Cervical osteoarthritis (spondylosis)

Age-related wear of the neck joints and discs that can cause stiffness and ache.

Overview

Cervical spondylosis is the age-related degeneration of the neck's joints and discs. It is very common and often symptom-free, but can cause neck stiffness, ache and occasionally nerve symptoms. Exercise and movement variety are the cornerstone of management.

Symptoms

  • Neck stiffness, often worse in the morning
  • Aching that increases with sustained postures
  • Grinding or clicking with movement
  • Occasional headaches or arm symptoms

Causes

  • Normal age-related joint and disc wear
  • Cumulative postural loading
  • Genetic predisposition

Treatment

  • Reassurance and education
  • Neck mobility and strengthening exercise
  • Posture and ergonomic advice
  • Manual therapy as an adjunct