In its simplest possible form, spondylosis can be defined as arthritis of the spine. It is a sequelae of the aging spine. Spondylosis can affect any/all regions of the spine, determining what symptoms you have. You can have spondylosis in your neck (cervical spondylosis), mid-back (thoracic spine), or low back (lumbar spondylosis).

• Pain that comes and goes
• Pain that spreads into your shoulders, arms, hands, or fingers
• Morning neck or shoulder stiffness or a limited range of motion after getting out of bed
• Neck or shoulder tenderness or numbness
• Weakness or tingling in your neck, shoulders, arms, hands, or fingers
• Headache in the back of your head
• Loss of balance
• Difficulty swallowing (This is rare, but it may occur if the spinal cord is compressed.)

• Pain that comes and goes
• Morning low back stiffness after getting out of bed
• Pain that decreases with rest or after exercise
• Low back tenderness or numbness
• Sciatica (mild to intense leg pain)
• Weakness, numbness, or tingling in the low back, legs, or feet/li>
• Difficulty walking

Bowel or bladder problems (This is rare, but it may occur if the spinal cord is compressed.)

The aetiology/cause of neck pain is multifactorial, there is no evidence to prove/disprove the quantitative effect of one or other. The risk factors for neck pain can be:

• Aging: as a part of the normal age related degenerative process.
• Life style: Stress and emotional tension, poor posture -standing for long periods of time or sitting incorrectly—can cause neck pain, heavy physical work, lifting or forceful movement, bending, or awkward positions can really hurt your neck.
• Injuries and Accidents: Injury to muscle , ligaments , or soft tissue can lead to neck pain .Fracture in spinal bone in a fall or a car accident also is a common cause.
• Obesity : along with weak abdominal muscles often disrupt the spine’s balance, causing your neck to bend uncomfortably to compensate

Human Spine is made of up 33 bones (vertebrae) that are cushioned by discs. These vertebrae are divided by region: neck (cervical spine), mid-back (thoracic spine), and low back (lumbar spine). At the lower end spine ends at the terminal bone of sacrum and the coccyx, which is commonly called your tailbone. Discs are present between these bones.

The disks protect the bones by absorbing the shocks from daily activities like walking, lifting, and twisting. Each disk has two parts – a soft, gelatinous inner portion (nucleus pulpous) and a tough outer ring (annulus fibrosis). Facet joints are on the posterior side (back) of your vertebrae.

These joints (like all joints in your body) help movement and are very important for flexibility . Spondylosis that affects the joints is called osteoarthritis, which is the most common form of arthritis in the spine. These spinal joints are covered by cartilage. With erosion of the cartilage, as occurs with age, the bones rub together-this causes severe pain.

There are different options to treat back pain depending on the severity and duration of symptoms . They may comprise of one or many :

Medication alone is not the ultimate solution to your back pain, however during emergency or during severe pain these medicines may help you curb the suffering.

Your doctor may call this an analgesic, but most of us refer to acetaminophen medications as painkillers. They don’t help reduce inflammation, though.

These will help reduce swelling (or inflammation) while relieving your pain; that’s how NSAIDs differ from acetaminophen. If an over-the-counter NSAID is an option for you, you have plenty to choose from. You can use ibuprofen, aspirin; however seek medical advice before you take any medicine.

If you have chronic back pain caused by muscle spasms, you may need a muscle relaxant, which will help stop the spasms

As surprising as it may seem, anti-depressants can be effective drugs for treating pain because they block pain messages on their way to the brain. They can also help increase your body’s production of endorphins, a natural pain killer.

In the most extreme cases, and only under careful supervision, you doctor may also prescribe an opioid, such as morphine or codeine.

As with all medications, you must follow your doctor’s advice precisely. Never mix over-the-counter and prescribed drugs without consulting your doctor.

• Massage
• Heat Therapy /Cold /Ice Packs
• Local Ointments application
• SWD/ TENS /IFT Traction

• Endurance exercises
• Strengthening exercises for back and abdominal muscles
• Core stability Exercises

Deep Tissue Massage :Deep tissue massage relieves deep muscle tension and spasms, which develop to prevent muscle motion at the affected area.

Hot and Cold Therapy :Both hot and cold therapies offer their own set of benefits, and your physical therapist may alternate between them to get the best results. This reduces inflammation, muscle spasms and pain.

TENS (transcutaneous electrical nerve stimulation) :Uses electrical current to stimulate your muscles and reduces muscle spasms and is generally believed to trigger the release of endorphins, which are your body’s natural pain killers.

TractionReduce the effects of gravity on the spine. the intent is to reduce the disc herniation and is usually performed in the cervical or lumbar spine.

Active TreatmentsHelp to reduce recurrent pain but will also benefit your overall health.

Core stability :Many people don’t realize how important a strong core is to their spinal health. Your core (abdominal) muscles help your back muscles support your spine. When your core muscles are weak, it puts extra pressure on your back muscles. Your physical therapist may teach you core stabilizing exercises to strengthen your back.

Flexibility :Learning proper stretching and flexibility techniques will prepare you for aerobic and strength exercises. Flexibility helps your body move easier by warding off stiffness.

Muscle strengtheningStrong muscles are a great support system for your spine and better handle pain.

• Root Block Injection
• Epidural Injection
• Caudal Block Injection
• Facet Block Injection