Cervical spondylosis seems to have nothing to do with chest pain. Chest pain often gives people the impression of heart disease, such as arrhythmia, or symptoms of angina pectoris. However, medical experts tell us that cervical spondylosis can also cause chest pain, which is somewhat similar to the manifestation of cardiovascular disease. If it is not well diagnosed, misdiagnosis often occurs, which will delay the patient's treatment. Symptoms of cervical spondylosis 1. Cervical type: ① Complaints of abnormal sensations such as pain in the head, neck, and shoulders, accompanied by corresponding tender points. ② The X-ray film shows changes in the curvature of the cervical spine or instability of the intervertebral joints. ③ Other neck diseases (stiff neck, frozen shoulder, rheumatic myofibrosarcoma, neurasthenia and other shoulder and neck pain not caused by intervertebral disc degeneration) should be excluded. 2. Radiculopathy type: ① It has typical radiculopathy symptoms (numbness, pain), and the range is consistent with the area innervated by the cervical spinal nerves. ②The head pressure test or brachial plexus traction test is positive. ③The imaging findings are consistent with the clinical manifestations. ④ Pain point blocking has no significant effect (this test can be omitted if the diagnosis is clear). ⑤Except diseases with upper limb pain mainly caused by extra-cervical spine diseases (thoracic outlet syndrome, tennis elbow, carpal tunnel syndrome, cubital tunnel syndrome, periarthritis of the shoulder, biceps tenosynovitis, etc.). 3. Spinal cord type: ① Clinically, there are manifestations of severe damage to the cervical spine. ②X-ray films show bone hyperplasia at the posterior edge of the vertebral body and spinal canal stenosis. Imaging confirmed the presence of spinal cord compression. ③Exclude amyotrophic spondylosis, spinal cord tumors, spinal cord injury, secondary adhesive meningitis, and multiple peripheral neuritis. 4. Vertebral artery type: ① There has been a history of cataplexy. Accompanied by cervical vertigo. ②The neck rotation test is positive. ③X-rays show segmental instability or bone hyperplasia of the axis joint. ④ Often accompanied by sympathetic symptoms. ⑤Exclude ocular and otic vertigo. ⑥Except for the basilar artery insufficiency caused by compression of the vertebral artery segment I (the vertebral artery segment before entering the transverse foramen of C6) and the vertebral artery segment III (the vertebral artery segment before leaving the cervical vertebrae and entering the skull). ⑦Vertebral artery angiography or digital subtraction vertebral arteriography (DSA) is required before surgery. 5. Sympathetic nervous type: Clinical manifestations include a series of sympathetic nervous system symptoms such as dizziness, blurred vision, tinnitus, numbness of hands, tachycardia, precordial pain, etc. X-rays show instability or degeneration. Vertebral artery angiography is negative. |
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