The cervical spondylosis is committed and the neck hurts
Modern people are busy with work, fast in life, and stressed. They have been working at desks for a long time, using computers, and not paying attention to cervical spine health. This has led to an increase in the incidence of cervical spondylosis every year. Cervical spondylosis is mainly due to long-term cervical strain, bone hyperplasia, or herniated discs, and thickened ligaments, which causes cervical spinal cord, nerve roots or vertebral artery compression, resulting in a series of clinical syndromes of dysfunction. The cervical spine is located between the head, chest and upper limbs, and is the smallest of the vertebrae in the spine, but it has the most flexibility, the highest frequency of movement, and the heavy weight. It is extremely prone to occur due to various loads, strains, and even trauma. Degenerate. If the neck is in a posture for a long time, working at a desk, operating a computer, looking down at a mobile phone, high pillow, etc., it is easy to cause neck muscle strain and cervical spine degeneration. The initial manifestations of patients with cervical spondylosis are neck and shoulder pain and numbness of the hands, and some are dizzy or even unstable. When the symptoms of pain in the back of the neck appear in daily life, you should be alert to the occurrence of cervical spondylosis, which is an early warning signal of the body to the disease. It wants to tell you that it is time to let your cervical spine rest. When there is only neck and shoulder discomfort, most of them are myofascitis caused by strain. If it is not controlled at an early stage, chronic pain will form and it will be easy to repeat attacks and leave a "pathogen".
what type of cervical spondylosis do I belong to?
The classification of cervical spondylosis is very important. The treatment methods and prognosis of different types of cervical spondylosis are different. Cervical spondylosis is mainly divided into four types:
1. Cervical spondylotic radiculopathy
This type has the highest incidence. The main lesions are: the narrowing of the intervertebral foramen causes the compression of the cervical spinal nerve, which is more common in the 4-7 cervical vertebrae. High incidence age group: 30 to 50 years old. Main symptoms: early symptoms are neck pain and neck stiffness; upper limb radiation pain or numbness, this pain and numbness radiate along the direction of the compressed nerve root and innervation zone, sometimes symptoms appear and relieve and the patient's neck position and Posture has a clear relationship; the upper limb of the affected side feels heavy, the grip strength decreases, and sometimes the object falls.
2. Cervical spondylotic myelopathy
This type is the most dangerous, the main lesions are: cervical spine lesions cause spinal cord compression, inflammation, edema and so on. High incidence age group: 40 to 60 years old. Main symptoms: Numbness, heavyness in lower extremities, difficulty walking, sensation of walking on feet; Numbness, pain in upper extremities, weakness in hands, inflexibility, fine movements such as writing, buttoning, holding chopsticks, etc. are difficult to complete, and objects are easy to fall; sensation appears on torso Abnormal, patients often feel like a strap-like sense of binding on the chest, abdomen, or both lower extremities.
3. Vertebral artery type cervical spondylopathy
The main lesions are: insufficient blood supply due to bone spurs, vascular changes or lesions. High incidence age group: 30 to 40 years old. Main symptoms: paroxysmal vertigo, diplopia accompanied by nystagmus; sometimes accompanied by nausea, vomiting, tinnitus, or hearing loss, these symptoms are related to changes in neck position; sudden weakness of the lower limbs, but consciousness, mostly in the head and neck Occurs at the location; occasionally numbness of the limbs and abnormal sensation.
4. Sympathetic cervical spondylopathy
The main lesions are: various neck lesions provoke sympathetic nerve endings on nerve roots, joint capsules or term ligaments. High incidence age group: 30 to 45 years old. Main symptoms: dizziness, headache, poor sleep, memory loss, difficulty concentrating; bulging eyes, blurred vision; tinnitus, ear plugging, hearing loss; stuffy nose, "allergic rhinitis", foreign body sensation in the throat, dry mouth, Vocal cord fatigue, etc.; nausea or even vomiting, bloating, diarrhea, indigestion, belching, etc.; palpitations, chest tightness, heart rate changes, arrhythmia, blood pressure changes, etc.; sweating, sweating, chills or fever on the face or a certain limb.
In addition to the above four types, clinically common symptoms of the above four types occur at the same time, we call it mixed type. Currently, the clinical manifestations of cervical spondylotic radiculopathy and cervical spondylotic myelopathy are typical, so the diagnosis and treatment are less controversial, while the clinical manifestations of vertebral artery cervical spondylosis and sympathetic cervical spondylosis are more common than neurological diseases and otolaryngology diseases. Similarly, there is much controversy in diagnosis and treatment.
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