Cervical spondylosis is a general term for age-related wear and tear affecting the spinal disks in your neck. As the disks dehydrate and shrink, signs of osteoarthritis develop, including bony projections along the edges of bones (bone spurs).
Cervical spondylosis is very common and worsens with age. More than 85% of people older than age 60 are affected by cervical spondylosis.
For most people, cervical spondylosis causes no symptoms. When symptoms do occur, nonsurgical treatments often are effective.
Treatment for cervical spondylosis depends on its severity. The goal of treatment is to relieve pain, help you maintain your usual activities as much as possible, and prevent permanent injury to the spinal cord and nerves.
Medications
If nonprescription pain relievers aren't enough, your health care provider might prescribe:
Nonsteroidal anti-inflammatory drugs. nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve), are commonly available without a prescription. You may need prescription-strength versions to relieve the pain and inflammation associated with cervical spondylosis.
Corticosteroids. A short course of oral prednisone might help ease pain. If your pain is severe, steroid injections may be helpful.
Muscle relaxants. Certain drugs, such as cyclobenzaprine (Amrix, Fexmid), can help relieve muscle spasms in the neck.
Anti-seizure medications. Some epilepsy medications can dull the pain of damaged nerves.
Antidepressants. Certain antidepressant medications can help ease neck pain from cervical spondylosis.
Therapy
A physical therapist can teach you exercises to help stretch and strengthen the muscles in your neck and shoulders. This can be one of the best treatments for the pain and stiffness. Some people with cervical spondylosis benefit from the use of traction, which can help provide more space within the spine if nerve roots are being pinched.