Cervical Spondylosis

Cervical Spondylosis Cervical Spondylosis is a general term for any degenerative changes in the upper spine. Cervical spondylosis is not really a diagnosis, but a reference to the changes that occur, often with age, to the discs and vertebrae of the neck.

The intervertebral discs act as a springy cushion. They are made of an outer casing, called the annulus fibrosus and an inner softer jelly-like' substance, the nucleus. The nucleus shrinks with age and becomes tougher and more fibrous. The bony surfaces above and below the disc, called the vertebral end plates, thicken and spread so that a rim of bone develops around the edge of the disc. Degenerative changes can also affect the facet joints that lie behind and on either side of the vertebral canal. The changes in these joints are also known as osteo-arthritis. Spondylosis and osteo-arthritis, usually occur together. Extra bony growths on the vertebrae, called osteophytes may also be present and can press on the nerve roots causing pain and irritation.

What can you do?

If you have a sudden (acute) attack, ice packs, painkillers, gentle exercise and relaxation are important to try and switch off the pain. If symptoms persist, then an assessment by your GP or a physical therapist (physiotherapist, chiropractor or osteopath) may be necessary. This will help determine the cause of your pain and possible treatments for it.

Self care and life-style changes are also of great importance. Good posture whilst standing, sitting, working at a computer, driving and sleeping is essential, as these are all potential high risk areas for necks. Pain in the neck area usually creates a great deal of tension in the rest of the body, particularly around the shoulders, middle back and head so training yourself to relax might be helpful. You may find that listening to some soothing music or a relaxation tape is useful. Neck strengthening exercises can also alleviate the pain of muscles that are in spasm, but it is important to get good advice from one of the therapists mentioned above or a qualified exercise practitioner.

In the long term

If you are suffering from a chronic (long term) pain condition you may benefit from a referral to a pain clinic. There are a variety of techniques such as transcutaneous nerve stimulation (TENS), acupuncture, pain relieving injections and Pain Management Programmes that might be helpful. You could discuss your own situation with your GP and/or consultant. For further details of clinics in your area telephone the NHS Direct on 0845 4647.

Surgery is a last resort option for a small percent of neck pain sufferers, usually those who have severe signs of nerve root compression e.g. brachalgia (which is pain in the arm) loss of power and sensation and/or muscle wasting. The decision to have surgery is always a complex one requiring careful assessment (see our factsheet on back surgery).

Please contact us again if you feel we can be of any further help.

Useful Contacts

Chartered Society of Physiotherapy - 020 7242 1941

General Osteopathic Council - 020 7357 6655

General Chiropractic Council - 0207 713 5155