Clinical features of cervical radiculopathy and what are the symptoms of cervical radiculopathy

Symptoms are mainly caused by a sudden or persistent dull pain, severe pain or numbness in the neck and occipital or neck and shoulder, and along the direction of the affected nerve root, stringing to the place where the nerve root is distributed; Gradually, one side of the upper limbs, the back of the hand, the fingers, etc., may also appear radiating severe pain accompanied by numbness, the pain is burning or knife-like, accompanied by pinprick or over-electric string numbness; When the neck is moved or coughed, sneezed or forced, the pain and numbness can be aggravated, and the patient does not dare to laugh out loud when joking, and the radiating pain is related to the segment of the cervical spine lesion. In addition, there may be heaviness in the upper limbs, soreness and weakness, loss of grip strength, falling objects, etc., and even the pen cannot be held, and it is difficult to hold other things in the hand. At night, the neck, shoulders and upper limbs may have more severe pain, tossing and turning, and the affected limb is prone to soreness and numbness when sleeping.

The most typical symptom of cervical radiculopathy is numbness in the fingers and arms, which is caused by herniated discs, bone spurs, and pressure on the nerve roots, so it is called radiculopathy, which is a disease caused by the structure of the spine.

There are related manifestations of cervical radiculopathy, so what are the symptoms of cervical radiculopathy?

Radiculopathy symptoms include poor vision. Many patients think that vision loss is caused by excessiveness, but in fact, cervical radiculopathy can also have symptoms of vision loss, and patients are mainly characterized by blurred vision, eye swelling and tearing during the onset of the disease.

Symptoms of cervical radiculopathy also include limited movement of the neck. The main reason is that the neck and shoulder muscles are stiff, the neck is very uncomfortable and laborious, and the range of activity is also seriously reduced than before, and even the soreness of bones and muscles during activity, and I feel that I have no strength, which is one of the important symptoms of cervical radiculopathy, mainly because of the hyperplasia of the bones in the cervical spine, the limited space for bone movement, and the compression of nerves, which will produce a series of adverse reactions.

Answer]: B Cervical spondylosis refers to a clinical syndrome caused by cervical disc degeneration and its secondary intervertebral joint scuffle degeneration caused by Chunmingbu spinal cord, spinal nerve roots, vertebral artery or sympathetic nerve involvement. Cervical radiculopathy is the most common type and presents with a positive brachial plexus traction test.

A, a positive Thomas sign is more common in hip acacia nucleus. C, a positive object test is more common in lumbar tuberculosis. D, a positive straight leg raise test is more common in sciatica and lumbar disc herniation.

E, positive 4-figure sign is more common in sacroiliac joint lesions.

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Cervical radiculopathy is the most common in clinical practice, and patients often complain about it

1) Neck, shoulder and arm pain and finger numbness: pain is the main symptom of radicular cervical spondylosis. In the acute stage, the patient's head movement can cause pain in the neck, shoulder, and arm, or loose pain in the upper limbs, often accompanied by numbness in the fingers, which is heavier at night, affecting rest.

Patients with chronic diseases often experience neck or shoulder and back pain, and pain in the upper limbs or numbness in the fingertips.

2) Muscle strength of the upper limbs is weakened, and muscle atrophy is manifested as easy to fall off when the patient holds objects and movement disorders.

3) Neck stiffness: patients with cervical spondylosis often have symptoms of cervical haircuts, which are manifested as muscle tension on one or both sides of the back of the neck in the acute stage, and local tenderness.

Cervical disc herniation or cervical hyperostosis compression occurs on the nerve that controls the hand.

(1) Have a correct understanding of the disease and establish confidence in overcoming the disease: the course of cervical spondylosis is relatively long, and the degeneration of the push disc, the growth of bone spurs, and the calcification of ligaments are related to the growth of age and aging. The condition often recurs, and the symptoms may be severe during the attack, affecting daily life and rest.

Therefore, on the one hand, it is necessary to eliminate fear and pessimism, and on the other hand, it is necessary to prevent the mentality of getting by and give up the positive**.

2) About rest: patients with acute attack or initial attack of cervical spondylosis should pay proper attention to rest, and those with severe conditions should stay in bed for 2-3 weeks. Bed rest plays an important role in the relaxation of neck muscles, the reduction of muscle spasms and the pressure of head weight on the intervertebral discs, and the resolution of tissue compression edema.

However, the bed rest time should not be too long, so as not to cause muscle atrophy, tissue adhesion, joint adhesion and other changes, hindering the recovery of cervical spondylosis. Therefore, in the intermittent and chronic phases of cervical spondylosis, work should be appropriately attended. There is no need for long-term breaks.

3) Maintenance: The human body is like a complex machine, which often needs to be maintained. In particular, cervical spondylosis itself is a degenerative disease, and it is necessary to protect the neck and avoid unnecessary damage as much as possible.

Whether it's sleep, rest. Or study and work, and even some daily actions, we must maintain good habits, and never forget the protection of the cervical spine. At the same time, it strengthens the neck muscles.

For cervical spondylosis, you can take the traditional Chinese medicine royal health tea (9 flavors.

Bao Gu Tong) conditioning, has a good effect on cervical spondylosis. Mild cervical spondylosis should be maintained to avoid aggravation. Recommendations:

1. Within an hour of working with your head down, you should get up and move for a while;

2. Avoid getting cold, especially after sweating, don't be blown by the cold wind;

3. Avoid carrying heavy loads on your shoulders and overwork;

4. Relax your emotions, calm your mind, and keep your heart of joy (joy from the heart);

Always sore shoulders and neck? Hurry up and test yourself to how many levels of cervical spondylosis you have.

If you feel neck pain, discomfort accompanied by bilateral or unilateral shoulder and arm soreness, or even numbness in your fingers, you should consider cervical radiculopathy.

The main feature of cervical radiculopathy is the atrophy of the muscles in the innervated area, the patient will have radial nerve pain, and the surrounding sensation will be reduced, most commonly pain or numbness in the radial or ulnar half of the hand.

Cervical radiculopathy usually develops after middle age and has an intermittent course. The prominent symptom is radicular drilling or knife-like pain in the neck, which can radiate from the cervical nerve root to the shoulder, upper and forearm, and even the hand, and its location is mostly confined to a single or a few nerve roots on one side.

Cervical radiculopathy: neck pain and neck stiffness are often the first symptoms. Some patients also have pain in the shoulder and medial border of the scapula.

The affected side of the upper limb feels heavy, has decreased grip strength, and sometimes falls from the holding object. There may be symptoms of vascular motor nerves, such as swelling of the hands. Muscle atrophy may occur in advanced stages.