the Impact of Cervical Spine Straightening on Nerve Health - Neurosurgery

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Loss of cervical lordosis?


Hello, doctor.
I previously experienced numbness in my hands and feet, so I consulted an orthopedic doctor who said it was due to a straightening of the cervical spine.
I underwent some rehabilitation exercises, and the numbness in my limbs has improved (although my cervical spine remains straight).
However, now I feel nauseous and uncomfortable throughout the day while awake, which is starting to affect my work.
Additionally, my hands and feet seem to easily get strained (when I lift something slightly heavy, my hands experience some pain, but it subsides after a while).
Could this be related to nerve compression from the cervical spine? Are there any methods to restore the natural curve of the cervical spine?

A Dong, 20~29 year old female. Ask Date: 2013/06/03

Dr. Ding Xianwei reply Neurosurgery


Due to the lack of direct examination, the following suggestions are based solely on experience.
Overuse or improper use of the cervical spine can lead to a loss of its natural curvature.
This may result in symptoms such as numbness and pain, so it is important for you to pay attention to your lifestyle and work habits, avoiding maintaining a fixed posture for too long, including looking at screens or bending your head down.
In fact, your symptoms of numbness are improving, indicating that your rehabilitation is effective.
As for the nausea, it is generally a gastrointestinal symptom, so I recommend consulting a gastroenterologist.
Regarding the restoration of the cervical curve, it is not necessarily essential, nor is it always possible to achieve.
It is advisable for you to visit a clinic for a proper diagnosis and treatment.

Reply Date: 2013/06/03

More Info


The symptoms you are experiencing, including persistent nausea, discomfort, and the sensation of your limbs being easily strained, may indeed be related to the straightening of your cervical spine. The cervical spine normally has a lordotic curve, which helps to absorb shock and maintain proper alignment. When this curve is lost, it can lead to various issues, including nerve compression, muscle tension, and altered biomechanics, which may contribute to the symptoms you are experiencing.


Understanding Cervical Spine Straightening
Cervical spine straightening, or loss of the normal lordotic curve, can result from several factors, including poor posture, degenerative changes, or trauma. This condition can lead to increased pressure on the cervical discs and nerve roots, potentially causing symptoms such as numbness, tingling, and weakness in the arms and hands. Additionally, the straightened spine may affect the alignment of the vertebrae, leading to muscle imbalances and further discomfort.


Nerve Compression and Symptoms
The cervical spine houses the spinal cord and nerve roots that innervate the upper extremities. When the cervical spine is straightened, it can lead to narrowing of the neural foramina (the openings through which nerves exit the spine) and potential compression of the nerve roots. This compression can manifest as pain, numbness, or weakness in the arms and hands, as well as other symptoms such as dizziness or nausea, which may be related to altered proprioception or vestibular function.


Addressing Your Symptoms
1. Physical Therapy: Continuing with physical therapy is essential. A physical therapist can provide exercises to strengthen the neck muscles, improve posture, and potentially restore some curvature to the cervical spine. Techniques such as manual therapy, stretching, and strengthening exercises can be beneficial.

2. Posture Correction: Being mindful of your posture during daily activities is crucial. Ergonomic adjustments at your workspace, such as using a chair with proper lumbar support and positioning your computer screen at eye level, can help maintain a more natural cervical curve.

3. Chiropractic Care: Some patients find relief through chiropractic adjustments, which may help restore proper alignment and mobility to the cervical spine. However, it is essential to consult with a healthcare provider to determine if this approach is suitable for you.

4. Pain Management: If you are experiencing significant discomfort, discussing pain management options with your healthcare provider may be necessary. This could include medications, injections, or alternative therapies.

5. Lifestyle Modifications: Incorporating regular physical activity, maintaining a healthy weight, and practicing stress-reduction techniques (such as yoga or meditation) can also contribute to overall spine health.


Restoring Cervical Curve
While it may be challenging to fully restore the cervical lordotic curve, certain exercises and therapies can help improve spinal alignment. These may include:
- Chin Tucks: This exercise helps strengthen the deep neck flexors and can promote better alignment.

- Neck Stretches: Gentle stretches can help relieve tension in the neck muscles.

- Strengthening Exercises: Focusing on the upper back and shoulder muscles can help support the cervical spine.


Conclusion
In summary, the straightening of your cervical spine may be contributing to your symptoms, including nausea and discomfort in your limbs. It is crucial to continue working with healthcare professionals to address these issues comprehensively. Regular physical therapy, posture correction, and possibly chiropractic care can help manage your symptoms and improve your quality of life. If symptoms persist or worsen, further evaluation, including imaging studies or referrals to specialists, may be warranted to rule out any serious underlying conditions. Always consult with your healthcare provider before starting any new treatment or exercise regimen.

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