Understanding the causes and treatment of cervical spondylosis

3 August 2025 | Author Synphaet Hospital Ramintra

Let’s find out what the symptoms of cervical spondylosis are, what causes it, whether it is dangerous, and how to prevent and treat this condition effectively.



Cervical Spondylosis

If you have neck pain that radiates down the arm to the wrist and fingers—or frequent wrist stiffness—it may be due to cervical spondylosis. In this article, we’ll explain what cervical spondylosis is, its symptoms and causes, plus prevention and treatment options. Read on.

Cervical spondylosis results from degeneration of the intervertebral discs, which may lead to thickening of ligaments or bone spurs (osteophytes). These changes narrow the spaces between vertebrae and can compress spinal nerves or the spinal cord, causing neck pain that radiates to the arms and back.

 

Symptoms of Cervical Spondylosis

 

Symptoms of cervical spondylosis can be grouped into three main categories:

 

  1. Neck pain group: Neck pain that may spread to areas such as the occiput, the scapular region, and the posterior shoulders. This group is typically caused by degenerative changes in the cervical facet joints or intervertebral discs.
  2. Weakness of the arm, hand, and fingers: Caused by nerve root compression from cervical spondylosis, leading to pain along the nerve pathway with numbness and weakness—pain may radiate from the neck down the arm to the fingertips.
  3. Numbness of the arm, hand, and fingers: Caused by spinal cord compression (myelopathy). This is the most serious group, as it can impair daily activities—for example, gait imbalance, difficulty writing, or even loss of bladder/bowel control.

 

Causes of Cervical Spondylosis

 

Cervical spondylosis isn’t limited to older adults; it’s also common in working-age people. Besides aging, daily habits play a role.

 

Aging

 

Advancing age reduces bone density and strength, making degeneration easier; the discs also lose elasticity.

 

Injury

 

Trauma to the neck—falls, blunt impact, or road accidents—can cause injuries that lead to pain, chronic inflammation, and cervical degeneration.

 

Improper neck use

 

Maintaining the same posture for long periods, or prolonged neck flexion/extension—such as looking down at a phone or using a computer—can contribute to degeneration.

 

Habit of frequent neck snapping

 

Repeatedly snapping the neck can create impact forces on the cervical bones, discs, muscles, and ligaments, increasing degeneration risk.

 

Certain sports

 

Sports with higher fall/impact risk—such as football, rugby, or sepak takraw—can contribute to cervical spondylosis.

 

Smoking

 

Nicotine causes blood vessel constriction, which may reduce blood flow to the spine and promote chronic inflammation.

 

Underlying conditions affecting the cervical joints

 

Some chronic diseases—such as rheumatoid arthritis and gout—can cause persistent inflammation of cervical joints.

 

How to Prevent Cervical Spondylosis

 

  1. Avoid sitting in one position for too long. Change posture every 30–60 minutes.
  2. Whether walking or standing, keep your head upright—avoid excessive flexion or extension.
  3. Do not bend your head down while reading. Raise materials to eye level—use a stack of books or a box as a stand.
  4. Position your computer monitor at eye level; if it’s too low or too high you’ll sustain prolonged neck flexion or extension.
  5. Avoid certain sitting postures—such as side-sitting with a twist—which require excessive neck rotation.
  6. Limit prolonged phone use, which encourages long periods of neck flexion.
  7. When driving, sit close enough to the steering wheel to avoid jutting your head and neck forward.
  8. Prevent cervical spondylosis with regular exercise to strengthen neck muscles—this also helps relieve neck pain.

 

Treatment methods for cervical spondylosis

Treatment for Cervical Spondylosis

 

Conservative (Non-surgical) Management

 

  • Pain relievers and anti-inflammatory medications
  • Muscle relaxants
  • Heat therapy
  • Therapeutic ultrasound
  • Shockwave therapy
  • Physical therapy

 

Surgical Treatment

 

Surgery is considered when conservative measures fail or when severe symptoms are present, such as:

 

  • Chronic pain unresponsive to first-line treatments (medications or physical therapy)
  • Worsening pain or significant progressive muscle weakness
  • Myelopathy (spinal cord compression) that impairs daily living

 

Now that you know the causes, prevention, and treatment of cervical spondylosis, if you notice persistent neck pain and other suggestive symptoms, please consult for a thorough evaluation at Orthopedic Department, Synphaet Ramintra Hospital. For more information, contact our Call Center at 1535

 

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