Treatment of cervical spondylosis focuses on relieving pain and lowering the risk of permanent damage. Non-surgical methods are very effective.
Muscle relaxants such as cyclobenzaprine to treat muscle spasms.
Narcotics such as hydrocodone for pain relief.
Anti- epileptic drug such as gabapentin to relieve pain caused by nerve damage
Steroid injection like Prednisone to reduce the tissue inflammation and relieve pain.
Non steroid anti-inflammatory drugs (NSAIDs) like diclofenac to relieve pain.
Treatment should be individualized but generally includes rehabilitation exercises, proprioceptive re-education, manual therapy and postural education.
Manual therapy: Manual therapy of thoracic spine can be used for reduction of pain, improving function, to increase the range of motion, and to address the thoracic hypomobility.
Thrust manipulation: includes technique in a prone supine or sitting position based on therapist’s preference. Also, cervical traction can be used to enlarge the neural foramen and reduce neck stress.
Non thrust manipulation: includes posterior anterior (PA) glide planes in prone position. The cervical spine techniques could include retraction, rotation, glides in ULTT1(Upper Limb Tension Test 1) position and PA glides. The technique is choose based on patient’s response.
Postural education: includes the alignment of supine during sitting and standing activities.
Soft tissue mobilization: is performed on the muscles of upper quarter with the involvement of upper extremity positioned in abduction.
Thermal therapy: provides symptomatic relief only.
Cervical traction: is incorporated in patients experiencing radicular pain. It is done to alleviate the nerve roots compression that occurs with foraminal stenosis.
Use a healing pad or cold pack on your neck to provide relief for sore muscles.
Exercise regularly to help you recover faster.
Wear a soft neck brace or neck collar to get temporary relief. However, wearing neck brace or collar for long time can make your muscles weaker.