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Advances in Orthopedics
Volume 2012, Article ID 294857, 5 pages
Review Article

Nonoperative Modalities to Treat Symptomatic Cervical Spondylosis

1Cappagh National Orthopaedic Hospital, Finglas, Dublin 11, Ireland
2Waterford Regional Hospital, Waterford, Ireland

Received 28 March 2011; Accepted 8 June 2011

Academic Editor: F. Cumhur Öner

Copyright © 2012 Kieran Michael Hirpara et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Cervical spondylosis is a common and disabling condition. It is generally felt that the initial management should be nonoperative, and these modalities include physiotherapy, analgesia and selective nerve root injections. Surgery should be reserved for moderate to severe myelopathy patients who have failed a period of conservative treatment and patients whose symptoms are not adequately controlled by nonoperative means. A review of the literature supporting various modalities of conservative management is presented, and it is concluded that although effective, nonoperative treatment is labour intensive, requiring regular review and careful selection of medications and physical therapy on a case by case basis.