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What Is Spondylosis?
In spondylosis there is a spinal degeneration of a discs or spinal joints. Spondylosis is caused by abnormal wear on the cartilage and bones of the neck (cervical vertebrae) with degeneration and mineral deposits in the cushions between the vertebrae (cervical disks).



There are two types of spondylosis:
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Cervical Spondylosis
The vertebrae (the component bones of the spine) gradually form bone spurs, and their shock-absorbing disks slowly shrink. These changes can alter the alignment and stability of the spine. They may go unnoticed, or they may produce problems related to pressure on the spine and associated nerves and blood vessels. This pressure can cause weakness, numbness, and pain in various areas of the body.

Causes of Cervical Spondylosis
Causes of Cervical Spondylosis include injury, bad posture, occupational strain, body type eg. Thick necks with hump at the back and long backs and a lifestyle that causes strain or tears of the neck.
Symptoms Of Cervical Spondylosis
Progressive neck pain is a key indication of cervical spondylosis. It may be the only symptom in many cases. Examination often shows limited ability to flex the head to the side (bend the head toward the shoulder) and limited ability to rotate the head.
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Lumbar Spondylosis
It is a degenerative disorder in which the vertebral bone or the inter-vertebral disc becomes soft and loses shape, because of this the spine loses its flexibility. Lumbar spondylosis appears to be a nonspecific aging phenomenon. Most studies suggest no relationship to lifestyle, height, weight, body mass, physical activity, cigarette and alcohol consumption, or reproductive history.
Causes Of Lumbar Spondylosis
There are five vertebrae in lumbar region like the cervical vertebrae these also have a specific gap between them. Due to aging injury of back suddenly falling down or wearing of bones the gap between these vertebrae becomes abnormal. Consequently the nerves passing through get pressurized and because of this pressure it produces the above mentioned symptoms of lumbar spondylosis. Symptoms Of Lumbar Spondylosis
Stiffness and pain in lower back with poor movements such as difficulty in bending forwards, Shooting type of pain in buttocks and legs, There may be pain in the back of the legs after a long walk, Heaviness in back, legs and foot and / or Stress at the above mentioned parts of the body.
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Diagnosis Of Spondylosis
A pain in the neck or in the lumbar region that continues to get worse is a sign of cervical spondylosis. A spine X-ray shows the abnormalities that indicate the cervical spondylosis. A CT scan or spine MRI confirms the diagnosis. A Myelogram (X-ray or CT scan after injection of dye into the spinal column)may be recommended to clearly identify the extent of injury.

Non Surgical Treatment Of Cervical Spondylosis
Non operative treatment for cervical spondylosis may include temporary brace immobilization, traction, physical therapy (exercises, strength training, massage, mobilization, and physical modalities such as ultrasound, electrical stimulation, heat), and medications (analgesics, NSAIDs, muscle relaxants)

Non Surgical Treatment Of Lumbar Spondylosis
Most symptomatic cases of lumbar spondylosis / disc degeneration resolve with conservative treatment. Medications such as non-steroidal anti-inflammatory drugs and muscle relaxants are often prescribed. Physical therapy and a home exercise program may be helpful.
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Surgical Treatments For Spondylosis
If the medical treatment and physiotherapy fails, and the condition is severe, where the nerves are affected, surgery may be required. Decompression of the nerve is done to relieve the nerve which is compressed by the bones and the disc.

The review by the doctor considers the available evidence on the procedures of spinal decompression (widening the spinal canal or Laminectomy), nerve root decompression (of one or more individual nerves) and fusion of adjacent vertebrae. There is moderate evidence that instrumentation can increase the fusion rate.

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