Information From Your Health Care Provider

CERVICAL SPONDYLOSIS

Basic information

description

Cervical spondylosis is a disorder caused by the slow degeneration of bones and disks in the neck (cervical spine). There may be no symptoms or they may be very mild. It is a common disorder in people as they get older (ages 40 to 60) and affects men and women equally. Men tend to develop the disorder at an earlier age.

FREQUENT SIGNS & SYMPTOMS

Stiff and painful neck. The pain may come and go and worsen with movement (e.g., lifting the head or chin), and over time. Pain may range from mild discomfort to severe.
Pain may spread to the shoulder, arm, or chest.
Headaches and trouble with sleeping.
Arms, hands, legs, or feet have tingling, burning, or prickling sensations. Numbness and weakness may occur.
Difficulty with walking or lack of coordination.
Anxiety or depression due to decreased mobility.

causes

Chronic wearing away (degenerating) of the vertebrae (bones of the spine) and the disks between these vertebrae. Bony growths called osteophytes (or spurs) can develop on the vertebrae. These changes can cause certain nerves to become compressed (pinched) and inflamed (called radiculopathy). The spinal cord may also be compressed (called myelopathy) and cause more severe symptoms.

risk increases with

Aging. By age 60, 70% of women and 85% of men show signs of the disorder on x-ray.
Previous neck injury may play a role. It can occur years before.

PREVENTIVE MEASURES

There are no specific preventive measures for cervical spondylosis. It comes with aging.
You can prevent some neck injuries, which might help prevent the risk. Use seat belts in vehicles and keep headrests at proper height.
For good health, keep as fit as possible.

expected outcomes

Treatment does not cure the disorder, but does help improve the symptoms and prevent further problems.

possible complications

Chronic neck pain.
Spinal cord dysfunction.
Loss of control of the bladder or bowels.
Symptoms may make it difficult to perform work activities, home care tasks, or recreational activities.

diagnosis & treatment

general measures

Your health care provider will do a physical exam and ask questions about your symptoms. X-rays, CT or MRI scans, or nerve function tests may be done to confirm the diagnosis and rule out other disorders.
Treatment usually involves conservative measures. These may include self-care, drugs, ultrasound therapy, physical therapy, or other types of therapy if needed.
A soft cervical collar or neck brace may be prescribed for day wear to limit neck motion and ease nerve irritation. A soft cervical pillow may be recommended as a sleeping aid.
You can apply moist heat to relieve symptoms. Take warm showers or apply warm soaks to neck. Gentle massage may help.
Ultrasonic treatments may be prescribed. Neck traction at home or in a hospital may be recommended.
Surgery (sometimes) may be needed for more severe symptoms. Your health care provider will discuss the options and risks and benefits.

medications

For minor pain, you may use aspirin or ibuprofen.
Stronger pain drugs, muscle relaxants, antidepressants, or cortisone injections may be prescribed.

activity

Rest as needed. Increase activity as symptoms improve. Swimming, walking, and yoga may be recommended exercises.
Physical therapy may involve neck and back exercises to build flexibility, strength, and mobility.