Cervical spondylitis, also known as cervical spondylosis, is a common degenerative condition affecting the cervical spine, often resulting in neck pain, stiffness, and sometimes radiating symptoms to the shoulders and arms. As a physiotherapist, managing cervical spondylitis involves a comprehensive approach that combines exercise therapy, manual techniques, and patient education to address both symptoms and underlying causes. Core Physiotherapy Approaches Exercise Therapy: Targeted neck and postural exercises, such as chin tucks and isometric neck flexion, help strengthen the deep cervical muscles and improve flexibility. Dynamic exercises are introduced as pain and mobility improve, supporting functional recovery. Manual Therapy: Soft tissue mobilization, joint mobilization, and trigger point therapy help relieve muscle tightness, reduce inflammation, and improve cervical range of motion. Electrotherapy: Modalities like TENS, ultrasound, and interferential therapy are used to manage pain and promote tissue healing. Additional Treatment Strategies Posture Correction and Ergonomics: Guidance on maintaining proper posture, especially during prolonged sitting or desk work, reduces strain on the cervical spine and prevents symptom exacerbation. Hydrotherapy: Water-based exercises can be beneficial, especially for patients with severe symptoms, as buoyancy reduces neck pressure and facilitates movement. Heat and Cold Therapy: Cold packs are useful during flare-ups to reduce inflammation, while heat packs help relax tight muscles before exercise. Patient Education and Self-Management Educating patients on symptom triggers, home exercise programs, and pain management strategies empowers them to actively manage their condition and reduce long-term dependence on medical interventions. Combining physiotherapy with lifestyle modifications and, if needed, multidisciplinary care leads to better outcomes and prevents further degeneration. Physiotherapy is central to the non-surgical management of cervical spondylitis, focusing on restoring function, reducing pain, and improving quality of life through evidence-based interventions.
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