Thursday, April 16, 2009

Cervical Spondylosis

Cervical Spondylosis is characterized as the gradual wearing away of the cervical vertebrae as we age. Though it happens with everyone, certain extremes can cause additional problems. The bones that make up our spine will deterioate over time and create spurs, which are outgrowths of the bone. These irregularities have the potential to compress nerves, in a condition called radiculopathy; or they can narrow the opening containing the spinal cord, causing myelopathy. Therefore, nerve function may be inhibited but it is not that common. Patients may not exhibit symptoms or the symptoms may be worse depending on the severity. These symptoms include: stiffness and pain in the neck, shoulder, and chest; tingling and/or numbness in extremities; trouble walking; changes in reflexes; and loss of bladder/bowel control.
Also known as cervical osteoarthritis, it often occurs in men and women over 40 (although usually affects men at an earlier age compared to women). Around age 30, an x-ray may show some degeneration, however, symptoms aren't likely to show up until later. It is often caused by the changing consistency of the disks and ligaments associated with the spine. The spinal disks become dry and loose elasticity; while ligaments and muscles become stiff. Bulging disks also may be a cause, due to the disk material protruding from the space. The risk may be reduced early on by exercise and practicing good posture. This pathology can be diagnosed utilizing a physical assesment of neck flexibility, neurological exams (to determine pressure on the nerves and spinal cord), x-rays of the neck and spine, CT, MRI, or a Myelogram (when dye is injected into the spinal cord). Mild cases may be treated with a brace, anti-inflammatory drugs, and exercise; while extreme cases may require bed rest, traction, muscle relaxants, or corticosteroid injections. Although surgery has its own associated risks, it is also an option in severe cases.
http://www.mayoclinic.com/health/cervical-spondylosis/DS00697/TAB=multimedia







4 comments:

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