SPONDYLOSIS refers to a degenerative process affecting the vertebral disc and facet joints that gradually develops with age.


  • Dehydrated disks - Disks act like cushions between the vertebrae in our spine. By the age of 40, most people's spinal disks begin drying out and shrinking, which allows more bone-on-bone contact between the vertebrae
  • Bone spurs - Disk degeneration often results in the spine producing extra amounts of bone in a misguided effort to strengthen the spine. These bone spurs can sometimes pinch the spinal cord and nerve roots
  • Stiff ligaments - Ligaments are cords of tissue that connect bone to bone. Spinal ligaments can stiffen with age, making the neck or back less flexible

Sign & symptoms

Different people experience disc degeneration in different ways, with varying manifestations. Symptoms can differ depending on the location and the specific type of disc degeneration, and what that breakdown of the disc is doing to surrounding nerves and tissue

  • Headaches
  • Loss of bladder or bowel control
  • Poor coordination
  • Muscle spasms
  • Pain and soreness in the neck, shoulders, or lower back; pain may worsen with standing (if it originates in the lower back) or moving the head (if it originates in the neck)
  • Stiffness
  • Tenderness
  • Tingling or pins-and-needles sensation that radiates down the arms or legs
  • Weakness in the arms or legs
  • Poor coordination
  • A grinding or popping feeling when moving the spine

Spondylosis Risk Factors

  • Age - Cervical spondylosis is a normal part of aging
  • Occupation - Jobs that involve repetitive neck motions, awkward positioning or a lot of overhead work put extra stress on your neck
  • Previous injuries - Previous injuries appear to increase the risk of spondylosis

  • Genetic factors - Some individuals in certain families will experience more of these changes over time, while others will not
  • Smoking - Smoking has been linked to increased neck pain

Spondylosis treatment

  • Hot pack/ cold pack :
    • Hot pack - is use to relax muscles, stimulates blood flow and improves circulation, helps increases range of motion, and reduces stiffness in painful joints
    • Cold therapy - can reduce inflammation, a major cause of arthritis joint pain and stiffness. Placing a cold pack on a swollen joint can also help bring it back down to size, which will also lessen joint pain
    • Soft tissue manipulation (STM) - is to rehydrate connective tissue, stimulate the production of ground substance, assist in orienting of collagen fibers, and break micro adhesion. The result is improved soft tissue mobility, reduced stress on pain sensitive structures, and better function
  • Exercise (stretching and strengthening exercise) - can strengthen the muscles that support your knee joint. Having stronger muscles can reduce the impact and stress on your joint, and help your joint move more easily
  • Mulligan Techniques - Designed to reduce pain and improve the patient’s range of motion the Mulligan technique involves Natural Apophyseal Glides (NAGS), Sustained Natural Apophyseal Glides (SNAGS) and Mobilization with Movement (MWM) for the treatment of musculoskeletal injuries



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