Cervical spondylosis, often called neck arthritis, is one of the most common age-related spine conditions Dr. Joel Edionwe evaluates in patients throughout South Texas. A board-certified, fellowship-trained spine surgeon based in San Antonio, Dr. Edionwe helps patients manage the chronic neck pain, stiffness, headaches, and occasional arm numbness that can accompany wear and tear on the discs and joints of the cervical spine. While many cases respond well to conservative treatment, a proper evaluation helps rule out more serious nerve or spinal cord involvement. Dr. Edionwe sees patients from across San Antonio as well as those traveling from the Rio Grande Valley and Laredo for spine care.
Cervical Spondylosis
Cervical spondylosis, often referred to as neck arthritis or cervical osteoarthritis, is a common age-related condition that involves wear and tear on the spinal discs and joints in the neck (cervical spine). It is a natural part of the aging process and can affect the discs, bones, and joints of the cervical spine.
Key Features of Cervical Spondylosis:
Degenerative Changes: Over time, the discs and joints in the cervical spine may undergo degeneration, leading to various structural changes.
Causes:
Age: Cervical spondylosis is more prevalent as individuals age, with wear and tear contributing to the breakdown of spinal structures.
Genetic Factors: Some individuals may be predisposed to early-onset cervical spondylosis due to genetic factors.
Structural Changes:
Disc Degeneration: The spinal discs lose water content and become less flexible, affecting their ability to cushion the vertebrae.
Bone Spurs: Osteoarthritis can lead to the formation of bone spurs (osteophytes) on the edges of vertebrae, potentially causing pressure on nearby nerves.
Facet Joint Changes: The small joints between the vertebrae (facet joints) may undergo changes, contributing to stiffness and discomfort.
Symptoms:
Neck Pain: Chronic pain or stiffness in the neck is a common symptom.
Radiating Pain: Pain may radiate into the shoulders and upper back.
Headaches: Some individuals may experience headaches, particularly at the back of the head.
Numbness and Weakness: Compression of nerve roots can lead to numbness, tingling, and weakness in the arms.
Diagnostic Approaches:
Imaging Studies: X-rays, MRI (Magnetic Resonance Imaging), or CT (Computed Tomography) scans are used to visualize the cervical spine and identify structural changes.
Physical Examination: A healthcare provider assesses symptoms, range of motion, and neurological function.
Treatment Options:
Conservative Management: Non-surgical approaches include physical therapy, pain medications, and lifestyle modifications.
Corticosteroid Injections: Injections of corticosteroids into the affected area to reduce inflammation and alleviate symptoms.
Surgical Intervention: While surgery is rarely necessary for cervical spondylosis, it may be considered in cases of severe spinal cord compression or persistent symptoms.
