Cervical Spondylitis Treatment

We offer a very effective ayurveda treatment for Cervical Spondylitis. This is a very common disorder, normally seen in the elderly from the age of 55 onwards, cervical spondylitis today is increasingly frequent in the younger age group from 35 to 45 years of age. There are several reasons for this. Before coming to the pathophysiology, let us understand the developmental concepts.

Causes

This is basically a mechanical disorder. Very stiff muscles in the cervical region can, over the years, cause a kinking of the cervical spine to the front. Bad posture and lack of exercise to the cervical region are the key factors which are responsible in a majority of the patients. Lying in bed with several pillows propping up the neck into an unnatural position can affect the alignment of the cervical column, causing a forward inclination. Reclining on sofas with the spine hunched and the neck pushed forward is bad for cervical alignment. Hunching over the computer for many hours, occupational hazards such as those of a writer, an illustrator or a painter, all cause the spine to be bent forward all the time. Positioning the body to the same side during sleep, with the shoulder muscles and the neck compressed, also develops faulty alignment in the cervical spine. In due course the spine is bent, the front surface of the bones and disc are excessively pressurised and damage occurs. The so-called executive chairs are ill-designed and push the neck out of alignment. No chair should reach over the head. The level should be up to the shoulder blades so that the chest can stretch over the edge keeping the body upright.

In India, railway porters carry heavy loads on their heads but they do not suffer from cervical pain (as one would expect) from the heavy load they carry every day. Only in the group of people who never exercise their bodies does this occur most frequently.

Pathology

Essentially, the pathology consists of :
  • Narrowing of the cervical vertebrae with disc space reduction.
  • Friction between two vertebral bodies created by this narrowing, with an osteophyte (bony spur) formation
  • Loss of normal concavity in the cervical region, i.e., loss of lordosis.
  • Symptoms of vascular insufficiency.
  • Numbness and tingling sensation in the hands or feet due to the compression of the cervical nerve roots.
The problems of vascular insufficiency consist of vertigo, giddiness, occasional tinnitus (a ringing sensation in the inner ear), a sense of unsteadiness, etc. In a severe case, there is transient loss of consciousness. The vertebro-basilar vessels are important arteries coursing along the cervical column to the back of the brain There are areas here that subserve balance and posture. If the blood flow is affected, the corresponding function is also affected. As the anatomical arrangement is intricate, any movement in the neck affects the flow of blood in the arteries. This syndrome is known as vertebro-basilar -insufficiency.

Symptoms

The most common symptom is pain in the neck, worsening with exertion and relieved, in the early stages, by rest. This pain often radiates down to the hand, with the fingers becoming numb due to compression of the nerves that innervate the upper extremity. The brachial plexus is affected. The trapezius area becomes tender and painful. A nodule can form in the muscle due to chronic pressure. The symptoms of cervical cord compression can sometimes be severe. The pain radiates down the right or left arm to the fingers, to the chest and shoulder blades depending on which side the nerve root is involved. It can become continuous, making movements painful and limited. If the cervical vertebrae become unstable, the danger of cord compression is imminent and, in some cases, fusion of the bones may be warranted. But this is rare.

Do's

  • Do regular exercise to maintain neck strength, flexibility and range of motion.
  • Use firm mattress, thin pillow.
  • Do turn to one side while getting up from lying down position.
  • Wear a cervical collar during the day.
  • Regularly walk or engage in low-impact aerobic activity.
  • In order to avoid holding the head in the same position for long periods, take break while driving, watching TV or working on a computer.
  • Use a seat belt when in a car and use firm collar while traveling.
  • When in acute pain take rest, immobilize the neck, and take medications as directed.

Don'ts

  • Avoid sitting for prolonged period of time in stressful postures.
  • Avoid running and high-impact aerobics, if you have any neck pain.
  • Do not lift heavy weights on head or back.
  • Avoid bad roads, if traveling by two or four wheelers.
  • Do not drive for long hours; take breaks.
  • Avoid habit of holding the telephone on one shoulder and leaning at it for long time.
  • Do not take many pillows below the neck and shoulder while sleeping.
  • Do not lie flat on your stomach.
  • In order to turn around, do not twist your neck or the body; instead turn around by moving your feet first.
  • Do not undergo spinal manipulations if you are experiencing acute pain.

What are the bad postures that can worsen cervical spondylitis?

  • The head held forward from normal position
  • The shoulders held up and forward
  • The chest bent and rounded
  • The pelvic area tilted backwards