Dr Chin Checks out Understanding Cervical Spondylosis: Impact on Your Ears

Discover how cervical spondylosis can affect your ears and overall health. Learn about symptoms, causes, and treatment options in our detailed blog post.

Cervical spondylosis, also known as neck arthritis, is a degenerative condition affecting the cervical spine, causing chronic neck pain, stiffness, and reduced range of motion. Symptoms can include tinnitus, dizziness, ear fullness, and difficulty with daily activities. The condition involves degenerative changes in facet joints, soft tissues, and vertebrae, often due to neck injuries, herniated disks, or abnormal growths. Cervical radiculopathy occurs when nerve roots become compressed, while spinal cord pressure can lead to cervical myelopathy or cervical spondylotic myelopathy, which can cause loss of bladder or bowel control, loss of feeling, or even permanent injury. Diagnosis often involves a physical exam and magnetic resonance imaging, with pain relief strategies such as a soft collar, traction, or radiofrequency ablation. Early management can prevent complications extending from the head to other parts of the spine.

What Is Cervical Spondylosis?

Cervical spondylosis, also known as neck arthritis, is a common condition in older adults caused by wear and tear in the neck’s discs and vertebrae. It causes reduced flexibility, neck stiffness, and narrowing of the spinal canal, affecting nerves and blood vessels. Treatments include physical therapy, steroid injections, epidural steroid injections, traction, or bone graft surgery. Causes include aging, injury, poor posture, genetics, low back pain, and degenerative disk disease.

How Cervical Spondylosis Affects the Ears

Cervical spondylosis can cause many ear problems. This happens because the nerves in the neck get pressed or the blood that goes to the area is less than normal.

Here’s how it commonly affects the ears:

SymptomDescription
TinnitusRinging or buzzing in the ears from irritated neck nerves.
Dizziness/VertigoFeeling off-balance or spinning due to reduced blood flow to the inner ear.
Ear FullnessSensation of pressure without fluid, caused by muscle tension or nerve signals.
Referred Ear PainEar discomfort that actually starts from neck-related pain.
Hearing ChangesRare cases of altered or reduced hearing linked to cervical nerve issues.

Diagnostic Tools and Imaging

To find out if ear problems are related to cervical spondylosis, you need both a spine check and an ENT check.

Here are key diagnostic tools used:

ToolPurpose
MRI (Cervical Spine)Identifies disc degeneration, nerve compression, and spinal canal narrowing.
CT ScanShows detailed bone changes and helps detect bone spurs in the cervical vertebrae.
AudiometryMeasures hearing levels to rule out inner ear causes of tinnitus or hearing loss.
Vestibular TestingAssesses balance function and detects non-cervical causes of dizziness or vertigo.
TympanometryEvaluates middle ear pressure; often normal when symptoms are neck-related.
Neurological ExamTests reflexes, muscle strength, and nerve function to detect cervical nerve issues.

Treatment Options

Referral to ENT: If you still have ear problems, it is important to see an ENT doctor.

Physical Therapy: Doing the right exercises can make your neck stronger and more flexible.

Medications: Some medicines, like anti-inflammatory drugs and muscle relaxants, can lower swelling in the neck.

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