Cervical Spondylosis - Management

Management Options for Cervical Spondylosis

1. CERVICAL SPONDYLOSIS

2. Treatment And Management

3. PHYSICAL THERAPY

4. 1-Cervical Soft Collars (Neck Immobilization) These collars limit neck motion and allow the muscles of the neck to rest. Soft collars should only be worn for short periods of time because long-term wear can decrease the strength of neck muscles

5. 2- Cervical Traction Manual Cervical Traction Mechanical Cervical Traction Over-the-Door Traction

6. MEDICATION

7. The goal of pharmacotherapy is to reduce pain and inflammation Acetaminophen : Tylenol  Mild pain. Non-steroidal anti-inflammatory drugs (NSAIDs): Ibuprofen Often prescribed with acetaminophen, Considered as first-line medicines for neck pain. (address both pain and swelling) Muscle relaxants : Cyclobenzaprine For painful muscle spasms Anti-epileptic drugs , Gabapentin, Relieve pain caused by nerve damage

8. SURGICAL Surgery is reserved for patients who have severe pain that has not been relieved by any other treatment Or there is clear evidence that a never is being pinched by a slipped disk or bone Or the spinal cord is being compressed

9. Discectomy and fusion: Is a procedure to remove a portion of an intervertebral disc that is putting pressure on a nerve root or the spinal canal. Then stabilize the spine through spinal fusion. Typically, a plate with screws is added to the front of the spine for added stability.

10. Laminectomy: Removal of the bony arches of the spinal canal (Lamina) To decrease pressure on the spinal cord Laminoplasty : Bones are spread open to widen the space Bone not removed.

11. Foraminectomy: Small incision in the back of the neck To relieve a compression on the spinal nerve roots in the neck