Cervical Spondylosis - Diagnosis

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Dr. Nithin Jayan
Medically Reviewed by Dr. Nithin Jayan, MBBS, DNB
Last Updated on Feb 18, 2016
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How can we Diagnose Cervical Spondylosis?

A physical examination may reveal that the affected person has trouble moving head toward the shoulder and rotating the head.

The doctor makes use of the neck compression test (Spurling’s Test) to confirm the presence of cervical spondylosis. The patient is asked to sit on a chair, and the doctor asks the patient to bend the head forward and to the sides while putting slight downward pressure on the top of the head. Increased pain or numbness during this test is a sign that there is pressure on a nerve in your spine. Weakness or loss of sensation is sign of damage to certain nerve roots or to the spinal cord.

The reflexes are often reduced.

Diagnostic tests

A spine or neck x-ray may be done to look for arthritis or other changes in the spine. If cervical spondylosis is present, the following changes can be seen in the X-ray-

  • Bony outgrowths at the margin of the joints.
  • Reduced space between the vertebrae of neck.
  • The opening between the bones will be narrowed.

Myelography is an x-ray study which involves injecting dye or contrast material into the spinal canal. It allows careful evaluation of the spinal canal and nerve roots.

MRI of the neck is done in cases of severe neck or arm pain that does not get better with treatment, and when there is weakness or numbness in the arms or hands. The MRI features of a cervical spondylosis are as follows-

  • Loss of normal curvature of neck.
  • Vertebral bone canal diameter is decreased.
  • Spinal canal is narrowed.

Electromyography (EMG) and nerve conduction velocity test may be done to examine nerve root function.

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I have coped with pain from multilevel degenerative cervical spondylosis for 10 years and now it has become more constant and much more nagging. There are periods when pain isn't as sever but it is constantly present. This makes it difficult to concentrate and focus on anything else and do normal things in life. I am very depressed over this and do not know what to do. I sought counselling, but it is not helping because I can not detach my mind from the pain in the back. Has anybody else had same experience and how have overcome this.

dear sir,,for the past 2 months i under go the treatment for cervical spondylosis. now i feel that i got paining in the legs for the past 10 days .. and doctor said that i have to go for a surgery but i under go heart surgery in the year july 2012...sir can u suggest me the best option

samvedna.pathak

which type of diet must be given and must be restricted for cervical spondylitis ?

lovashyam1166

I Lova Raju i am suffering with cervical spine as per MRI report small osteophytes noted over C5 and C6 vertebral bodies diffuse annular bulging and postero-central protresion of C5/C6 interverterbral disc causing compression on cord and bilateral neural foramina. diffuse annular bulging and right posterior para central protrusion of C3/C4 and C4/C5 intervetbral discs causing diffuse compression on cord. diffuse annular bulging of C6/C7 intervetbral discs causing compression on cord and neural foramen. Please suggest me a better solution.

jamal_khan

Is cervical spondylosis curable completly or what level we can recover. plz reply

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