Skip to Main Content

++

++

  • 721 Spondylosis and allied disorders
  • 721.0 Cervical spondylosis without myelopathy
  • 721.1 Cervical spondylosis with myelopathy
  • 721.9 Spondylosis of unspecified site
  • 721.90 Spondylosis of unspecified site without myelopathy
  • 721.91 Spondylosis of unspecified site with myelopathy

++

  • M47.12 Other spondylosis with myelopathy, cervical region
  • M47.812 Spondylosis without myelopathy or radiculopathy, cervical region
  • M47.819 Spondylosis without myelopathy or radiculopathy, site unspecified

++
++

Description

++

  • Osteoarthritis of the cervical spine
  • Chronic degeneration
  • Progressive arthritis of the cervical spinal joints
  • As space between the vertebrae decreases, there may be compression onto the nerve roots
  • Arthritis can be central- or lateral-foramen based
    • Central: usually bilateral symptoms
    • Lateral: usually unilateral
  • Pain, paresthesia, and weakness in the upper extremities, can effect lower extremities if central and severe
  • Pressure on the nerve root can cause radiculopathy

++

Essentials of Diagnosis

++

  • X-ray
  • Acute painful flare-ups, chronic persistent pain
  • Relief with NSAIDs
  • Morning stiffness

++

General Considerations

++

  • Begins with intermittent pain
  • Pain and stiffness at rest/sleep
  • Improved with low-level activity
  • May have rapid and severe onset
  • Vertebrobasilar insufficiency is secondary problem

++

Demographics

++

  • Common in adults aged 60 years and older

++

Signs and Symptoms

++

++

Functional Implications

++

  • Limited mobility in cervical motion
  • Difficulty looking over shoulder while driving
  • May have difficulty washing hair at hair dresser due to cervical spine extension
  • Increased symptoms with increased weight-bearing
  • Aerobic endurance limitation

++

Possible Contributing Causes

++

  • Family history of osteoarthritis
  • Bone spurs
  • Instability
  • Weakness
  • Poor posture
  • Limited flexibility

++

Differential Diagnosis

++

++

Imaging

++

  • X-ray of the cervical spine
  • MRI of the cervical spine

++

  • Decreased space between the cervical vertebrae on X-ray

++

Medication

++

  • NSAIDs
  • Corticosteroids

++

  • To rheumatologist to assess underlying complications
  • To orthopedic surgeon for surgical consult

++

  • Mobility
  • Functional rotation and bending

++

  • Cervical spine AROM

++

  • Education in gentle range of motion to maintain mobility
  • Exercise: flexibility and stability strengthening to decrease stress on the joints
  • Joint protection education
  • Postural training
  • Heat or ...

Want remote access to your institution's subscription?

Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.

Ok

About MyAccess

If your institution subscribes to this resource, and you don't have a MyAccess profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.

Subscription Options

AccessPhysiotherapy Full Site: One-Year Subscription

Connect to the full suite of AccessPhysiotherapy content and resources including interactive NPTE review, more than 500 videos, Anatomy & Physiology Revealed, 20+ leading textbooks, and more.

$595 USD
Buy Now

Pay Per View: Timed Access to all of AccessPhysiotherapy

24 Hour Subscription $34.95

Buy Now

48 Hour Subscription $54.95

Buy Now

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.