C1 – C7 · Cervical spine

Cervical Spondylosis treatment in Dhaka

Often called cervical spondylitis · সার্ভাইক্যাল স্পন্ডাইলাইটিস

Wear-related changes in the discs and joints of the neck. It may cause neck pain alone, or press on nerves and the spinal cord and cause symptoms in the arms or hands.

Cervical Spondylosis treatment in Dhaka — Prof. Dr. Kamrul Ahsan, spine surgeon

Draft patient information — awaiting medical review by Prof. Dr. Md. Kamrul Ahsan before publication.

Overview

Cervical spondylosis develops gradually as the discs and joints of the neck age. Bony spurs and disc bulges can narrow the space for the nerve roots and spinal cord.

Pressure on a nerve root can cause pain and tingling into the arm. Pressure on the spinal cord (cervical myelopathy) can affect hand function and balance and needs prompt assessment.

Symptoms that may need assessment

  • Neck pain and stiffness
  • Pain, numbness or tingling spreading from the neck into the arm or hand
  • Clumsy hands, difficulty with buttons or handwriting
  • Unsteady walking or balance problems

Seek urgent medical care if you have

  • Loss of control of the bladder or bowel
  • Numbness around the groin, buttocks or back passage
  • Weakness in the arms or legs that is getting worse
  • Severe pain after a fall, road accident or other injury
  • Back or neck pain with fever, unexplained weight loss, or a history of cancer

How it is assessed

  • Neurological examination of the arms and legs
  • X-ray of the neck; MRI when nerve or cord involvement is suspected

Treatment options

First line

Non-surgical care

  • Medicines as prescribed and physiotherapy
  • Posture correction, especially for screen and phone use
  • Neck-strengthening and mobility exercises
When needed

Surgical options

When the spinal cord or nerve roots are significantly compressed, surgery such as anterior cervical discectomy and fusion or laminoplasty may be considered.

No treatment can guarantee a particular result. Your options, their benefits and their risks are discussed with you at consultation.

Recovery

Recovery depends on how long and how severely the nerves or cord were compressed. This is assessed and explained individually.

Questions patients ask

Why do my hands feel numb if the problem is in my neck?

The nerves that supply the arms and hands leave the spine in the neck. Pressure on them there can be felt further down the arm.

When should I worry?

Weakness, clumsy hands, or difficulty walking should be assessed promptly, as they can be signs of spinal cord compression.

From Prof. Ahsan’s published research

Mymensingh Medical Journal. Jul 2017; 26(3): 558–568.

Open-door Laminoplasty for multilevel cervical spondylotic myelopathy and OPLL using titanium reconstruction miniplate and screws

European Journal of Biomedical and Pharmaceutical Science. 2020; 7(7): 534–538.

Study on anterior cervical discectomy and fusion by cervical cage with bone graft for the treatment of double level cervical spondylotic myelopathy

Mymensingh Medical Journal. Jul 2009; 18(2): 226–31.

Treatment of Cervical disc prolapse by anterior cervical discectomy, fusion and stabilization with plating

All publications

This page is general information for patients and is not a diagnosis or a substitute for a consultation. See the medical disclaimer.

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Appointments

Book a consultation with Prof. Ahsan

Call the hotline for a serial at either chamber in Dhaka. Bring your previous prescriptions, reports and any X-ray, MRI or CT films.