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Spondylosis (spinal osteorthritis) is a degenerative disorder that may cause loss of normal spinal structure and function. Although aging is the primary cause, the location and rate of degeneration is individual. The degenerative process of spondylosis may impact the cervical, thoracic, and/or lumbar regions of the spine affecting the intervertebral discs and facet joints.

Conservative treatment is successful 75% of the time. Some patients may think that because their condition is labeled degenerative they are doomed to end up in a wheelchair some day. This is seldom the case. Many patients find their pain and other symptoms can be effectively treated without surgery.

During the acute phase, anti-inflammatory agents, analgesics, and muscle relaxants may be prescribed for a short period of time. The affected area may be immobilized and/or braced. Soft cervical collars may be used to restrict movement and alleviate pain. Lumbosacral orthotics may decrease the lumbar load by stabilizing the lumbar spine. In physical therapy, heat, electrical stimulation, and other modalities may be incorporated into the treatment plan to control muscle spasm and pain.

Physical Therapy (PT) teaches the patient how to strengthen their paravertebral and abdominal muscles to lend support to the spine. Isometric exercises can be helpful when movement is painful or difficult. Exercise in general helps to build strength, flexibility, and increase range of motion.

Lifestyle modification may be necessary. This may include an occupational change (e.g. from manual labor), losing weight, and quitting smoking.

Seldom is surgery used to treat spondylosis or spinal osteoarthritis. Conservative forms of treatment are tried first.

If there is neurologic deficit, certain surgical procedures may be considered. However, before surgery is recommended, the patient's age, lifestyle, occupation, and number of vertebral levels involved are carefully evaluated.

A Rothman orthopaedic surgeon will be able to determine if surgery is the best treatment for the patient.