
Cervical Spondylosis (Neck Arthritis)

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Cervical spondylosis, also known as neck arthritis, is a degenerative condition that occurs as the discs, joints, and bones of the cervical spine naturally wear down with age. This condition is very common in adults over 50 and can cause stiffness, chronic neck pain, or nerve irritation that radiates into the shoulders and arms. While it is age-related, poor posture, repetitive strain, or previous neck injuries can accelerate the process.
Diagnosis of Neck Arthritis
Diagnosis typically involves a physical examination and medical history review. A provider may:
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Assess range of motion and neck flexibility.
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Check for tenderness, stiffness, or grinding sounds (crepitus) during movement.
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Test reflexes, strength, and sensation to detect nerve involvement.
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Order imaging such as X-rays (to detect bone spurs or degeneration), MRI, or CT scans if nerve compression or spinal stenosis is suspected.
Treatment for Neck Arthritis
While cervical spondylosis cannot be reversed, physical therapy is highly effective in managing pain, improving mobility, and preventing progression. Treatments may include:
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Manual therapy: Hands-on mobilization of joints and soft tissues.
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Posture and ergonomic training: Reducing strain on the cervical spine.
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Stretching exercises: To improve flexibility and relieve stiffness.
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Strengthening programs: Targeting neck, upper back, and shoulder muscles.
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Pain relief techniques: Heat, ice, or electrical stimulation.
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Education: Teaching long-term habits to protect spinal health.
In cases of severe nerve compression, medical providers may recommend injections or surgical options.
Symptoms of Neck Arthritis
Cervical spondylosis symptoms can vary from mild discomfort to severe nerve-related issues, including:
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Chronic neck pain and stiffness
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Pain that worsens with activity or prolonged sitting
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Grinding or popping sensations with neck movement
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Headaches, often starting at the back of the head
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Shoulder or arm pain, numbness, or tingling (if nerves are affected)
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Muscle weakness in the arms or hands in advanced cases
Prevention of Neck Arthritis
To slow progression and reduce flare-ups:
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Maintain good posture when sitting, standing, and using electronics.
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Stay physically active with regular stretching and strengthening exercises.
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Use ergonomic furniture and supportive pillows.
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Take frequent breaks from long periods of sitting or screen time.
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Avoid repetitive heavy lifting or awkward neck positions.
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Manage stress, as tension often worsens neck pain.
