With the increase in number of professionals who sit for hours together doing desk work or sitting for hours in front of the computer and call center jobs which requires continuous sitting in one posture the number of people suffering with cervical spondylosis is on the rise .Cervical spondylosis is a ‘wear and tear’ of the vertebrae and discs in the neck. it is a common cause of neck pain.

Cervical Spondylosis is the most common disorder of the cervical spine. it is caused by degenerative changes in the vertebrae and intervertebral discs that occur as a result of ageing or due to injury or rheumatoid disease. In advanced disease this may lead to cervical spondylotic myelopathy (CSM) which results from compression of the spinal cord.

Cervical spondylosis is a degenerative disorder of the neck bones. this disorder is caused by abnormal wear of the neck bone cartilage. The bones present in the neck are called as cervical vertebrae and the cushions situated between these vertebrae are called cervical disks. The condition of cervical spondylosis is caused due to mineral deposits in the cushions located between vertebrae and degeneration of neck bones cartilage. The abnormal wear on the neck bones and cartilage can lead to gradual compression of one or more than one nerve roots. this compression of nerve roots result in changes in sensation, pain in neck and arm and sufferer may even experience weakness.

Cervical spondylosis results from chronic degeneration of the cervical spine including the cushions between the neck vertebrae (cervical disks) and joints between the bones of the cervical spine. There may be abnormal growths or “spurs” on the vertebrae (the bones of the spine).

These accumulated changes caused by degeneration can gradually compress one or more of the nerve roots. this can lead to increasing pain in the neck and arm, weakness, and changes in sensation. In advanced cases, the spinal cord becomes involved. this can affect not just the arms, but the legs as well.

Pain in the neck. this may spread to the base of the skull and shoulders. Movement of the neck may make the pain worse. The pain sometimes spreads down an arm to a hand or fingers. this is caused by irritation of a nerve which goes to the arm from the spinal cord in the neck. The pain tends to wax and wane with flare-ups from time to time. however, some people develop chronic (persistent) pain.

The following methods are used to diagnose arthritis of the neck:

MRIs – Particularly useful for viewing the condition of the spinal nerves, MRIs take pictures from many angles.

CT scans provide good views of the encroachment on nervous tissue caused by the remodeling/reshaping of bones.

Myelogram – this imaging technique enhances the visibility of X-rays. they are especially good for seeing problems located at nerve roots.

The goal of treatment is relief of pain and prevention of permanent spinal cord and nerve root injury.

In mild cases, no treatment is required. Symptoms from cervical spondylosis usually stabilize or regress with simple, conservative therapy including a cervical collar (neck brace) to restrict motion and non-steroidal anti-inflammatory medications (NSAIDs). Cortisone injections to specific areas of irritation may also be helpful.

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Cervical Spondylosis is the most common disorder of the cervical spine. it is caused by degenerative changes in the vertebrae and intervertebral discs that occur as a result of ageing or due to injury or rheumatoid disease. in addition to age and possibly sex. several risk factors have been proposed for cervical spondylosis. Theses are repeated occupational trauma (e.g., carrying axial loads, professional dancing, and gymnastics). Familial cases have been reported. A genetic cause is also possible. Smoking also may be a risk factor. Conditions that contribute to segmental instability and excessive segmental motion (e.g., congenitally fused spine, cerebral palsy, down syndrome) may be risk factors for spondylotic disease. Cervical spondylotic myelopathy (CSM) may be responsible for functional declines in patients with athletic cerebral palsy. in advanced disease this may lead to cervical spondylotic myelopathy (CSM) which results from compression of the spinal cord. CSM is probably the most common spinal cord disorder in people over 55 years of age in the world. as the number of elderly people increases, the incidence of CSM will probably also increase. Cervical spondylosis appears to be primarily a disease of ageing. Characteristic changes on spinal x-rays are present in the majority of people aged over 70 years. A number of factors are responsible for the development of the signs and symptoms of cervical spondylosis. Osteophytes (bony growths) , A narrowed spinal canal present since birth , Degeneration of the intervertebral discs , Changes in the spinal cord and nerves due to insufficient blood supply are some of the common causes. MRI is recommended to assess the extent of the spondylosis and to help exclude other possible causes for the symptoms. A CT scan may also be useful as it gives better visualization of the bony structures. there is no universally accepted treatment for the management of cervical spondylosis. Studies show that up to 20% of patients with CSM will improve spontaneously, 40% will stabilize and up to 40% will deteriorate without treatment. in patients with mild symptoms, a variety of nonsurgical strategies may be used. the most common of these is cervical immobilization. Anti-inflammatory medications help relieve pain and swelling. Postural training and workplace modifications to reduce neck strain may be helpful. other treatments commonly tried include massage, heat, and cold fomentation. if symptoms are severe, such as uncontrollable pain, or progressive worsening of symptoms, surgical intervention is usually recommended. Spondylotic changes are often observed in the ageing population. However, only a small percentage of patients with radiographic evidence of cervical spondylosis are symptomatic. Treatment is usually conservative in nature; the most commonly used treatments are nonsteroidal anti-inflammatory drugs (NSAIDs), physical modalities, and lifestyle modifications. Many of the treatment modalities for cervical spondylosis have not been subjected to rigorous, controlled trials. Surgery is advocated for cervical radiculopathy in patients who have intractable pain, progressive symptoms, or weakness that fails to improve with conservative therapy. Surgical indications for CSM remain somewhat controversial, but most clinicians recommend operative therapy over conservative therapy for moderate-to-severe myelopathy.

 Homeopathy in Cervical Spondylosis:Homeopathic treatment is best suitable for the management of cervical spondylosis. Homeopathic remedies give prompt relief in pain and improve movement. even though the remedies can not bring improvement in degenerative changes in cervical vertebrae and joints which show degeneration or nerve compression but patient experiences significant relief in pain and flexibility of movement. the x — rays may continue to show nerve root compression and degenerative changes but patient experiences far better relief in pain and he is able to have very comfortable movements. Besides long term use of NSAIDS causes other side effects in the body which are not seen with homeopathy. in the management of cervical spondylosis use of constitutional homeopathic approach with use of acute homeopathic remedies whenever found necessary and yoga is the best combination which has proved effective clinically in hundreds of cases.

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