What is Cervical Stenosis?
The most common cause of neck pain in older individuals is cervical stenosis. This is a condition where the spinal canal in the neck and upper thoracic region begins to narrow, placing pressure on the spinal cord.
Causes for Cervical Stenosis
The main cause of cervical stenosis is vertebral joint degeneration (Arthritis) in the cervical spine with or without an accident to the neck. Postural dysfunctions due to lifestyle habits have been shown to accelerate these symptoms, such as sitting behind a desk for many years, sedentary lifestyles, and lack of exercise and stretching.
Symptoms of Cervical Stenosis
Symptoms can range from pain, weakness, tingling, and other neurological symptoms that may travel into your shoulders, arms, and hands. In some advanced cases, the compression can lead to narrowing of the spinal canal and compression on your spinal cord. This is known as cervical myelopathy and can be a serious condition causing significant symptoms, such as problems with balance and difficulty walking. Most people with cervical spine stenosis do not need surgery. Non surgical treatments include physical therapy, medication, spinal injections, and some patients even find acupuncture to be helpful.
Physical Therapy for Cervical Stenosis
Physical therapy interventions aim to reduce and alleviate pain with soft tissue and joint mobilizations, restoration of full pain free range of motion, neuromuscular reeducation and strengthening of affected musculature.