02/08/2025
Cervical spondylitis, often referred to as cervical spondylosis, is a degenerative condition affecting the cervical spine (neck region). It involves wear and tear of the vertebrae, discs, and joints in the neck, commonly due to aging. Below is a concise overview based on current understanding:
# # # Causes
- **Aging**: Natural degeneration of cervical discs and joints.
- **Wear and Tear**: Repetitive neck strain (e.g., poor posture, prolonged desk work).
- **Injuries**: Past neck trauma can accelerate degeneration.
- **Genetics**: Family history may increase risk.
- **Lifestyle**: Sedentary habits, obesity, or smoking can contribute.
# # # Symptoms
- Neck pain or stiffness.
- Headaches, often starting at the back of the head.
- Radiating pain or numbness in shoulders, arms, or hands (if nerves are compressed).
- Reduced range of motion in the neck.
- In severe cases, weakness or tingling in limbs, or balance issues (if spinal cord is affected).
# # # Diagnosis
- **Physical Exam**: Assessing neck mobility, reflexes, and nerve function.
- **Imaging**: X-rays, MRI, or CT scans to visualize bone spurs, disc degeneration, or nerve compression.
- **Nerve Tests**: Electromyography (EMG) or nerve conduction studies if nerve damage is suspected.
# # # Treatment
- **Conservative**:
- **Physical Therapy**: Exercises to strengthen neck muscles and improve flexibility.
- **Medications**: NSAIDs (e.g., ibuprofen), muscle relaxants, or corticosteroid injections for pain and inflammation.
- **Lifestyle Changes**: Ergonomic adjustments, posture correction, and regular exercise.
- **Heat/Cold Therapy**: To relieve pain and stiffness.
- **Interventional**:
- Epidural steroid injections for severe pain.
- Rarely, surgery (e.g., discectomy or spinal fusion) for significant nerve or spinal cord compression.
- **Alternative Therapies**: Acupuncture or chiropractic care (with caution).
# # # Prevention
- Maintain good posture, especially during prolonged sitting.
- Regular neck and upper body exercises.
- Avoid repetitive strain or heavy lifting without proper technique.
- Stay active and maintain a healthy weight.
# # # When to Seek Medical Attention
- Persistent or worsening neck pain.
- Numbness, tingling, or weakness in arms/hands.
- Difficulty with coordination or walking.