Understanding Cervical Spondylosis

Cervical spondylosis symptoms

• Neck and shoulder pain
• Stiffness in the neck
• A grinding sensation while moving your neck
• Difficulty maintaining balance
• Weakness in legs and arms
• Headaches that usually start at the back of the neck

Cervical spondylosis risk factors

• Overweight, living a sedentary lifestyle 
• Having a job that requires heavy lifting with twisting and bending 
• Previous neck injury or spine surgery 
• Having other health conditions such as slipped or ruptured disc, and severe arthritis

Cervical spondylosis diagnosis

Your doctor would first question your general health and symptoms before conducting a thorough physical examination.

Diagnosis is made based on your reported symptoms, physical examination, and investigations.

• Imaging tests such as X-ray, magnetic resonance imaging (MRI) scan, computed tomography (CT) scan are done to find out the extent of the condition.
• Electromyography (EMG) is done to measure electrical impulses of the muscles during contraction and at rest. 
• Nerve conduction study is done to determine the functionality of the spinal nerve.

Cervical spondylosis treatment options

Treatment options depend on the extent and severity of the problem.

• Medications to relieve pain and inflammation such as nonsteroidal anti-inflammatory drugs (NSAIDs), oral corticosteroids, and muscle relaxants to treat painful spasms.
• The usage of soft cervical collar to limit neck motion and allow neck muscles to rest.
• Steroid injections to help relieve pain fast. However, the effects are temporary and wear off after a few weeks.
• Physiotherapy with effective exercise programme that would suit your needs.

Surgery is not commonly recommended unless there is cervical radiculopathy due to the nerve being pinched by a herniated disc or compression of the spinal compression.

Cervical spondylosis management at work

There are several ways to manage this situation.

1. Maintaining a good sitting posture can ensure a good spine alignment to distribute your body weight evenly. This will help reduce pressure on the spine and minimise pain.
2. Invest in a comfortable workstation such as an ergonomic chair with good lumbar support. Ensure that the computer screen is kept at proper eye level at the workstation.
3. Take regular breaks while you continue your daily routine.
4. Do exercises that help relieve pain due to cervical spondylosis as recommended by a therapist.
5. Alleviate neck stiffness by applying heat to the affected area. Use a hot water bottle wrapped in a towel or heating pad for 20 minutes, 2 to 3 times a day. You could also use a cold bag wrapped in a towel for cold therapy.

Cervical spondylosis prevention

• Avoid lifting heavy loads on the head.
• Limit high-impact exercises and workout routines.
• Avoid using many pillows below your neck while you are sleeping.
• Avoid sleeping on your stomach.
• Avoid long hours of driving without any break.

Make an appointment at Gleneagles Hospitals

Speak to your doctor to know more about cervical spondylosis. If you are experiencing any of the symptoms of cervical spondylosis, get in touch with us to find out more about our Orthopaedic Services at your nearest Gleneagles Hospital.

Gleneagles Hospital works with orthopaedic specialists to assist patients through diagnosis and treatment. The caring and multidisciplinary team of healthcare professionals are available for consultation and to provide the best care.