause stimulation and compression of sympathetic nerve endings in the vertebral artery, dural sac, posterior longitudinal ligament, and joint capsule, resulting in a series of symptoms through the spinal cord or brain-spinal reflex. This evidence is mostly found in menopausal women.  Sympathetic cervical spondylosis develops due to factors such as cervical disc degeneration and segmental instability, which cause stimulation of sympathetic nerve endings around the cervical spine, resulting in sympathetic nerve dysfunction. The incidence of this type of disease accounts for about 5% of cervical spondylosis. Although its incidence is not high, it has a wide range of symptoms and affects a wide range of areas, including the head, five senses, upper trunk, upper limbs and internal organs of the affected side, with most of them showing sympathetic excitation symptoms and a few showing sympathetic inhibition symptoms.  All areas of sympathetic nerve distribution can be affected and thus pain, sensory abnormalities, vasomotor disorders, glandular secretion abnormalities and nutritional disorders can occur, especially the dysfunction of internal organs and five senses. Sympathetic pain is characterized by acidity, pressure, burning and dull pain, deep sites, blurred boundaries, and diffuse spread without conduction along the route of the nerve trunk.  Since the surface of the vertebral artery is rich in sympathetic nerve fibers, when sympathetic nerve function is disturbed it often involves the vertebral artery, resulting in abnormal diastolic function of the vertebral artery. Therefore, sympathetic cervical spondylosis is often associated with inadequate blood supply to the vertebral basilar artery in addition to symptoms of several systems in the body. The clinical manifestations of sympathetic cervical spondylosis mainly include: (1) Eye distension and pain, photophobia and tearing, blurred vision, reduced vision, gold stars in front of the eyes, and dry eyes. Nasopharynx discomfort, pain, nasal congestion, or a sense of odor. Tinnitus, hearing loss. Throat discomfort, foreign body sensation, belching, toothache, etc.  (2) Headache, migraine, dizziness, dull head, pain in the occiput or back of the neck, facial fever, congestion, numbness, etc.  (3) Coldness, cyanosis, woodiness, pain, edema, decreased skin temperature or redness of finger ends, burning sensation, pain, swelling, etc. of the limbs.  (4) Cyanosis, coldness, dryness, thinning of the skin, excessive or little sweating, excessive hair or dryness and loss of hair, dry and lusterless nails, etc.  (5) Panic, arrhythmia, precordial pain, paroxysmal tachycardia, unstable blood pressure, etc.  (6) Insomnia, dreaminess, irritability, easy impulsiveness, nausea, belching, stomach pain, diarrhea or constipation, frequent urination, urinary urgency, amenorrhea, etc.  1.Explain the condition with popular reasoning There are many patients who want to understand the symptoms, condition, cause and pathology of their cervical spondylosis clearly, but medicine itself is limited by the development of science, patients cannot understand all the pathogenesis of the disease, at this time, if the pure medical reasoning is used to explain, but the patient is in a fog, increasing the patient’s doubts. Therefore, the explanation of the disease should be as common as possible, the patient can accept the reasoning to explain.  2. Real-time explanation with examples During the treatment process, patients can tell about other patients’ conditions and their experience of getting better, so that they can enhance their confidence in overcoming the disease, and can encourage communication among patients so that they can exchange their experience of the disease and complement each other’s strengths, thus satisfying patients’ herd mentality and enabling them to feel the solidity of sharing the pain with others.  When explaining the condition of patients with cervical spondylosis, you should neither exaggerate the effects of the disease nor downplay the condition. When explaining the condition, the attitude should be relaxed, which is very important to patients. For patients with heavy doubts, they should repeatedly and tirelessly explain that the chance of dangerous lesions is very small and can be avoided as long as precautions are taken, and cured cases can be cited to explain until the patient’s doubts are eliminated.