Is arm numbness a symptom of cervical spondylosis or frozen shoulder?

Although arm numbness is a characteristic manifestation of cervical spondylosis, it cannot rule out the possibility of frozen shoulder, some cervical spondylosis can be combined with frozen shoulder, neck pain and arm numbness symptoms, so these two diseases need to be specially diagnosed, and it must be clear whether it is simple cervical spondylosis, or simple frozen shoulder, or cervical spondylosis combined with frozen shoulder. Classification and diagnostic criteria of cervical spondylosis How can I distinguish cervical spondylosis from frozen shoulder? What is the relationship between the two, what are the similarities, and how can they be clearly distinguished?

According to experts from Changchun Orthopedic Hospital, the difference between the two can be distinguished from shoulder pain, tender points, pain nature and concomitants, muscle atrophy, X-ray and other items: (1) Tender points Frozen shoulder is most common in the tender points attached to the shoulder by the long and short head of the biceps brachii and along the anterior and posterior or humeral segments of the deltoid muscle, and there can be tender points between the acromion and the greater tuberosity of the humerus through the supraspinatus tendon, and in individual cases, tenderness can also occur in trapezius, infraspinatus, teres minor, etc. Cervical spondylosis has no tender points in the shoulder, but tenderness in the shoulder and neck, such as paravertebral muscles and neck muscles in the occipital bone attachment, trapezius muscles, supraspinatus muscles, infraspinatus muscles, levator scapulae muscles, rhomboids and teres muscles majority, etc.

2) Nature of pain and accompanying symptoms Frozen shoulder can induce dull pain and soreness when moving the shoulder joint, and the pain is limited to the shoulder, accompanied by the dysfunction of the shoulder joint, and the prominent is the restriction of lifting, abduction and rotation, and no neurological symptoms such as sensory impairment. The pain of cervical spondylosis is often numbness, burning, and radiating pain, which mostly radiates to the hand, and there is no impaired movement of the shoulder joint; Shoulder pain with neck pain and discomfort and neck stiffness and impaired neck mobility, numbness and pain in the upper limbs and fingers, and sometimes sensory disturbances in the numb fingers of the arm. (3) Shoulder pain Frozen shoulder is mainly localized shoulder pain.

It is characterized by dysfunction of the shoulder joint, inability to lie on the affected side, more pain worsening at night, and no symptoms of numbness in the fingers. Cervical spondylosis is mainly caused by neck shoulder and back pain and discomfort, the pain of lifting and lifting the upper limbs is reduced, and the pain is aggravated when stretching and sagging, and the pain is radicular, mostly accompanied by radiation numbness or numbness of the arm. (4) Muscle atrophy Frozen shoulder, the muscles around the shoulder may be atrophied, such as deltoid, biceps, supraspinatus, etc.

Cervical spondylosis is manifested by atrophy of upper limb muscles such as shoulder, arm, and hand, but atrophy of intrinsic muscles in the hand is more common. (5) X-ray X-ray of frozen shoulder is mostly normal, and in some cases, the joint space is slightly narrow, or calcified spots in the soft tissues around the shoulder joint can be seen, and those who have been ill for a long time may have osteoporosis and decalcification. X-rays of cervical spondylosis can show abnormal alignment and physiological curvature of the cervical spine, and degenerative lesions such as bone and joint hyperostosis.

Expert tips: The location, time, mode and scope of pain of cervical spondylosis are different from those of frozen shoulder, and the course and development of the two are not the same, and they are even more different, so they must be carefully identified and symptomatic.

Frozen shoulder may cause numbness in the arm around the shoulder, usually with elevation, rotation, and limited forward and backward swing of the upper limb on the affected side. If the nerves are compressed due to cervical spine discomfort, neck and shoulder pain and arm numbness may occur. It is recommended that you come to the orthopedic department of the hospital for a specific examination of the neck and shoulder.

Yes, if you have frozen shoulder, you can use Zhengshang Magnetic Therapy Patch, which has a very good effect on relieving pain.

Classification and complications of cervical spondylosis.

Cervical radiculopathy can easily lead to numbness of the upper limbs, muscle weakness, and irreversible muscle atrophy.

Vertebral artery cervical spondylosis leads to insufficient blood supply to cerebral rolling, resulting in phenomena such as dizziness, migraine, cataplexy, etc., and severe type of patients with severe preparedness induce stroke.

Sympathetic cervical spondylosis can cause symptoms such as palpitation, heartbeat, insomnia, and dreaminess.

Mixed cervical spondylosis is the condition in which there are two or more types of cervical spondylosis.

Cervical myelopathy is the most serious type of cervical spondylosis, which can easily cause incontinence and high paraplegia if not timely.

It is recommended to prevent the cervical spine from being damp, cold, and tired in daily life, and the height of the pillow is about 15cm, and it is forbidden to bow the head for a long time, raise the head, and move sharply suddenly, and try not to answer for more than 30 minutes in each posture.

Insist on exercising once in the morning and evening, with moderate and moderate activity, slow movements, stay for 3-5 seconds for each movement, and try not to be less than 15 minutes for each exercise.

Changsha Geriatric Hospital has advanced orthopedic technology, so it is an orthopedic hospital that you can trust.