Cervical Spine Vascular Issues: Symptoms and Solutions

Cervical vascular issues

Hello, doctor.
A year ago, I underwent cervical traction therapy due to cervical degeneration.
However, after just one session of traction, my body began to undergo significant changes.
Initially, I experienced dizziness, headaches, rapid heartbeat, insomnia, and unsteadiness while walking (with poor balance on the left side), as well as abnormal sensations on the left side, forgetfulness, and I couldn't find the cause despite undergoing numerous tests including X-rays, MRI, cervical ultrasound, and EEG, all of which yielded no results.
I have been managing with medication for a year and continue to monitor my condition.
Currently, I feel that my left limbs have an unusual sensation, almost as if there is no blood flow.
I experience a persistent tightness or pressure in my head (on the left side) daily, along with ongoing forgetfulness and difficulty retaining information.
My cognitive function seems impaired, and even slight mental exertion leads to a rapid heartbeat and abnormal sensations on one side of my body.
I also continue to have unsteadiness and imbalance while walking, and my limb movements feel uncoordinated.
I am now worried about the risk of developing dementia, stroke, or brain atrophy.
Could you please provide any suggestions to help me identify the underlying cause and treatment options? I would be very grateful.
Thank you.
🙏

Zhi Mu, 20~29 year old female. Ask Date: 2020/07/22

Dr. Jiang Junyi reply Neurology

Hello, based on your description, if rehabilitation does not yield satisfactory results, an MRI of the cervical spine may be considered.
The symptoms you mentioned may be related to cervical disc herniation, which often exacerbates nerve root pain during coughing or sneezing.
A disc protruding posteriorly or posterolaterally can compress the nerve roots, leading to clinical symptoms; similarly, degeneration of the posterior cervical joints and osteophyte formation (bone spurs) can also compress the nerve roots.
Approximately one-quarter of patients with cervical disc herniation experience not only numbness but also sensory loss, and one-third may exhibit muscle weakness.
Diagnosis typically requires various examinations, including clinical neurological assessments, electromyography (EMG), somatosensory evoked potentials (SSEP), cervical spine X-rays, and even cervical spine MRI.
Treatment for cervical disc herniation is determined based on the severity of pain and the degree of nerve root or spinal cord compression.
Most symptoms are temporary and respond well to conservative treatments (such as medications and physical rehabilitation).
If the symptoms persist after 6 to 12 weeks of treatment, surgical intervention may need to be considered.
I recommend consulting a neurologist or a rehabilitation physician to discuss further evaluation and treatment options.
Wishing you good health and peace.
Dr.
Jiang, Neurology, Taoyuan Hospital, cares for you.

Reply Date: 2020/07/22

More Info

Understanding cervical spine vascular issues can be complex, especially when symptoms are vague and multifaceted. Based on your description, it seems you are experiencing a range of neurological symptoms following cervical traction therapy. These symptoms include dizziness, headaches, palpitations, sleep disturbances, balance issues, and sensory changes in your left limbs.
Firstly, it's important to recognize that the cervical spine houses critical structures, including the vertebral arteries, which supply blood to the brain. Degenerative changes in the cervical spine can lead to compression or irritation of these vascular structures, potentially resulting in symptoms like those you are experiencing. The symptoms of dizziness, imbalance, and cognitive difficulties could be indicative of reduced blood flow to the brain, possibly due to cervical spine issues.

Your experience of feeling "off-balance" and having abnormal sensations in your left limbs may suggest that there is some degree of neurological involvement. This could be due to cervical radiculopathy, where nerve roots are compressed, leading to pain, weakness, or sensory changes. Additionally, the feeling of tightness or pressure in your head could be related to tension-type headaches or even cervicogenic headaches, which originate from cervical spine issues.

Given the extensive testing you have undergone, including X-rays, MRI, and neurological evaluations, it is crucial to ensure that all potential causes have been thoroughly investigated. If these tests have not revealed any significant findings, it may be beneficial to consider a few additional steps:
1. Consult a Specialist: If you haven't already, consider seeing a neurologist or a neurosurgeon who specializes in cervical spine disorders. They can provide a more in-depth evaluation and may suggest further imaging studies or diagnostic tests.

2. Physical Therapy: Engaging in a structured physical therapy program can help improve neck strength and flexibility, which may alleviate some of your symptoms. A physical therapist can also provide exercises to improve balance and coordination.

3. Cervical Spine Rehabilitation: If cervical traction has exacerbated your symptoms, it may be worth exploring alternative rehabilitation methods that focus on gentle mobilization and strengthening of the cervical spine without the use of traction.

4. Lifestyle Modifications: Incorporating stress-reduction techniques such as mindfulness, yoga, or meditation may help manage symptoms like anxiety and improve overall well-being. Additionally, maintaining a healthy diet and staying hydrated can support vascular health.

5. Monitor Symptoms: Keep a detailed log of your symptoms, noting any triggers or patterns. This information can be invaluable for your healthcare provider in determining the best course of action.

6. Consider Vascular Evaluation: If vascular issues are suspected, a vascular specialist may perform tests such as Doppler ultrasound to assess blood flow in the cervical arteries.

7. Mental Health Support: Given your concerns about cognitive decline and mental health, it may be beneficial to speak with a mental health professional. Cognitive behavioral therapy (CBT) can help address anxiety related to your symptoms.

8. Regular Follow-ups: Ensure you have regular follow-ups with your healthcare providers to monitor your condition and adjust treatment plans as necessary.

In conclusion, while your symptoms are concerning, there are multiple avenues to explore for diagnosis and treatment. It is essential to work closely with your healthcare team to identify the underlying causes and develop a comprehensive management plan. Your proactive approach in seeking answers is commendable, and with the right support, you can work towards improving your quality of life.

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