How to treat cervical spondylosis

  Cervical spondylosis is a general term. Common clinical classifications include localized, radicular, spinal, and vertebral artery types, with some noting that there is also a sympathetic surname, but this is not common in clinical practice. Each type is treated differently, and the characteristics of each type are described in the following categories: (1) Localized type, which is the most common type, mainly manifests as neck pain and discomfort with or without shoulder pain, but not with extremity symptoms. X-rays show straightening of the cervical spine and mild osteophytes. This type of treatment is mainly conservative treatment, neck massage, hot compress, and external ointment are often effective. Be careful not to sleep on high pillows, do not work with your head down for a long time, and pay attention to changing your posture. It should be noted that even with this type, a mild herniation of the disc may still occur with an MRI of the cervical spine. That is to say, MRI shows that a herniated disc does not necessarily mean that the spinal cord is compressed and does not necessarily require hand.  (2) Nerve root type, that is, the disc protrudes to the side and compresses the nerve root, in addition to neck pain, it is also accompanied by numbness and soreness in one or both upper limbs, which can radiate all the way to the fingers, and most patients show numbness in the inner arm and ring finger of the little finger and poor muscle strength of the hand. Early rehabilitation is possible, including cervical traction and nerve dehydration treatment. If the results are not significant and MRI shows significant disc herniation, surgery is required. However, some menopausal female patients also feel numbness and discomfort in their fingers, which is not neurogenic cervical spondylosis and should be distinguished. In other words, feeling numbness in the hands and MRI showing a herniated disc are not necessarily neurogenic cervical spondylosis. The hand numbness caused by neurosis manifests as numbness of the whole hand, and there is no determination of which fingers.  (3) Spinal cord type, that is, the disc protrudes to the posterior side and compresses the spinal cord. The spinal cord belongs to the central nervous system and is responsible for the coordination of the sensory movements of the limbs and the control of urination and defecation. MRI shows that one or several segments of the disc protrude posteriorly and the spinal cord is compressed. This type has the greatest impact on life, and it is not easy to recover, so once diagnosed, surgery should be performed immediately.  (4) Vertebral artery type, cervical spine osteophytes compress the vertebral artery, resulting in insufficient blood supply to the head, and the symptoms are mainly dizziness and lightheadedness. The symptoms are mainly dizziness and lightheadedness, aggravated by head movement and rotation of the ceiling when lying down. The diagnosis of this type relies on clinical symptoms, cervical spine plain film shows cervical spine osteophytes, and cervical ultrasound shows vertebral artery stenosis. MRI of the neck has no significant significance. Treatment is based on improving the circulation, either intravenous safflower, thromboxane or Danshen Chuanxiongzin injection (recommended), and oral herbal Chuanxiongzin tablets also have significant efficacy.  Of course, in many cases the patient does not have just one type, but shows a mixed type of cervical spondylosis, such as dizziness and hand numbness at the same time, which may be a combination of vertebral artery and nerve root type.