In daily life, cervical spondylosis is a relatively common bone disease. Usually, there are many causes of cervical spondylosis, which is generally caused by long-term excessive work pressure. Suffering from cervical spondylosis can easily cause pain in other parts of the body, causing obvious pain in the neck, shoulders, and upper limbs, and can also easily lead to symptoms such as headaches and insomnia. What pain does cervical spondylosis cause? Generally, cervical spondylosis can cause the main symptoms of head, neck, shoulder, back, arm pain, neck stiffness, and limited movement. Neck and shoulder pain can radiate to the head and upper limbs, sometimes accompanied by dizziness, room spinning, severe cases with nausea and vomiting, bedridden, a few can be caused by vertigo, cataplexy, some have fever on one side of the face, sometimes abnormal sweating, heaviness in the shoulders and back, weakness in the upper limbs, numbness in the fingers, decreased sensation in the limbs, weakness in holding objects, and sometimes unconsciously dropping objects. Clinical manifestations The clinical symptoms of cervical spondylosis are relatively complex. The main symptoms include neck and back pain, upper limb weakness, numbness of fingers, lower limb weakness, difficulty walking, dizziness, nausea, vomiting, and even blurred vision, tachycardia and difficulty swallowing. The clinical symptoms of cervical spondylosis are related to the site of the lesion, the degree of tissue involvement and individual differences. 1. Cervical spondylotic radiculopathy (1) It has typical radicular symptoms (numbness, pain), and the range is consistent with the area innervated by the cervical spinal nerves. (2) Positive head pressure test or brachial plexus traction test. (3) The imaging findings are consistent with the clinical manifestations. (4) Pain point blocking has no significant effect. (5) Diseases other than the cervical spine, such as thoracic outlet syndrome, carpal tunnel syndrome, cubital tunnel syndrome, and frozen shoulder, which are the main causes of upper limb pain. 2. Cervical spondylotic myelopathy (1) Clinical manifestations of cervical spinal cord damage. (2) X-rays show bone hyperplasia at the posterior edge of the vertebral body and spinal canal stenosis. Imaging confirmed the presence of spinal cord compression. (3) Excludes amyotrophic lateral sclerosis, spinal cord tumors, spinal cord injury, multiple neuritis, etc. 3. Vertebral artery type cervical spondylosis (1) A history of cataplexy. Accompanied by cervical vertigo. (2) The neck rotation test is positive. (3) X-rays show segmental instability or bone hyperplasia of the axis joint. (4) Often accompanied by sympathetic nervous system symptoms. (5) Exclude vertigo caused by eyes or ears. (6) Except for the insufficiency of the basilar artery caused by compression of the vertebral artery segment I (the segment of the vertebral artery before entering the transverse foramen of C6) and the vertebral artery segment III (the segment of the vertebral artery before leaving the cervical vertebrae and entering the skull). (7) Vertebral arteriography or digital subtraction vertebral arteriography (DSA) is required before surgery. |
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