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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.

4229 people found this helpful

Top Homeopathic Medicines For Cervical Spondylitis!

BHMS, MD - Medicine
Homeopath, Ghaziabad
Top Homeopathic Medicines For Cervical Spondylitis!

Cervical spondylitis is a permanent degenerative state of the cervical spine that affects the vertebral tracts and intervertebral disks of the neck (for instance, disk herniation and spur formation), in addition to the substance of the spinal cord (nerve roots or potential spinal strings). A few changes additionally include the degenerative changes in the bone joints, longitudinal tendons, and ligamentum flavum. However, homeopathy can help cure the same. Following are some of the most effective medicines:

  1. Rhus Tox: Rhus Tox is one of the top homeopathic medications for cervical spondylosis, especially after a neck injury. The major symptoms for using Rhus Tox are pain and unnecessary stiffness in the neck. A person needing Rhus Tox may get help from warm applications on the neck. Neck back rub may give relief at times. Neck pain from over straining or abuse additionally presents a solid reason for the use of Rhus Tox.
  2. Bryonia Alba: Bryonia Alba is another significantly used homeopathic medicine for cervical spondylosis. The person requiring Bryonia Alba encounters pain and solidness in the neck that decline with movement. Taking rest alleviates the side effects.
  3. Hypericum Perforatum: Homeopathic medicine Hypericum Perforatum is an exceptionally good drug for cervical spondylosis. Real symptoms making Hypericum Perforatum the best medicine are neck pain that may reach to the shoulders and a spine that is greatly delicate to any kind of touch. Shivering, blazing and deadness in hands may likewise be present as well.
  4. Cimicifuga Racemosa and Guaiacum Officinale: For treating constant stiffness in the neck from cervical spondylosis, Cimicifuga Racemosa and Guaiacum Officinale are two of the greatest and most valuable homeopathic drugs. The cervical spine is likewise exceptionally delicate to the touch. Homeopathic medicine Guaiacum Officinale is used if there is an occurrence of firmness and irritation. Firmness in the neck may reach out to the whole back. Stamped soreness in shoulders may be felt along with it.
  5. Paris Quadrifolia: Paris Quadrifolia is a great type of homeopathic solution for cervical spondylosis with checked deadness in arms, hands or fingers as the significant sign. Genuine irritation is additionally present. Pain transmits down the fingers from the neck. In most cases, the pain increases by a substantial weight around the neck and shoulders.
  6. Kalmia Latifolia: For cervical spondylosis with shivering and a pricking sensation in hands, homeopathic solution Kalmia Latifolia is suggested as the perfect decision. In some such cases, upper vertebrae may feel week. Undeniable irritation stretches down to the shoulder bones or the arm.
  7. Gelsemium: Gelsemium is an extremely helpful homeopathic solution for cervical spondylosis with vertigo. The vertigo happens for the most part while walking. Movement of the head and hazy vision may likewise lead to vertigo.
1 person found this helpful

Cervical Spondylosis - Things You Must Be Aware Of!

MD - Physiology, MBBS
General Physician, Lucknow
Cervical Spondylosis - Things You Must Be Aware Of!

Cervical spondylosis is fast becoming the bane of modern life. An age-related wear and tear problem affecting the spinal discs in your neck, cervical spondylosis is increasingly affecting the young because of the use of cell phones, laptops and the like.

Cervical spondylosis is a general term used to define shrinkage of discs in between vertebrae in the neck region. Along with disc degeneration, bony projections also form in the area and are called bone spurs.
Other causes of cervical spondylosis are dehydrated discs. Discs are thick, pad-like cushions in between vertebrae that act as shock absorbers. They are made of a gel- like material that can dry over time. This causes the spinal vertebrae to rub together causing pain. The discs also crack which allows the internal gel-like material to spill out and impinge on spinal nerves causing symptoms.

There is a narrowing of the space required by the spinal cord and nerves that emanate in the upper spine to go to various parts of the body. Pinching of these nerves can cause alarming symptoms like

  1. Numbness and weakness in your arms, hands, legs and feet
  2. Lack of coordination and difficulty in walking
  3. Loss of bladder or bowel movement
  4. Stiffness and pain in neck

Treatment and management
Usually, cervical spondylosis doesn’t cause any symptoms. But when you start experiencing pain, stiffness and weakness of muscles, it’s best to go to a doctor who will diagnose the problem and then treat it.
Treatment for cervical spondylosis depends on the severity of your symptoms. Its goal is to get rid of pain, allow you to carry on your daily activities and prevent any permanent damage to your spinal cord and nerves.

Medicines

  1. Anti-inflammatory drugs are prescribed to reduce pain and inflammation. Example Ibuprofen.
  2. Corticosteroids are oral medications to get rid of the severe pain. If these don’t work, your doctor can suggest steroid injections.
  3. Muscle relaxants medicines relax the muscles in the upper part of the spine and help in curing neck pain and stiffness
  4. Anti-seizure medications are also prescribed to dull the pain of damaged nerves in the spine. These include epilepsy medications, such as gabapentin and pregabalin.

Physiotherapy

  1. Non surgical treatments are usually very effective in treating cervical spondylosis and surgery is usually not required. Physiotherapy is a bulwark for patients as it helps manage the condition very well.
  2. Neck exercises that help stretch and strengthen muscles in your neck and shoulders can help manage debilitating symptoms of cervical spondylosis.
  3. Few patients also benefit from traction, which can help provide more space for nerve roots within the spine.

Surgery

  1. Surgery is the last resort for treating cervical spondylosis.
  2. It is suggested when non-surgical treatments fail and the pain and neurological signs such as weakness in your arms or legs get worse.
  3. It is done to create more room for your spinal cord and nerve roots.

Cervical spondylosis surgery typically involves removing:

  1. Herniated disk
  2. Bone spurs
  3. Part of a vertebra
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Cervical Osteoarthritis - How Physical Therapy Can Help?

Doctor of Osteopath, MSPT (Master of Physical Therapy), BPTh/BPT, MSc Osteopathy, Certification In Applied Manual Therapy, Certification From Bell Rogerouth & Harris / Upper and Lower Quadrant Dysfunction, Certified Dry Needling Practitioner, Certified Wheel Chair Trainer
Physiotherapist, Lucknow
Cervical Osteoarthritis - How Physical Therapy Can Help?

Cervical osteoarthritis is also known as cervical spondylosis. It is a medical condition which involves changes in the joints of neck, bones and discs. This is generally caused due to the deterioration of the muscles owing to old age. With age, the cervical spine breaks down and loses all its fluids. This leads to stiffness in the spine. It occurs usually in middle aged and old aged people. This causes stiffness and severe neck pain. Corrective surgery is helpful to cure Cervical Osteoarthritis.

Symptoms of Cervical Osteoarthritis:

  1. Pain and stiffness in the neck.
  2. Headache which usually emerges from the neck.
  3. Severe pain in the arms and shoulder.
  4. Not being able to turn the head or neck fully while driving.
  5. Muscle spasm and abnormal reflexes.
  6. Grinding sensation or noise caused while bending the neck.

Cervical Osteoarthritis can be cured by physiotherapy in the following ways:

  1. Heat modalities- In this method the pain and stiffness is reduced by putting heat on the affected area. This type of therapy is called heat therapy.
  2. Neck exercise- Regular stretching and bending exercises for the neck can reduce pain and stiffness
  3. Manipulating therapy- This form of therapy is used by massage therapists. They massage and manipulate the joints so that the muscles can function smoothly.
  4. Hydrotherapy- This therapy involves exercising in a pool. Hydrotherapy is extremely beneficial for people having severe joint pain and stiffness.
  5. Cervical traction- This is a common non-surgical treatment which cures pain in the neck by opening the cervical foramen (hole or passage).

Physiotherapy is the most natural and safe way of curing cervical osteoarthritis. If you are diagnosed with cervical spondylosis, you should start physiotherapy as soon as possible.

1 person found this helpful

Popular Questions & Answers

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 have vision problem What is the relationship between neck pain and vision problem. I am suffering from cervical spondylosis also. please advice me.

DNB Ophtalmology, MS - Ophthalmology, MBBS, Fellowship in Medical Retina, Fellowship in IOL & Cataract Microsurgery
Ophthalmologist, Faridabad
One plausible cause is high usage of media...Mobile or tablets or laptops etc u have to elaborate more on vision problem to be able to help u.

I have been suffering from cervical spondylosis for a long tym. What are the tests to be taken for this. How can I get free from my neck pain. please suggest me good treAtment for this.

MS Orthopaedics
Orthopedist, Panchkula
Every neck pain is not spondylosis.you are young and working on computer or bad sleeping posture can give you neck pain. The best treatment is gradual neck exercise twice a day with moderate heat on the back of your neck
1 person found this helpful

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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