26/10/2025
颈椎病是一个统称，但问题出在不同节段，症状天差地别。我们试试从症状反推，看看你的问题最可能出在颈椎的哪一节。
🏥认识我们的颈椎：
我们的颈椎由7块骨头堆叠而成，像一栋七层大楼，从上到下编号为C1到C7。每两层之间都有一个椎间孔，里面住着重要的神经根。哪一层的骨头变窄，压迫到里面的神经，就会引发特定区域的症状。
🏥你的症状对应哪一节？
1） 二节寰椎（C1）、枢椎（C2）
功能：负责头部的旋转和点头，与椎动脉关系紧密。
受压信号：头痛、偏头痛（尤其是后脑勺痛）、头晕、眼花、恶心、高血压、失眠
提示：这里是交感神经型颈椎病的高发区。
2）第三节（C3）：面部的“调度员”
受压信号：面部麻木、感觉异常、牙痛、颞下颌关节紊乱
3） 第四节（C4）：肩颈的“警报器”
受压信号：颈肩部酸痛、僵硬、肩胛骨上角区域疼痛、呼吸困难、胸闷（因膈神经受影响）
提示：这里是 “颈型颈椎病”最常见的区域。
4） 第五节（C5）：肩膀的“指挥官”
受压信号：肩部外侧、上臂外侧疼痛、麻木、三角肌力量减弱（抬胳膊费力）、肱二头肌反射减弱
5） 第六节（C6）：大拇指的“控制台”
受压信号：疼痛麻木沿手臂桡侧（大拇指侧）放射至大拇指和食指、手腕伸屈力量减弱、肱桡肌反射减弱
6） 第七节（C7）：中指与三头肌的“枢纽”
受压信号：疼痛麻木沿手臂中部放射至中指、肩胛骨内侧缘疼痛、肱三头肌力量减弱（伸胳膊费力）肱三头肌反射减弱
❗请注意！以上自我筛查仅为初步参考，绝不能替代专业诊断。
1. 症状可能重叠：颈椎问题往往是多节段、混合性的。
2. 需要影像学证据：必须通过颈椎X光、CT或MRI检查，才能清晰地看到椎间盘、神经根受压的具体情况。
3. 医生检查：医生会通过专业的检查（如压颈试验、感觉和肌力测试）来最终确认责任节段。
“Cervical spondylosis” is a general term depending on which cervical segment is affected, the symptoms can be completely different.
Today, let’s work backwards from the symptoms to see which part of your neck might be the main issue 👇
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🏥 1. Get to Know Your Cervical Spine
Your cervical spine is made up of 7 stacked vertebrae, like a seven-story building, labeled C1 to C7 from top to bottom.
Between every two bones is an opening (foramen) that houses important nerve roots.
When one level narrows and compresses the nerve inside, it triggers specific symptoms in certain areas of the body.
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2. “Match Your Symptoms” — Which Segment Is Involved?
[C1–C2: Atlas & Axis]
🧠 Function: Responsible for head rotation and nodding; closely related to the vertebral artery.
⚠️ Compression signs: Headache or migraine (especially back of the head), dizziness, blurred vision, nausea, high blood pressure, insomnia.
💡 Note: This area is commonly involved in sympathetic-type cervical spondylosis.
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[C3] – The “Coordinator” of the Face
⚠️ Compression signs: Facial numbness, altered sensation, tooth pain, or temporomandibular joint (TMJ) dysfunction.
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[C4] – The “Alarm System” for Neck and Shoulders
⚠️ Compression signs: Stiffness or soreness in the neck and shoulders, pain near the upper angle of the shoulder blade, difficulty breathing, or chest tightness (due to phrenic nerve involvement).
💡 Note: This is the most common level for neck-type cervical spondylosis.
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[C5] – The “Commander” of the Shoulder
⚠️ Compression signs: Pain or numbness on the outer shoulder and upper arm, weakness in the deltoid (difficulty lifting the arm), and reduced biceps reflex.
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[C6] – The “Control Panel” of the Thumb
⚠️ Compression signs: Pain or numbness radiating along the thumb side of the arm to the thumb and index finger, weakness in wrist flexion/extension, and reduced brachioradialis reflex.
⸻
[C7] – The “Hub” for the Middle Finger and Triceps
⚠️ Compression signs: Pain or numbness radiating down the middle of the arm to the middle finger, pain along the inner edge of the shoulder blade, weakness in triceps (difficulty straightening the arm), and reduced triceps reflex.
Visit us for more information 📲📲📲
1) Oh Physiotherapy (Bayan Lepas branch)
1-2-20 Kompleks I-Avenue, Bukit Jambul, Bayan Lepas, Penang.
☎️04-6410850
2) Lo Physiotherapy (Tanjong Tokong branch)
C-1-6 Vantage (Level 1), Jalan Desiran Tanjong, 10470 Tanjong Tokong.
☎️016-9341230/ 012-5297825
3) Lo Physiotherapy (Butterworth branch)
Block A-79, Jalan Raja Uda, Pusat Perniagaan Raja Uda,12300 Butterworth.
☎️016-8869934
4) Lo Physiotherapy(Georgetown Specialist Hospital branch)
12A, Jalan Masjid Negeri, 11900, Georgetown,Penang.
☎️017-9123081
5) Lo Physiotherapy (Kek Lok Si Charitable Hospital branch)
623, Jalan Balik Pulau, Penang Ayer Itam, 11500 Ayer Itam, Pulau Pinang.
☎️016-5293996
6) Oh Physiotherapy (B BRAUN Factory branch)
Bayan Lepas Industrial Park, 10810 Bayan Baru.
☎️0164337780
