Cervical spondylosis

Cervical spondylosis

Cervical spondylosis is a term used to describe the changes to the bones (vertebrae), joints and discs of the neck (cervical spine Click here to see an illustration.) as a result of aging (disc degeneration). The vertebrae and discs wear down, possibly resulting in pain. Cervical spondylosis is commonly seen in people 55 years of age and older.1

See pictures of the neck Click here to see an illustration. and the vertebrae and discs Click here to see an illustration..

As you age, the discs gradually break down and become stiffer. The body reacts to this by developing bony growths (osteophytes). These growths often cause problems. The osteophytes can put pressure on the spinal nerve roots or spinal cord Click here to see an illustration., resulting in pain.

There are often no symptoms. When there are, neck pain and stiffness are the main symptoms. It is usually worse in the morning and gets better throughout the day. You may also have a headache. If the bony growths are pushing against a nerve root or the spinal cord, you may have numbness, tingling, weakness, or an aching, shooting pain in an arm or a leg.

Initial treatment consists of pain relievers, physical therapy, and strengthening and range-of-motion exercises. If this does not work, surgery may be considered to relieve the pressure on the nerve root or spinal cord.

References

Citations

  1. Aminoff MJ (2008). Mechanical and other lesions of the spine, nerve roots, and spinal cord. In L Goldman, D Ausiello, eds., Cecil Medicine, 23rd ed., pp. 2651–2662. Philadelphia: Saunders.

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Author: Shannon Erstad, MBA/MPH Last Updated: August 21, 2008
Medical Review: William M. Green, MD - Emergency Medicine
Robert B. Keller, MD - Orthopedics


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