Cervical and lumbar spondylosis can contribute to neck or lower back pain, stiffness and difficulty with everyday activities. Physiotherapy focuses on understanding your symptoms, movement limitations and functional needs before developing an appropriate rehabilitation programme.
Spondylosis refers to age-related or degenerative changes affecting structures of the spine. Symptoms can vary considerably between individuals.
Spinal symptoms can affect sitting, standing, walking, working, sleeping and other everyday activities. The severity and pattern of symptoms can differ from person to person.
Degenerative changes in the neck may be associated with neck pain, stiffness and reduced cervical movement. Some people may also experience symptoms extending toward the shoulder or arm.
Degenerative changes in the lower spine may contribute to lower back pain, stiffness and difficulty with certain movements or activities.
Symptoms may affect prolonged sitting, standing, lifting, walking, bending, working or participating in physical activities.
Symptoms depend on the area involved and the individual. Not every person with spinal degeneration experiences pain.
Degenerative changes seen on imaging do not always explain pain or disability. Clinical assessment is important to understand whether symptoms are mechanical, muscular, nerve-related or associated with another condition.
Symptoms and physical findings are considered together.
Radiating pain, tingling, numbness or weakness may require specific neurological assessment.
Spinal and limb movement may be assessed for functional limitations.
Treatment should be selected according to the person's presentation and goals.
A physiotherapy assessment can help identify movement limitations, functional problems and factors that may be contributing to symptoms.
Where is the pain? When did it begin? What movements make it better or worse? Do symptoms travel into an arm or leg? Is there numbness, tingling or weakness? Does sitting, standing, walking or working increase symptoms? Have you had previous treatment or imaging?
Treatment depends on your symptoms, examination findings, functional limitations and rehabilitation goals.
Strategies may be used to help manage pain and improve your ability to participate in appropriate movement.
Appropriate spinal and surrounding joint mobility work may be introduced according to assessment findings.
Progressive strengthening can improve physical capacity and support everyday functional activities.
We can work on movement habits and positions that are relevant to your work and daily activities.
Exercises may be progressed toward lifting, walking, working, sports or other meaningful activities.
Symptoms, movement, strength and functional abilities can be reviewed throughout rehabilitation.
Exercises should be selected according to your assessment. There is no single exercise programme suitable for everyone with spondylosis.
Appropriate movements may help maintain or improve comfortable spinal mobility.
Progressive trunk strengthening may be included when appropriate.
Exercises may address control and endurance relevant to sitting, standing and working.
Movement can be progressed toward walking, lifting, work and everyday activities.
Your physiotherapist can adapt advice according to your symptoms, examination and activity requirements.
Seek prompt medical evaluation if back or neck symptoms are accompanied by significant or progressive weakness, new loss of sensation, problems with bladder or bowel control, numbness around the groin or saddle region, major trauma, unexplained fever or other concerning symptoms.
Physiotherapy may be appropriate for many musculoskeletal presentations, but a clinician should determine whether further medical investigation is required when warning signs are present.
If neck pain, lower back pain or spinal stiffness is affecting your work, sleep, walking, exercise or everyday activities, speak with our team about an assessment.
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