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CERVICAL SPONDYLOSIS
TREATMENT AND
MANAGEMENT
PHYSICAL
THERAPY
SURGICALMEDICATIONS
PHYSICALTHERAPY
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
2- CervicalTraction
• Manual CervicalTraction
• Mechanical Cervical Traction
• Over-the-Door Traction
MEDICATION
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
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
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.
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.
Foraminectomy:
• Small incision in the back of the neck
• To relieve a compression on the spinal nerve roots in the neck

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Cervical Spondylosis - Management

  • 5. 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
  • 6. 2- CervicalTraction • Manual CervicalTraction • Mechanical Cervical Traction • Over-the-Door Traction
  • 8. 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
  • 9. 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
  • 10. 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.
  • 11. 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.
  • 12. Foraminectomy: • Small incision in the back of the neck • To relieve a compression on the spinal nerve roots in the neck

Editor's Notes

  1. For mylopathy
  2. 2- radiculopathy 3- myelopathy