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Overview

Cervical Spondylosis: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Cervical spondylosis is essential a general term for the wear and tear the spinal disks located in your neck go through as you age. As you grow older, the disks tend to dehydrate and shrink, leading to osteoarthritis. Though the term may sound intimidating, it is quite common and affects over 85% of people who are over 65 years of age. More often than not, there are no associated symptoms which people suffer from. However, if there are any, nonsurgical treatments are usually effective in ridding you of them.

There are various treatment options that can help with cervical spondylosis however, it is important to note that these options do not get rid of the condition itself, but rather the symptoms that are associated with it, namely the pain. The treatment option best suited to you will depend on the severity of your pain as well as your medical history. The main goal is to ensure that you can continue with your regular daily tasks without any problems.

The first line of treatment include painkillers that are available over the counter. If these are not effective, you can speak to your general physician for more options. These options include anti-inflammatory drugs that are non-steroidal, corticosteroids, muscle relaxants, anti-seizure medications, antidepressants, and prescription pain killers. Physiotherapy is also a line of treatment that is often suggested, along with acupuncture. However, if none of these work and your condition worsens, you may have to undergo surgery.

How is the treatment done?

Your doctor will begin by recommending pain relievers that are available over the counter. This is the mildest form of treatment and does not require prescriptions. These painkillers are often effective in getting rid of the pain within an hour of taking them. However, if you pain is extremely severe and persistent, and these painkillers do not work, you can also seek out prescription based treatments. Prescription pain killers are much stronger and tend to work on severe pain very well. However, they are not the only course of treatment you can explore.

Your doctor may prescribe a range of medications to help you with the pain. Some of these include anti-inflammatory drugs that are non-steroidal, corticosteroids, muscle relaxants, anti-seizure medications and antidepressants. These can help with easing the spasms in your neck or the tension in the muscles, depending on what you are taking. They are highly effective courses of treatment.

Physiotherapy is one of the most vital treatment courses that you can look into, especially when your problem is related to spinal pain. The exercises you will learn will focus on stretching your neck and strengthening the muscles. This is especially beneficial if the cervical spondylosis is causing your nerves to be pinched, which contributes to the pain. It is important to learn the right ways to move and exercise your neck in order to manage the overall pain you are in.

Acupuncture is also a good option to explore. It is known to relieving pain and can work wonders for you. If all of these treatment options do not work and your condition begins to worsen, surgery can be performed in order to add to the space in your spine and allow for some room to stretch.

Who is eligible for the treatment? (When is the treatment done?)

Cervical spondylosis is common in people aged over 65, though some people can develop this condition at an early age as well due to their posture and lifestyle. If you have been diagnosed with cervical spondylosis and are in severe pain, you should seek out the treatments listed above.

Who is not eligible for the treatment?

Pain in the neck and shoulders can be caused by bad posture, awkward sleeping positions, or even just a rough day. Stress also contributes to your body feeling pain in muscles that are held tensely for too long. If this is the case, you may not have cervical spondylosis per se. it makes sense to visit a doctor to find out how you can avoid and treat the pain, however, you may not be eligible for the treatment of cervical spondylosis as you may not have the condition.

Are there any side effects?

Prescription pain killers have a few side effects to be vary of. They can cause drowsiness, exhaustion, confusion, and the urge to sleep. You may end up experiencing all or some of these side effects, which is why you will be advised not to drive or operate heavy machinery when taking the pills.

What are the post-treatment guidelines?

Cervical spondylosis is a condition that is likely to stay with you for life, which is why the post treatment guidelines focus mainly on ways that you can avoid pain and treat it if it occurs. You will be asked to sit on specific types of chairs, like ergonomic chairs, and pay special attention to your posture and the way you sleep. There will not really be any changes in your diet but the way you carry your body will have to be something you focus on. Also, you will be advised not to do any heavy lifting or work that will cause the muscles in your neck or shoulders to strain.

How long does it take to recover?

You can gain relief from the pain as soon as you take your medication. Most pain killers take an average of 30 minutes to 45 minutes to kick in.

What is the price of the treatment in India?

Pain killers in India range in price from Rs. 75 to Rs. 300, depending on the type of pain killer you are buying, and whether or not it is an over the counter one or a prescription one. Physiotherapy can cost anywhere between Rs 1,000 – Rs. 3,000 per session, again depending on where you get it from.

Are the results of the treatment permanent?

Cervical spondylosis is a condition that lasts a lifetime therefore you can expect the pain to come back again.

What are the alternatives to the treatment?

There are a few home remedies that you can try in order to relieve the pain. Using an ice pack or a cold compress works well on muscular pain. Alternately, using a hot compress also works as it allows your muscles to relax and loosen up a little. Regular exercise is a good way to keep the muscles in your neck and shoulders in good shape and it can prevent attacks of pain. Also, you can get a mild neck brace after consulting with your doctor to ensure your posture does not suffer while you are working.

Safety: Medium Effectiveness: Medium Timeliness: High Relative Risk: Low Side Effects: Low Time For Recovery: High Price Range:

Rs 1000 - Rs 3000

Popular Health Tips

Spondylolysthesis - A Condition Which Affects Your Spinal Bones!

MBBS, MS - Orthopaedics, Clinical Fellowship In Adult & Peadiatric Spine Surgery
Orthopedist, Kanpur
Spondylolysthesis - A Condition Which Affects Your Spinal Bones!

Spondylolisthesis refers to the condition which affects your spinal bones or lower vertebrae. Due to this condition one of the lower vertebrae overlaps the bone directly beneath it. Although a painful condition, it can certainly be treated with both surgical and therapeutic methods.

People with spondylolisthesis often find it difficult to perform routine activities. They usually encounter symptoms such as- persistent pain in the pelvic region, lower back; stiffness in the legs, hamstrings and hip muscles.

What causes spondylolisthesis?
The causes of spondylolisthesis can vary with lifestyle, heredity and age. Children may develop this condition due to an injury or birth defect. Nevertheless, people belonging to all age groups are susceptible to spondylolisthesis if the condition is genetic.

Over exercise or strenuous physical activities can cause spondylolisthesis because over stretching and carrying heavy weight or strain puts too much stress on the lower back.

Participating in sports like football, gymnastics, weightlifting are likely to trigger spondylolisthesis.

Spondylolisthesis can also be triggered due to sondylolysis. The vertebrae safeguard the spinal cord and work with tendons, ligaments, joints and muscles to provide flexibility, structure and support to the neck. Any sort of damage or wear and tear in the protective cartilage and bones in the neck can lead to cervical spondylosis, which in turn leads to spondylolisthesis.

What is the treatment for spondylolisthesis?
Treatment of spondylolisthesis depends on the severity of the pain. While non-surgical methods help ease the pain, a surgery is recommended when the bone has slipped to such an extent that your spine doesn’t respond to medications.

Non-surgical treatment includes the following-

  1. Taking anti-inflammatory drugs like ibuprofen to ease pain.
  2. Practicing a few physiotherapy exercises to reduce lower back pain.
  3. Use of minimally invasive Epidural Steroid Injections (EPIs) to get relief from lower back pain and pelvic pain caused by inflamed spinal nerves. When over-the-counter medications fail to treat tSpondylolysthesishe condition or ease the symptoms, then a surgery is inevitable.
  4. Discectomy- It is a surgical procedure that makes small incisions to remove a part of the damaged disc to relieve pressure from the surrounding spinal cord or nerve root.
  5. Laminotomy- This refers to a minimally invasive procedure that removes a part of the lamina which is the upper surface of the vertebra. This process is used to create more space within the spinal canal.
  6. Foraminotomy- With this method excess bone tissues are removed so that they don’t make the foramen narrow and compress the nerve root. Removing these extra tissues reduce back pain and ease symptoms triggered by nerve compression.

Medical attention is crucial for countering symptoms of spondylolisthesis. Although this condition may not seem life-threatening, if left untreated, it can lead to chronic, persistent pain and permanent nerve damage.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3536 people found this helpful

Cervical Spondylosis - Causes + Treatment

MS - Orthopaedics, MBBS
Orthopedist, Delhi
Cervical Spondylosis - Causes + Treatment

The difficulties associated with cervical spondylosis go far beyond spelling it correctly! The problem of cervical spondylosis can be extremely painful making it difficult to sit or walk. As if cervical spondylosis alone was not enough to put up with, it can often be accompanied by severe headaches. Bone spurs can be said to be a rather unusual phenomena but they can be one of the causes of cervical spondylosis is quite a few cases. This occurs when an extra bone grows to make the body stronger.

What causes cervical spondylosis?
While the causes of cervical spondylosis may vary, few causes are just as direct as injury is. A fall, or an accident can hasten the process of ageing and bring on cervical spondylosis sooner than what would have been usual. Sometimes, the nature of work can also lead to cervical spondylosis, as is the case with a lot of construction workers who suffer from it. Generally, as a person gets older, he or she can expect to suffer from cervical spondylosis. As a matter of fact, it affects about eighty five per cent of people over the age of sixty! One good thing though, is the fact that only in certain, chronic cases is the condition life altering, as most people are able to get on with their normal lives after taking some measures.

How to treat it?
In order to ease the pain, it is a good option to make use of some muscle relaxants, which can go a long way. Also, in case the pain is really bad, there are steroid injections which are available which reduce the tissue inflammation. For this same purpose, a person suffering can also make use of a narcotic such as hydrocodone. One solution which usually is not required in the case of cervical spondylosis is surgery. The surgeries for the issue are usually to correct the form of the bone structure, basically to remove spurs and create more room. However, doctors usually recommend this sort of solution when the pain is excruciating and persistent in nature.

Usually, muscles of those who suffer due to cervical spondylosis can get very sore. A simple but also a surprisingly effective remedy for this is to use a heating pack or a cold gel pack on one’s neck. Shot in the arm solution and a neck brace can an effective temporary solution. However, wearing a neck brace for too long can lead to weaker muscles, which will worsen the problem.

Cervical spondylosis is essentially a pain in the neck, but it is a manageable one! If you wish to discuss any specific problem, you can consult an orthopedist.

4230 people found this helpful

Cervical Spondylosis - In Depth Of It!

MD - Bio-Chemistry, MF Homeo (London), DHMS (Diploma in Homeopathic Medicine and Surgery), BHMS
Homeopath, Kolkata
Cervical Spondylosis - In Depth Of It!

Cervical Spondylosis

Definition-

  • Cervical spondylosis is a general term for age-related wear and tear affecting the spinal disks in your neck. As the disks dehydrate and shrink, signs of osteoarthritis develop, including bony projections along the edges of bones (bone spurs).
  • Cervical spondylosis is very common and worsens with age. More than 85 percent of people older than age 60 are affected by cervical spondylosis.


Symptoms-

  • For most people, cervical spondylosis causes no symptoms. When symptoms do occur, they typically include pain and stiffness in the neck.
  • Sometimes, cervical spondylosis results in a narrowing of the space needed by the spinal cord and the nerve roots that pass through the spine to the rest of your body. If the spinal cord or nerve roots become pinched, you might experience:
  • Tingling, numbness, and weakness in your arms, hands, legs or feet
  • Lack of coordination and difficulty walking
  • Loss of bladder or bowel contr


Causes-

  • As you age, the bones and cartilage that make up your backbone and neck gradually develop wear and tear. These changes can include:
  • Dehydrated disks. Disks act as cushions between the vertebrae of your spine. By the age of 40, most people's spinal disks begin drying out and shrinking, which allows more bone-on-bone contact between the vertebrae.
  • Herniated disks. Age also affects the exterior of your spinal disks. Cracks often appear, leading to bulging (herniated) disks — which sometimes can press on the spinal cord and nerve roots.
  • Bone spurs. Disk degeneration often results in the spine producing extra amounts of bone in a misguided effort to strengthen the spine. These bone spurs can sometimes pinch the spinal cord and nerve roots.
  • Stiff ligaments. Ligaments are cords of tissue that connect bone to bone. Spinal ligaments can stiffen with age, making your neckless flexible.


Risk factors-

  • Risk factors for cervical spondylosis include:
  • Age. Cervical spondylosis is a normal part of aging.
  • Occupation. Jobs that involve repetitive neck motions, awkward positioning or a lot of overhead work put extra stress on your neck.
  • Neck injuries. Previous neck injuries appear to increase the risk of cervical spondylosis.
  • Genetic factors. Some individuals in certain families will experience more of these changes over time, while others will not.
  • Smoking. Smoking has been linked to increased neck pain.


Complications-

If your spinal cord or nerve roots become severely compressed as a result of cervical spondylosis, the damage can be permanent.

Homeopathic remedies for cervical spondylosis-

  • Conium
  • Kalmia
  • Gelsemium
  • Kali carb
  • Rhustox
  • Ruta
  • Bellis perennis

Ayurveda Tips To Treat Cervical Spondylosis (Osteoarthritis Of Neck)!

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Nashik

 

Ayurveda tips to treat Cervical Spondylosis (Osteoarthritis of Neck)

Cervical spondylosis is a common degenerative condition of the cervical spine which is caused by age-related changes in the cushion between the joints of the neck and the neck bone. It is also called as Osteoarthritis of neck. In this disease intervertebral disc which acts as a cushion between two vertebrae gets damaged due to age-related changes or other reasons. As disk degeneration occurs, movements of neck get restricted; also edges of vertebra get damaged & these changes increase pressure on nerves originating from cervical vertebrae. Due to this there are many symptoms found in this disease.

According to Ayurveda, this condition occurs due to Sandhigata vata of Neck. Vitiated vata dosha causes following symptoms.

Symptoms-

Pain in the back of neck, shoulder and arms, stiffness of the neck and even paraplegia occur due to this condition. The movement of the spine generally aggravates the pain of the neck.

Pain along the arms and fingers while standing, sitting, coughing and tilting the neck backward, Problem in lifting the arm or grasping something firmly, Headaches which occur mostly at the back side of the head as well as Feeling dizziness or loss of body balance is often found as symptom in this disease.

Tips for treatment-

1. Avoid amla (Sour), kashay(pungent), highly acidic foods like red meat, citrus fruits and even white potatoes which increases vata dosha in body which further damages bones.

2. Avoid Constipation at all cost, it increases pain & stiffness of neck. Ayurveda uses anulomana medicines during treatment, which avoids constipation & also pacifies vata dosha. For that medicated castor oil, Rasna erandadi kashaya, Nimba amrutadi eranda taila, triphala is used according to condition & severity. 

3. Cows ghee is best vata shamak & acts best in degenerative diseses, so snehapana (oleation therapy) should be done with medicated cow ghee like- Panchatikta ghrut, Mahatikta ghrut etc.

4. Also (Snehana-swedana) external application of medicated oil followed by steam relieves muscle spasm around neck & pain can be minimized.

5. Ayurvedic Basti/ Vasthi (medicated enema) has been described as best treatment for vata diseases. Ayurveda classics had mentioned Panchatikta kshir basti in treatment of osteoarthritis which is also found very beneficial in treatment of cervical spondylosis. 8 days treatment with such basti shows marked improvement in this disease.

6. Manya Basti or greeva basti can also be done for treatment of cervical spondylosis. In Manya Basti neck region is bathed in pool of medicated warm oil for 30 minutes.

7. Avoid diet that’s very high in protein. It can interfere with the absorption of calcium. Also, avoid salt, phosphorus (from fizzy drinks), caffeine and alcohol can affect calcium obtained.

8. Exposure to cold, cold baths and any violent exercise of the neck muscles are very bad for the patients.

9. Ayurvedic medicines like shallaki, Rasna, Guggulu (Commiphora mukul), Guduchi (Tinospora cordifolia), Ashwagandha (Withania somnifera), Shunthi (Ginger) as well as some rasa medicines like vata vidhvans rasa, bruhat vata chintamani rasa are best medicines for treating cervical spondylosis but these must be used with experts advice.

10. During study or office work your sitting posture should be straight, don’t lean too much while reading or during office work.

11. Sleep on a firm mattress that keeps your head level. The pillows should not bend the back more than 15 degrees. Avoid sleeping on your stomach as it extends the neck. It is ideal to sleep on your back or your side.

12. Yoga postures like Bhujangasana (Cobra pose), Matsyasana (Fish pose), Dhanurasana (Bow pose) are extremely beneficial for cervical spondylosis.

1 person found this helpful

Cervical Spondylosis And Ayurveda!

Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Ayurveda, Nashik
Cervical Spondylosis And Ayurveda!

Ayurvedic Advise for cervical spondylosis-

1)Patient should be advised to sleep in supine position with small pillow.

2)Computer operators must be taught to do flexion, extension, and rotation once in every half an hour for two - three times

3)Bed rest is advised for 3 days.

4)A smooth massage js recommended.

5)Lumbar traction is more useful in clinical practice than cervical traction. (Cervical neck traction aggravates the problem)

6)While giving massage, pressure should not be given.

7)All other physiotherapies are not much useful

8)Keeping hand as pillows must be avoided.

9)It is better to use small pillows

10)Don't keep your hand under head while you are watching TV.

11)Use the towel slowly and carefully over the scalp once you finish bathing.

12)Reduce using two-wheelers like bike, etc.

13)Don't use cell phone while driving.

14)Took proper diagnosis by ONLY Ayurvedic doctors

15)Do Panchakarma vaman,virechan,basti , SHIRODHARA as your ayurvedic vaidya(doctor) suggest.

Popular Questions & Answers

I am 44 years old suffering from back pain, CT scan report says C5-C6 and C6-C7 are bulge please suggest me how to escape from this pain of cervical spondylitis.

MS - Orthopaedics, Fellowship In Minimal Invasive Spine Surgery
Orthopedist, Gwalior
Don't worry you have to do cervical spine exercises, some antiinflammatory for few days, hot fomentation. If not improved go for some blood investigations.

I'm suffering from cervical spondylitis I want to know about it and its treatment. Is it a life taking disease. Does it effect my age. I'm afraid of it. please give me valuable suggestion.

M.B.B.S, Post Graduate Diploma In Maternal & Child Health
Gynaecologist, Bokaro
Cervical spondylitis is not a life threatening problem but it can be incapacitating. It can cause dizziness and vomiting. You need to take some medicines in the acute stage plus some voluntary measures to keep it in control. If you like, please call for more details and advice.

Sir mujhe cervical spondylosis he. To maine MRI bhi karvaya he. Report normal he phir bhi mujhe neck hota he. Sir cervical pillow use kiye to usse kuch fark padta he kya. Aur kuch solution hai?

DNB (Orthopedics), M Ch. Ortho, Diploma In Orthopaedics (D. Ortho)
Orthopedist, Delhi
Just using a cervical pillow will not help Though I have not seen your MRI but you should visit a physiotherapy Center nearby and do SWD/ IFT and neck isometric exercises Do these for 2 weeks Hopefully you should improve If no relief consult.
2 people found this helpful

I have cervical problem I took lot of medicines but I didn't relief from this pain What can I do Pleasa suggest me good medicine for this pain.

MBBS DA FIPM
Pain Management Specialist, Jabalpur
Cervical pain is very common in persons who drive two wheeler for more then 10 to 15 km per day. You need to go through investigation s like blood picture X-ray cervical spine and if needed MRI cervical facet arthropathy is prevalent in about 40% population The long term pain in neck can because of arthritis. Evaluation of problem is required.

I am suffering from cervical spondylosis and after doing exercise Pain is increasing otherwise it is bearable and computer operator work is advisable or not and I am taking calcium tablet how long can I continue and prescribe best calcium d3 tablet.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
This is cervical pain (neck pain) and that's the reason the pain radiates until the shoulder blades. If you keep ice that would help to reduce the pain and feel relaxed and comfortable. You shall also do hot water fermentation that would improve the blood circulation to the painful area and thereby the pain would be reduced. You shall use cervical collar which would help you to reduce the radiating pain and also that would improve the cervical angle and improve the anatomical posture. The pain actually triggers due to nerve compression and that would definitely improve by wearing a cervical collar.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Know More About Cervical Spondylosis
Ways to Manage Cervical Spondylosis
Play video
Cervical Spondylosis
Hello friends, I am physiotherapist, Dr Anjana Gupta. I did my studies from SMS medical college, Jaipur in 1986. After completing my studies, I joined government job in JP Pant Hospital, attached to Molana Azad Medical College. I served the government of India for almost 12 years. Now I am practising in Greater Kailash 2. There I had enough experience in Orthopaedics and neurological cases. Today I am going to discuss Cervical Spondylosis neck pain.

The most common cause of the neck pain is our daily lifestyle itself. Spending 8-10 hours in front of computer in an incorrect posture can lead to muscle spasm. A patient has acute onset of pain and the condition can be so painful that the range of moment of the patient can be restricted, there could be a sudden restriction of a neck or sudden restriction of a muscle. The muscles get strained and the pain can go to the head, shoulders and arms.

Another cause of neck pain is an accident or an injury to the neck that can involve the muscle or the disc surrounding the bones.

The radiculopathy gives the symptoms of numbness, the tingling sensation in the arms or the area around the shoulders.

The Degenerative diseases can also involve the nerve in the arm and give rise to nerve symptoms.

Treatment of the Cervical Spondylosis depends on the complete assessment, thorough examination by physiotherapist which check the trigger points. The trigger points are the very acute painful areas present in the muscles. The trigger points can be in the bicepes, or the scapular area, or it could radiate in the hands causing the Carpal Tunnel syndrome.

After the examination, we plan the protocol to relieve the patient from the pain. The main aim of the therapist is to relieve the acute pain the patient is suffering from. Our treatment plans are to relieve the patient from the pain and put him on a regular graded exercises for the strengthning of the neck or shoulder muscles.

We have different modalities in the physiotherapy. The modalities could be ultrasonic, Inter Ferential Therapy (IFT), Infrared and the numerous modalities. Or it can be the simple ice packs that can reduce the pain and the acute spasm in the patients suffering from pain.

I am practising in Greater Kailash, part-2. I have got my own Physiotherapy clinic. My clinic staff is well trained and is equiped with various physiotherapy equipments with the latest state of art equipments, we are here to serve the community, we are here to serve the people suffering from pain. I can just say to come in the clinic and give us the chance to serve.

Thank you.
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