What examination should cervical spondylosis do?

Physical examination, including local tenderness points, range of motion of cervical spine and some cervical spine examinations. In addition, in order to locate diagnosis or differential diagnosis, nervous system examinations such as sensation, movement and reflex are sometimes appropriately selected. For example, the distribution area of sensory disturbance in hands and upper limbs is directly related to the location of cervical involvement. Therefore, it is helpful to diagnose by checking the boundary, volume and other senses besides pain, such as warmth, touch and deep feeling. Exercise examination is mainly about muscle tension, muscle strength, gait and so on. Reflex examination generally includes biceps brachii reflex, triceps brachii reflex, brachioradialis reflex and other pathological reflexes such as Hoffman's sign.

Routine auxiliary examination. It is mainly X-ray examination, which can take plain films of cervical spine in positive position, lateral position and oblique position, and can also take dynamic (over-flexion and over-extension) lateral films. Special auxiliary examinations include tomography (or tomography), myelography, vertebral artery angiography, CT and magnetic resonance imaging. In addition, in order to differentiate diagnosis, cerebrospinal fluid examination, electromyography, cerebral rheogram and other examinations can be carried out as needed.

Routine examination refers to the basic examination of each patient, including detailed medical history and physical examination, such as:

② Examination of cervical mobility: Root type and neck type have great influence on cervical flexion and extension; Vertebral artery types have greater influence on cervical rotation.

① Location of tenderness point: For example, tenderness between spinous processes is more common in the early stage of lesions. How to treat cervical spondylosis?

③ Experimental examination and sensation of cervical vertebra: examination of dyskinesia and reflex.

Special imaging examination of cervical spine: including tomography, CT scanning, nuclear magnetic resonance and other radiography for cervical segment.

X-ray examination: All patients with cervical spondylosis should take X-rays in the positive position, lateral position and double oblique position.