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  • I wanted to write a letter to you because I'm so grateful to you and your team at the pain management clinc. After spending over 15 years with the most horrendous headaches and seeing dozens of different doctors and therapists finally you have managed to get them under control. Thanks you for taking the time to genuinely listen to me and my problems. Much appreciated.

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    Hertfordshire
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Content

Cervical Spondylosis

Cervical spondylosis is a degenerative process affecting the neck. It reflects wear and tear in the spinal bones (vertebrae), discs and facet joints.

The cervical spine is made up of seven bones called vertebrae. The sides of the vertebrae are linked by small paired facet joints with a disc between each of the vertebrae. The discs are made of a tough fibrous outer layer and a softer gel-like inner part and act like 'shock absorbers' and allow the spine to be flexible.  In severe cases, the degeneration may cause irritation or pressure on the spinal nerve roots or spinal cord with symptoms affecting the arms (cervical radiculopathy) and legs (cervical myelopathy).  Cervical radiculopathy and myelopathy are serious conditons and warrants urgent input from your doctor.

Symptoms

  • Pain in the neck. This may spread to the shoulders and base of the skull.
  • The pain sometimes spreads down an arm to a hand or fingers caused by irritation of a nerve which goes to the arm from the spinal cord in the neck.
  • Neck stiffness, particularly after a night's rest.
  • Headaches may occur. The headaches often start at the back of the head just above the neck and travel over the top to the forehead.
  • Grinding and popping sound/feeling in neck with movement

What is Cervical Spondylosis?

Investigations
  • X-ray  - Can reveal loss of disc height, bony spurs, facet joint osteoarthritis
  • MRI scan – Useful to assess the disc and arm pain may be due to pinched nerves
Treatments
  • Physical therapies - help improve flexibility and relieve muscular. Poor neck posture will also need to be addressed.
  • Acupuncture - especially useful to relieve muscular elements of pain
Injections therapies
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