Cervical SpondylosisNeck Arthritis
Comprehensive management for age-related cervical spine degeneration with evidence-based treatment approaches.
Cervical spondylosis is age-related wear and tear affecting the spinal discs and joints in the neck. As we age, the discs dehydrate and shrink, and bone spurs may develop around the vertebrae.
This condition is extremely common, affecting over 85% of people over age 60. While often asymptomatic, it can cause neck pain, stiffness, and in some cases, nerve compression requiring treatment.
Mild
Early degenerative changes with minimal symptomsSymptoms:
- •Occasional neck stiffness
- •Mild morning pain
- •No neurological symptoms
Treatment:
Exercise, posture modification, anti-inflammatory medications
Prognosis:
Excellent with proper management
Moderate
Progressive degeneration with functional limitationsSymptoms:
- •Chronic neck pain
- •Reduced range of motion
- •Occasional headaches
Treatment:
Physical therapy, medications, activity modification
Prognosis:
Good with consistent treatment
Severe
Advanced degeneration with potential nerve compressionSymptoms:
- •Severe pain
- •Arm numbness/weakness
- •Possible myelopathy
Treatment:
Advanced interventions, possible surgical consultation
Prognosis:
Variable, may require surgery
Initial Management
0-4 weeksPain control and activity modification
Active Treatment
4-12 weeksImprove mobility and strengthen supporting muscles
Long-term Management
OngoingMaintain function and prevent progression
Mobility Exercises
Daily, 2-3 timesNeck Rotation
Gentle head turns side to side
Neck Flexion/Extension
Gentle nodding movements
Side Bending
Ear to shoulder movements
Strengthening
DailyDeep Neck Flexors
Chin tuck exercises
Isometric Exercises
Gentle resistance in all directions
Upper Back Strengthening
Shoulder blade retraction
Postural Training
Throughout dayWall Angels
Shoulder blade mobility against wall
Doorway Stretch
Chest and anterior shoulder stretch
Ergonomic Breaks
Regular posture checks and movement
Age-Related
Occupational
Lifestyle
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