Do I have to have surgery to treat cervical spondylosis? What should I do?
Do I have to have surgery to treat cervical spondylosis? What should I do?
Thanks for the invite!
The cervical spine does not always require surgery; quite the contrary, conservative treatment of cervical spine disease is more than 90% effective.
What kind of cervical spondylosis requires surgery?
1, nerve root type: patients with severe symptoms, such as arm pain or numbness, through drugs or physical therapy is difficult to get relief, drugs and physical therapy conservative treatment for 3 months ineffective situation; the appearance of nerve root damage, such as the innervation of the muscle weakness or hand muscle atrophy, the nerve root of the spinal cord of the compression of the heavier;
2、Spinal cord type: the patient walks with the feeling of stepping on cotton, etc. Surgery should be performed as soon as possible upon diagnosis;
3、Sympathetic type: there are obvious imaging compression manifestations, while conservative treatment is difficult to get relief.
Therefore, this question only emphasizes the MRI manifestations, and it is not for any doctor to judge whether to operate or not. The indication for surgery for cervical spondylosis also needs to be judged based on the patient's symptoms, signs, and the results of previous formal treatment.
Thank you for your question. Do I have to have surgery to treat cervical spondylosis? Of course not. Surgery is only necessary when cervical spondylosis has progressed to a certain level and non-surgical treatment is not effective. Let's take a look at the classification of cervical spondylosis, which can be categorized into: cervical spondylosis, neurogenic cervical spondylosis, spinal cord cervical spondylosis, vertebral artery cervical spondylosis, sympathetic nerve cervical spondylosis, and esophageal compression cervical spondylosis. For cervical spondylosis its non-surgical treatment methods are many, mainly:
(1) Pharmacological treatment: selective application of painkillers such as celecoxib and etoricoxib; the nutritive nerve drug methylcobalamin; and the muscle relaxant etipirasone have a certain effect on the relief of symptoms. Supportive treatment with glucosamine sulfate and chondroitin sulfate can be tried.
(2) Exercise therapy: When the symptoms of each type of cervical spondylosis are basically relieved or in a chronic state, medical gymnastics can be started to promote the further elimination of symptoms and consolidate the therapeutic effect. During the acute attack of symptoms, it is advisable to take localized rest, and it is not advisable to increase the stimulation of exercise.
(3) Home remedies: Correcting and improving poor sleeping and working positions. Regular rest and moderate head-up training. Choose the right pillow to prevent trauma and pillow fall. Avoid cold.
(4) Other therapies: physiotherapy, massage, tuina, acupuncture and acupoint injections, which can relieve cervical spondylosis.
(5) Physical therapy: go to the hospital can do shock wave: therapy can effectively improve blood circulation, the right dose, strengthen the oxygen supply of the tissue as well as nutrition to reduce ooze. Promote the discharge of inflammatory and pain-causing substances, can effectively promote the absorption of edema, that is, anti-inflammatory and swelling effect is significant. Interferential current: as well as hyperstimulation current therapy can improve the local blood circulation of the person, so it can also play a role in reducing inflammation and swelling.
Surgery is an option only if the above treatments are ineffective.
I hope the above answer can help you.
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Very few cervical spine surgeries are performed, and even those who do have cervical spine surgeries are mostly for one type of cervical disc herniation that causes symptoms, and the others are not necessary at all, and even if they are, they don't relieve the other problems.
Fewer cervical spine surgeries
For patients with cervical disc herniation, surgery is also a very small portion, much less than the probability of having surgery for lumbar disc herniation, due to the fact that cervical spine surgery is much more dangerous compared to the lumbar spine, and because the cervical spine bears less weight than the lumbar spine, fewer cervical disc herniations cause symptoms.
Reporting does not indicate diagnosis
You have multiple herniated discs at C3-4, C4-5, and C5-6 with osteophytes at the vertebral margins, physiologic curvature present, and the largest herniation at C5-6, which is only shown in the MRI, indicating that your cervical spine degeneration is more severe, and doesn't mean that they are the cause of your symptoms.
And the surgery wasn't clean.
Do you still want to put so many discs are operated, moved to do the examination can still be found herniation! Therefore, like when the onset of cervical spondylosis, do nuclear magnetic or CT found that the degeneration of the cervical disc, must not be blindly diagnosed as cervical disc herniation, of course, most of these problems are still left to the doctor to worry about it!
Analyze from the symptomatic point of view
The general management of cervical spondylosis is retrograde from the symptoms, that is, based on the characteristics of the symptoms, to determine whether the symptoms are caused by neck muscle problems, or small cervical joint disorders, or cervical disc herniation? Just like you, doing tests for multiple herniated discs, then look for radiating pain.
Physical modalities of treatment
This kind of radiating pain, can appear in the shoulder, back, upper limbs and other parts of the body, usually do the pressure top test symptoms will appear temporary aggravation, you can find the corresponding excitation point in the neck, combined with the imaging to confirm the diagnosis, the treatment is to relax the neck muscles, assisted by traction, and finally to take the head pulling and turning the neck method to restore cervical spine moving movement.
concluding remarks
In fact, online, serious doctors will advise you to seek medical attention or give you a diagnosis in person, and will not tell you the exact treatment in case you only provide a report. You don't have to agonize over the treatment plan, the doctor will formulate it according to your condition, you just have to find a doctor that you can accept his methods and trust.
Cervical spondylosis is best treated without surgery. Instead, physical therapy such as cervical traction should be used.
In the meantime, it is advisable to learn about the Angstrom mattress, which is a new method of treating cervical spondylosis, a mechanical treatment technique. It also has a pillow. It can be used as a regular mattress.
Surgery is certainly not necessary for cervical spondylosis, and very few cervical spondylosis patients actually require surgical intervention. Even if there is a cervical disc herniation, it is rare that surgery is needed.
Here you have given only the imaging findings: cervical sequences are available, with mild osteophytes at the vertebral margins; herniated discs at C3-4, C4-5, and C5-6; compression of the dural sac, predominantly at C5-6; and no abnormal signaling in the cervical medulla.
As a doctor, objectively speaking your question is not conclusive at this time? A comprehensive analysis based on history, symptoms, signs, and imaging is needed to make a determination.I can only analyze your disease first, based on my experience, to giveOverall treatment principle.
[Disease Analysis and Recommendations]
Magnetic resonance imaging (MRI) suggests herniated discs at C3-4, C4-5, and C5-6, with C5-6 being the most prominent. This indicates the presence of a herniated disc.
However, the exact degree of herniation, direction of herniation, and dural sac compression could not be clarified because the films were not seen.
In addition basic patient information (age, sex, occupational habits, etc.) and medical history are very important; time of illness, duration of illness, specific symptoms, and any history of trauma must be stated.
No data was given on the physician's examination, i.e., specific pain sites, muscles and nerves involved, cervical mobility and limitations, presence of radiating numbness, pain, etc.
In summary, this case is not a straightforward case to determine whether surgery is needed.
[Disposition】
The answer to medical questions cannot be easily concluded, and requires face-to-face communication between the doctor and the patient, a systematic physical examination, and a combination of various test results before a final diagnosis can be made. Here we can only use the doctor's experience to make a brief judgment, as well as to explain the general principles of diagnosis and treatment.
However, based on the MRI showing no compression of the cervical cord and the authors' experience, if there is no persistent upper extremity numbness or weakness, no lower extremity sensory abnormality, a cotton-stepping sensation on the left side of the body, and no urinary or bowel dysfunction. There would be no need for surgery.
And in most clinical cases, neck pain, back pain, numbness of the upper extremities and other symptoms, in fact, has very little to do with the cervical disc herniation. Cervical disc herniation is just an anatomical change, just like cervical degeneration, which is a normal human degeneration, and it is often not the cervical disc that causes the symptoms (the same is true for the lumbar disc). It can be said that the "cervical/lumbar discs" are the most aggrieved, and they have been taking the blame for various symptoms for a long time. (For a more detailed explanation, please refer to other articles in Dr. Gao's Physical and Mental Rehabilitation).
[How to treat without surgery?]
Bottom line: find the real cause of neck discomfort (it has to be the real, underlying cause) and then apply a variety of treatments flexibly for effective treatment.
Remember: there is no one-size-fits-all medical treatment for all whiplash problems!
Dr. Gao's Physical and Mental Rehabilitation is dedicated to the popularization of physical and mental rehabilitation and health knowledge. Dr. Gao focuses on the popularization of health knowledge, especially on various kinds of physical symptoms that have not been found to be abnormal in medical examinations, or are still unexplained after repeated visits to the doctor, as well as intractable and persistent musculoskeletal pains and other illnesses. Thank you for your attention, likes, comments and retweets!
Whether or not to undergo surgery for whiplash depends on the patient's own symptoms, but also on whether or not the whiplash has gotten to the point where surgical treatment is necessary.
The most common type of cervical spondylosis is cervical cervical spondylosis, its main symptom is the stiffness of the muscles around the neck, neck pain and swelling, if the early treatment, most of them can be cured, you can physical therapy, acupuncture, cupping, topical ointment GeYouTang, massage, etc., can play a better therapeutic effect, which the ointment is made of pure traditional Chinese medicine, and is the most safe.
If you have spinal cord spondylosis, the only treatment is surgery, and if your spondylosis is not treated conservatively, it is best to undergo surgery.
This depends on what type of cervical spondylosis, general type, conservative treatment can be, the spinal cord type depends on the development of what degree, if the development of walking like stepping on cotton, or in a boat, eating and swallowing difficulties, there are signs of forward flopping and falling, which will have to resort to surgical treatment!
Surgery removes only the result of the problem, the cause is still there that problem can still flare up.
For example, if a substance has mold on it, and the floor has mold, and you remove the floor, then the mold will still grow, and it could grow on the bed, on the walls, on the ceiling.
Does it make sense?
Hello! If the platysma compression is severe it has to be treated surgically! At this point pills and injections won't do much good, it's all about fixing the medullary compression of the nerves after 30 ⭕.
The cervical discs begin to degenerate and the water content of the nucleus pulposus gradually decreases.
The elasticity and load resistance of the intervertebral disc also decreases at present there is this can break through the cervical spondylosis treatment difficulties, creating a new technology for bone treatment
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