Cervical Osteoarthritis (Neck Arthritis) - Medtick

Cervical Osteoarthritis (Neck Arthritis)

What is it?

A condition that affects your joints.

  • The surfaces within your joints become damaged so the joint doesn’t move as smoothly as it should.
  • Older terms are degenerative joint disease or ‘wear and tear’.
  • When a joint develops osteoarthritis, some of the cartilage covering the ends of the bones gradually roughens and becomes thin and as a result there is cartilage loss, and the bone underneath thickens.
  • All the tissues within the joint become more active than normal – as if your body is trying to repair the damage:
    • The bone at the edge of your joint grows outwards, forming bony spurs called osteophytes.
    • The synovium (the inner layer of the joint capsule which produces synovial fluid) may thicken and make extra fluid, this causes your joint to swell.
    • The capsule and ligaments (tough bands that hold the joint together) slowly thicken and contract as if they were trying to make your joint more stable.
    • Sometimes your body’s repairs are quite good and the changes inside your joint won’t cause pain or problems.
    • The condition is sometimes called arthrosis or osteoarthrosis.
  • In severe osteoarthritis, the cartilage can become so thin that it doesn’t cover the ends of your bones. Your bones rub against each other and start to wear away.
  • The loss of cartilage, the wearing of bone and the bony spurs can change the shape of your joint, forcing your bones out of their normal position.

arthritisresearchuk.org

  • When this condition develops in the cervical spine, it is called cervical osteoarthritis.
  • Typical osteoarthritis features seen on X-ray include joint space narrowing, bone spurs (osteophytes), subchondral sclerosis and subchondral cysts.

Diagnosis Tests

Cause

Syndromes

Symptoms

  • Pain in neck is worse first thing in the morning, then improves after getting up and moving around?
  • Pain in neck gets worse again at the end of the day?
  • Pain in neck calms down with rest during a flare-up?
  • Pain in neck radiates to the shoulder or between the shoulder blades?
  • Feels tender when the neck is pressed?
  • Disrupts sleep in the middle of the night?
  • Headaches, especially in the back of the head?

Complications /Information to beware of/General tips:

Do not wait, phone for an ambulance if have or develop:


This condition can lead to:


This condition may show similar symptoms to:

Clinical Pharmacist, CP, April 2015, Vol 7, No 3;7(3):DOI:10.1211/PJ.2015.20068288

  • Cervical osteoarthritis
  • Spinal osteoarthritis
  • Fibromyalgia
  • Gout
    • Gout is commonly distinguished from Osteoarthritis by a flare period followed by complete remission between flares.
    • However, long-term damage to joints associated with uncontrolled inflammation in gout (and Rheumatoid arthritis) may ultimately result in the development of Osteoarthritis in the affected joint, making it difficult to distinguish the types of arthritis by symptoms alone.
    • Furthermore, Osteoarthritis often co-exists with gout, resulting in chronic joint pain in the absence of active disease).

Clinical Pharmacist, CP, April 2015, Vol 7, No 3;7(3):DOI:10.1211/PJ.2015.20068288

Please talk to your healthcare professional (i.e. Medical Doctor/Pharmacist) for further advice

Detailed Information

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  • NHS

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