Cervical spondylosis!
Not just shoulder and neck pain
Severe times
Can lead to irreversible disability!
So everyone should pay attention
We’ve collected the 8 questions everyone wants to know the most
For example, is it cervical spondylosis if the neck is often stiff?
How to choose a pillow if the cervical spine is not good, etc.
Watch carefully, you will definitely gain something!
These symptoms occur frequently
Consider cervical spondylosis first
Neck pain, soreness and other symptoms of cervical spondylosis
Formerly common among middle-aged and older adults
It is also common among young people today
It’s about your work and lifestyle changes
For example, long-term use of computers, mobile phones, desk work, etc.
Sedentary, long-term bowing and other bad habits
is a high risk factor for neck, shoulder and back discomfort[1]
As many as half of people with cervical spondylosis
with symptoms of vertigo
Walking feels like stepping on cotton
is one of the common symptoms of cervical spondylotic myelopathy
About 10% to 15% of all cervical spondylosis[2,3]
Cervical degeneration, disc herniation
vertebral bone hyperplasia, etc.
both may cause spinal cord compression
Weak and unsteady walking
Easy to fall, etc.
Severely disabled
Of course, the eyes, ears, and nervous system
Some diseases can also cause dizziness
If these symptoms occur, you should go to the hospital in time
Because your disc is “haunted”!
Study finds that in degenerated discs
There are many structures called “Ruffini bodies”
Can cause vertigo
And transmit this feeling to the “vestibular nucleus” in the brain
Causes dizziness, tinnitus, palpitation, shortness of breath,
Balance disturbance, unsteady walking, etc.
Like a ghost possessed
Therefore, some scholars named it as
Ghost receptors (also known as “ghost receptors”) [2,3]
Orbital pain due to cervical spondylosis is less common
The nerves of the head and face are complex
Some nerves have broad jurisdiction
Can be managed from the cervical spine to around the orbit
For example, the greater occipital nerve, etc.
When degenerated discs, bone spurs press against them
will cause eye symptoms[4]
If only the eye socket hurts
Ophthalmology should be considered first
Ophthalmology can be visited
If you also have neck pain, shoulders
and back pain symptoms
May be related to cervical spondylosis
Ophthalmologist can be told
See if you want an orthopaedic consultation
There is a “click” sound when turning the head
Cannot be used as a diagnostic criterion for cervical spondylosis
Normal joints can also rattle during movement
This is because there is less air pressure in the joint cavity
When the position of the articular surface changes suddenly
Causing an air pressure imbalance in the cavity
The local gas diffuses rapidly, making a sound
The medical term is “joint snapping”
Most joint snaps are physiological
When cervical spondylosis is severe
Bone hyperplasia, ligament calcification, etc.
May be painful when twisting the head
If neck pain is accompanied by numbness, dizziness, etc.
It may indeed be cervical spondylosis, it is recommended to go to an orthopedic doctor
Pillow height
It is indeed one of the factors affecting the severity of cervical spondylosis[7]
For patients with cervical spondylosis
A pillow that is too low or too high is not good
Pillow too low or no pillow
When lying on your back
The cervical vertebra will be pushed back too much for a long time
Excessive forward bend occurs
Can increase airway resistance, resulting in poor breathing
Induces snoring and lowers blood oxygen levels during sleep
Over time can affect blood pressure, blood sugar
Wake up in the morning
The neck will also be significantly sore and heavy
Pillow is too high, it will bend the neck excessively
Alternatively, “in the nest”
It will also accelerate cervical spine degeneration
Also overstresses the muscles in the back of the neck
Causes muscle cramps
What is the proper height for a pillow? Don’t worry, I’ll tell you right away-
Length of pillow
It is advisable to exceed your shoulder width by 10~15 cm
Pillow height
after compression
It is better to be equal to or slightly lower than your own punch[8]
However, everyone’s cervical spine curvature is different
Different sleeping positions
Some like to lie on their back, some like to lie on their side
So can’t generalize
Best on the basis of one punch high
Try a few more pillows
As long as you sleep soundly
Won’t sleep because of the wrong pillow
No frequent stiff neck or neck discomfort
Just the right pillow for you
Don’t be overly superstitious
A functional pillow or mattress claiming to “protect the cervical spine”
Sleep comfortably is the best
If diagnosed with myelopathy, sympathetic cervical spondylosis
Or other types of cervical spondylosis with conservative treatment for 3 to 6 months without relief
Obviously affecting life and physical and mental state
Surgery is about to be considered
The effective rate of surgical treatment of cervical spondylosis is more than 90%[5,7]
Whether symptoms are completely relieved
Depends on the severity of the condition
Take cervical spondylosis as an example
If spinal cord compression is severe and prolonged
(How long, varies from person to person)
and surgery is not timely
Surgery can only relieve pressure
Avoid getting worse
But irreversible damage to the spinal cord is likely
This also reminds us that the neck is uncomfortable for a long time
Suspected cervical spondylosis
Be sure to go to the orthopedic doctor immediately
Don’t drag!
Remember to share it with friends who are often “stiff neck”
Then click to watch~
Reviewer: Tan Mingsheng |Chief Physician of Orthopedics, China-Japan Friendship Hospital
References
[1]. Cohen SP. Epidemiology, diagnosis, and treatment of neck pain. Mayo Clin Proc. 2015 Feb;90(2):284-99.
[2]. Iyer A, Azad TD, Tharin S. Cervical Spondylotic Myelopathy. Clin Spine Surg. 2016 Dec;29(10):408-414.
[3]. Yang L, Yang C, Pang X, Li D, Yang H, Zhang X, Yang Y, Peng B. Mechanoreceptors in Diseased Cervical Intervertebral Disc and Vertigo. Spine (Phila Pa 1976). 2017 Apr 15;42(8):540-546.
[4]. Ji Hong, Li Yunlin, Cui Cuiying, et al. Cervical eye pain and its treatment [J]. International Journal of Ophthalmology, 2009, 09(004):800-801.
[5].Xu Shaoting, Ge Baofeng, Xu Yinkan. Practical Orthopedics[J]. 2012.
[6].Ren S, Wong DW, Yang H, Zhou Y, Lin J, Zhang M. Effect of pillow height on the biomechanics of the head-neck complex: investigation of the cranio -cervical pressure and cervical spine alignment. Peer J. 2016 Aug 31;4:e2397.
[7]. Ando T. Diagnosis and management of cervical spondylosis. Rinsho Shinkeigaku. 2012;52(7):469-79.
[8]. Sacco IC, Pereira IL, Dinato RC, Silva VC, Friso B, Viterbo SF. The effect of pillow height on muscle activity of the neck and mid-upper back and patient perception of comfort. J Manipulative Physiol Ther. 2015 Jul-Aug;38(6):375-81.
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