Overview

What is Cervical Spondylosis?

Cervical spine is made up of bones (vertebraes) with cushions (discs) between them. As we grow older, the bones and the discs will degenerate. Bone spurs (osteophytes) may form and spinal canal may narrow (stenosis). These changes are known as cervical spondylosis.

How do I get the symptoms?

As the spine degenerates, osteophytes formation occurs which intends to fuse the vertebrae together to minimize movement. These osteophytes may cause the unwanted symptoms once it comes into contact with any of the nerve root or the spinal cord.

Causes

The basic cause of cervical spondylosis is most likely due to age related wear and tear of the spinal and cervical discs.

Risk Factors

Wear and tear on the spine and degeneration of discs due to aging are the major risk factors to developing cervical spondylosis. Neck injuries may also increase your risk.

Prevention

There is no specific way to prevent this condition. However, some lifestyle modifications may slow the process of the degeneration.

Lifestyle Modifications include:

• Regular strengthening and flexibility exercises for neck and back muscles
• Regular aerobic exercises e.g. running, swimming, cycling
• Postural awareness to maintain good posture
• Workplace modifications to reduce stress to the back and neck
• Quit smoking
• Maintain healthy weight range

Diagnosis

How do I confirm that I have Cervical Spondylosis?

The doctor will perform physical examinations; X-rays and Magnetic Resonance Imaging (MRI) studies are helpful. These imagings may indicate abnormalities and reveal the extent of damage to the cervical spine.

Treatment Options

What are the treatments options?

Your symptoms may last for several months to years. If you have mild symptoms, the doctor may recommend some rest, medication and physical therapy. Surgery will be the last option.

Rest
In the acute phase, you may need to wear a cervical collar to limit neck movement and relieve the nerve irritation.

Medication
The doctor may prescribe some non-steroidal anti-inflammatory medications (NSAIDs) or other pain relievers to relieve pain and reduce swelling. Usage of muscle relaxants may be useful.

Physical Therapy
A cervical traction, hot/cold therapy or active exercise programs may help to relieve symptoms. Exercises aim to improve muscle strength and flexibility.

Surgery
It is only necessary if you have severe pain that does not improve with other treatments or when there is progressive neurological symptoms.