Cervical spondylosis is a term used to describe age-related, degenerative changes affecting the joints and discs in the neck (cervical spine). It is a very common condition and is considered a normal part of the ageing process. Our blog covers symptoms, commonly prescribed exercises and physio treatment.
Cervical spondylosis is a natural ageing process. Many people show changes on scans but do not experience symptoms. These changes can start to show within your 20s. For others, certain movements or postures may trigger discomfort.
Common symptoms
Symptoms can vary from person to person. Some people have no symptoms at all, while others may experience pain or stiffness with certain movements.
Common symptoms include:
- Neck stiffness
- Neck pain
- Reduced movement of the neck
Activities that may aggravate symptoms include:
- Looking up towards the sky
- Lying on your back or sleeping
- Front crawl or breaststroke swimming
- Leaning the head back at the hairdressers
- Turning the head while driving
Pain can present differently depending on which area of the cervical spine is affected and whether any nerves are involved (known as cervical radiculopathy). Pain may be felt directly in the neck or may refer to the upper back or shoulder. Cervical spondylosis most commonly affects the lower neck, particularly at the C5-C6 and C6-C7 levels.
Physiotherapy treatment for Cervical Spondylosis
Physiotherapy plays an important role in managing cervical spondylosis. Treatment is tailored to each individual and typically focuses on:
- Deep neck flexor strengthening
- Scapular (shoulder blade) stability
- Improving posture and ergonomics
- Education and self-management strategies
- Enhancing neck and upper back mobility
Cervical Spondylosis exercises
Your physiotherapist may recommend exercises such as:
Chin Tucks
Hold for 3–5 seconds, 3 sets of 10 repetitions daily.
This exercise is performed sitting upright and gently drawing the chin backwards to create a “double chin.” It targets the deep neck flexor muscles, which are important for neck support and posture.
Low Banded Rows
Hold for 5 seconds, 3 sets of 10 repetitions daily.
A resistance band is secured to a sturdy object at stomach height. Facing the band, pull the elbows back towards the back pockets while squeezing the shoulder blades together. This strengthens the back muscles and supports improved posture and shoulder blade control.
How Physiotherapy can help
Physiotherapy has been shown to reduce pain, improve function, and enhance quality of life for people with cervical spondylosis. Treatment may include hands-on techniques such as soft tissue massage and gentle cervical mobilisations to help relieve symptoms and restore movement.
During your assessment, your physiotherapist will assess your range of motion, strength, and neurological function. We can identify the source of your pain, distinguish between neck and shoulder conditions, and rule out more serious causes. Most people do not need further investigation and the diagnosis is made on clinical grounds alone however, diagnostic imaging such as X-ray, CT, MRI, and EMG may be used to confirm a diagnosis. You will receive a personalised treatment programme, with symptoms often improving over a period of up to 12 weeks.
Cervical spondylosis doesn’t have to limit your lifestyle. With expert physiotherapy care, we help reduce pain, restore movement, and support you in getting back to the activities you enjoy.
If you would like to speak to a physiotherapist then please get in touch. Book an appointment with a physio online.
