Pathophysiology
Generally seen in those aged over 65 years as part of the normal aging process. However the signs of normal ageing do not predict the presence of symptoms.
Symptoms
- Stiffness on neck movements and restriction, particularly on turning or looking upwards
- Pain, particularly at night and difficulty finding a comfortable position
- Difficulty looking over shoulder when driving
- Grinding, grating or clicking noises from the neck
Management
- Activity modification
- Ice or heat
- Pain relief
- Physiotherapy to include range of movement exercises and strengthening exercises
Investigations
- X-ray can assess the level of Osteoarthritis but is unlikely to change the treatment options
- Degenerative changes are commonly seen on X-rays and scans of people who are symptom-free, the presence of these changes does not mean they cause symptoms