CERVICAL SPONDYLOSIS

Thursday, 12th Apr 2018

Cervical spondylosis refers to the degenerative condition  of the cervical spine including the intervertebral joints in between the vertebral bodies and the vertebral discs.The other terms used for this condition are degenerative disc disease, degerative spondylosis, osteophytosis, spondylities deformans.

It is very common in persons above 50 years of age and those have got to do work like typing or persons who have to keep the neck in one position as in reading , writing and other table works.

Its starts with degeneration of disc resulting in reduced space in between two vertebrae, later osteophytes are formed in the periphery. This is followed by involvement of the posterior intervertebral joints resulting in pain in the posterior part of the upper limb. Gererally, theis pain is along with tingling, numbness and radiating in nature.

The osteophytes formed may also compress the cord which will produce weakness of whole of the limb.

PREDISPOSING FACTORS:

  • Faulty posture adapted is associated with wrong habits, anxiety and mental tension
  • Built of the body: Persons having thick neck with a DOWAGERS hump and long backs are much prone to spondylosis.
  • Occupational stresses causes continuous pressure on the cervical segments. The section of society prone to stress and strain are :-
    • Officers, typists and other working on poorly or wrong postioned desks and tables.
    • Drivers prone to prolonged driving.
    • Coalminers and drivers.
    • Persons involved in occupations including lifting and carrying things on their head.
    • Habit of holding phone on one shoulder while talking.
    • Sleeping in awkward positions, using inappropriate pillows.       


STRUCTURES OF SPINE:

  • Intervertebral discs
  • vertebral bodies
  • ligaments
  • Meningeal sleeves
  • Apophyseal joints


FEATURES OF PAIN:

  • Onset pain :- Head ache ,neck  pain, Radiating pain in shoulder girdle, shoulder and arms either unilateral and bilateral.
  • Muscle weakness
  • Sensation


NATURE OF PAIN:

  • Limitation of movement
  • On palpation
  • Muscle spasm
  • Postural disturbance:
    • Stress at c5, c6, so tightness of upper cervical spine extensors
    • Chin placed forward
    • Kyphosis of thoracic spine
    • Flattened, sometimes lordotic lumbar spine
    • Flexion of elbow and hand
    • Backward tilt of pelvis
    • Hips flexed and knees flexed
    • Ankle dorsiflexed.


Cervical spondylosis is usually associated with headache, vertigo and loss of balance which is due to postural changes.


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