Cervical stenosis is a narrowing of the spinal canal in the cervical region ( C1-C7). It compresses the nerve roots where they leave the spinal cord. The symptoms of cervical stenosis are head-neck-shoulder pain caused by the degeneration of the disc and instability.. This form of spinal stenosis is more dangerous than lumbar spinal stenosis. Sometimes asymptomatic, silent stenosis can cause severe damage by simply not being taken care of (i.e.: paralysis from a spinal origin after anesthesia or sleeping in patients with patients in asymptomatic spinal stenosis) (Park et al., 2015).
It is one of the most common syndromes in modern society and, like lumbar stenosis, is mostly a degenerative process especially due to the degeneration of the intervertebral disc (Meyer, Borm and Thome, 2008).
Treatment depends very much on the symptom presentation of the patient. Conservative treatment (physiotherapy) under close monitoring to control possible neurological deficits is therefore reasonable (Meyer, Borm and Thome, 2008). Generally, gaining muscle strength helps to stabilize the neck and reduce the pressure onto the bony structure with the tissue offloading it.
Park M.S. et al., 2015, Asymptomatic Stenosis in the Cervical and Thoracic Spines of Patients with Symptomatic Lumbar Stenosis, Global Spine Journal, 5(5), pp: 366-371
Meyer F., Borm W. and Thome C., 2008, Degenerative Cervical Spinal Stenosis- Current Strategies in Diagnosis and Treatment, Deutsches Ärzteblatt, 105(20), pp: 366-372