
Spondylosis is a commonly experienced cause of back pain; it involves spinal degeneration, caused by wear on cartilage
and bones in the spine. A condition involving spinal joints, ligaments and discs, Spondylosis occurs when the cushioning
and shock absorbing properties of the disc is lost, ligaments weaken and bone growths occur. An age-related condition,
it can be quite painful, and the symptoms of the syndrome tend to worsen with age. Symptoms typically include pain,
tingling, muscle spasms and stiffness.
Spondylosis is found in both the neck (cervical spondylosis) and lower back (lumbar spondylosis) areas. It is usually first
noticed in men and women over the age of 40; however, men tend to get it more frequently at a younger age than do
women. The condition is a progressive one. The bones and cartilage that comprise the backbone and neck degrade over
time; part of the degradation process includes the development of bony spurs around the spine.
Bone spurs, which impinge on nerves, occur in the spines of most people, though not all develop to the point where pain
and other symptoms of the condition are noticeable.
In its more serious forms, spondylosis results in a compression of the spinal nerves, and bone spurs that result from the
condition can diminishes the size of the canal housing the spinal cord. This can lead to permanent disability; however,
only about 10% of people with the condition will form this more serious manifestation.
Symptoms range widely and can include: pain in the shoulders, chest and arm, stiffness, pain in the neck, lack of
coordination/difficulty walking, tingling sensations in the hands, arms, feet and legs, reduced reflexes (or hyper reflexes)
and loss of bladder/bowel functioning.
degenerative spondylosis is usually associated with age. Although symptoms do not generally appear until later, many
people have evidence of disc degeneration by age 30. By that age, drying of the disc occurs, leading to loss of elasticity.
There is frequently by that age, evidence of disc bulging or herniation, and ligaments in the spine have begun to stiffen.
Injury to the area can accelerate the development of the condition.
When consulting a medical professional, a flexibility assessment will be conducted, as the condition is associated with
limited motion in the neck or back. In conducting this test (in the case of the neck, for example) the doctor will ask you to
bend your head toward each of your shoulders and move it back and forth from side to side.
A neurological exam might also be warranted to determine if there is pressure on your spinal cords, or the nerves within
it. Reflexes will be checked and you will be checked to ensure that you have sensation in your arms, legs, feet and
hands. The doctor might also ask you to walk in order to observe whether you have issues with gait or coordination.
An X-ray might be ordered, to determine the location of bone spurs or other abnormalities. MRIs and CTs are sometimes
used for this purpose as well. Rarely, but sometimes, a myelgram is used as well. This test works by shooting dye into
your spine; the dye illuminates with imaging technology to indicate the presence of abnormalities.
Spondylosis Treatment can include surgery, in cases where conservative treatment fails to reduce symptoms or where the
symptoms indicate neurological damage (weakness in the extremities, for example).
More conservative treatments include reducing inflammation and pain with over the counter products, or prescription
medications if necessary. Hot and cold packs can be used to reduce pain and inflammation as well. Where the patient
presents with severe pain, rest is recommended for a brief period (one or two days), followed by a period of limited
activity (though brief periods of light exercise are indicated).
Physical therapy can also be indicated, to help the patient increase flexibility, mobility and strengthen muscles in the
neck, back, shoulders and stomach area. cervical spondylosis exercises will focus on the neck, while lumbar spondylosis will focus on the back.
Some patients will be prescribed braces or cervical collars. Regular low impact exercise, like walking, is also
recommended.
Because the condition is associated with aging, prevention can go a long way to helping many people avoid the worst of
the condition. There is a variety of preventative measures, including limiting the amount of high impact activities. High
impact activities include certain types of aerobics, running, heavy lifting. You can also focus on ensuring that muscles that
control the affected areas are kept strong and flexible through regular exercise and stretching. Also, avoid repetitive
activities, like sitting in the same position for long periods of time. Also, simply maintain good posture can forestall many
problems.
Spondylosis is condition that is caused by spinal degeneration that occurs naturally through the aging process (or
sometimes is precipitated by injury). The condition, which typically affects the neck and lower back, can lead to pain,
stiffness, and loss of sensation in serious cases. There are many preventative measures that can be taken to frustrate the
natural aging process that leads to the condition.
back to articles |