Cervical Spondylosis Relief with Osteopathy

“In the complex labyrinth of modern life, cervical spondylosis sometimes reveals itself as a silent shadow, a painful reminder that the health of our cervical spine is a precious boundary between well-being and discomfort. »

Introduction

Neck pain has become one of the most common musculoskeletal complaints in modern society. Prolonged postures in front of screens, chronic stress, a sedentary lifestyle, or repetitive movements place stress on the cervical spine far beyond its natural adaptive capacity. For some, this pain remains temporary; for others, it develops insidiously, eventually restricting neck movement, disrupting sleep, or causing radiation to the upper limbs. In many cases, a diagnosis of cervical spondylosis is made, revealing an underlying degenerative process that is often unknown to the general public.

Cervical spondylosis refers to a progressive degeneration of the structures of the cervical spine , mainly the intervertebral discs, the zygapophyseal joints (facet joints) and the ligaments. With age, or sometimes earlier in people subjected to repeated microtraumas, the discs lose their elasticity, become thinner, and allow friction to appear between the vertebrae. The body, in an attempt to stabilize, produces osteophytes (bony growths), which can in turn compress the nerve roots or narrow the spinal canal. This slow progression, sometimes silent at its beginning, can lead to a cascade of mechanical, neurological and functional disorders .

Symptoms vary from patient to patient. Some experience morning neck stiffness , while others describe vice-like pain, burning sensations, numbness in the fingers, or even loss of strength or coordination. Neck mobility is reduced, simple movements become painful, and quality of life is significantly affected. Spondylosis can also manifest as cervicogenic headaches , proprioceptive vertigo, or balance disorders. The clinical picture is often complex, combining mechanical damage, muscle tension, and in many cases, a significant emotional and psychosomatic component.

Faced with this chronic suffering, the treatments offered are most often symptomatic. Anti-inflammatories, muscle relaxants, injections, physiotherapy, and even surgery in severe cases aim to relieve pain and restore a minimum of functionality. But these approaches, while sometimes necessary, remain focused on the visible lesion or short-term symptom, without always taking into account the patient’s entire biomechanical, postural, somato-emotional, and functional context .

This is precisely where osteopathy comes into its own. Based on a holistic view of the human body, this discipline considers that health stems from a dynamic balance between the body’s structures and their mobility. When this balance is disrupted—for example, by a loss of mobility in a vertebra, chronic muscle tension, postural imbalance, or visceral dysfunction—compensations appear, and pain eventually sets in. The osteopath therefore seeks to identify and treat mobility restrictions , whether articular, fascial, visceral, or cranial, in order to restore the body’s functional harmony.

In the case of cervical spondylosis, the osteopathic approach does not aim to “cure osteoarthritis” – an irreversible process – but to relieve pain, improve mobility and slow the progression of symptoms . By working on the joint environment (muscles, ligaments, fascia, overall posture), osteopathy helps reduce compression, release tension, and improve local vascularization. This gentle and respectful action is particularly relevant for the elderly or frail, for whom aggressive manipulations should be avoided. The osteopath can also support the patient in body awareness , by offering self-stretching exercises, postural advice, and empathetic listening to the links between stress, emotions and bodily pain.

At a time when many patients are looking for non-drug , personalized solutions that respect their body, osteopathy is emerging as a valuable ally in the management of cervical spondylosis. It does not claim to replace other medical approaches, but offers a complementary, patient-centered approach that enhances the body’s self-regulating abilities.

In the following sections, we will explore in more detail the pathophysiological mechanisms of cervical spondylosis, the typical symptoms , the risk factors , the diagnostic modalities , and then the range of osteopathic techniques available to alleviate its effects. The objective? To better understand this pathology in order to respond to it with humanity, rigor, and effectiveness.

Disclaimer: This article discusses cervical spondylosis and presents techniques specifically intended for trained osteopaths. The information provided here is for educational purposes and does not constitute a medical diagnosis. It is not intended for self-treatment or use by unqualified individuals. It is essential not to attempt osteopathic techniques or any other form of manual therapy on yourself or others without the appropriate training and certification. Always consult a licensed osteopath or qualified healthcare professional for proper assessment and treatment. Attempting procedures without training may result in injury or aggravate existing conditions.

Understanding Cervical Spondylosis

Cervical spondylosis is often confused with other cervical spine pathologies, such as a herniated disc or cervicobrachial neuralgia. However, it has its own identity, although its symptoms can overlap with those of other spinal dysfunctions. Understanding what cervical spondylosis really is involves delving into the degenerative mechanisms that affect the cervical spine, but also into the body’s ability to adapt , or not, to these changes.

A progressive and multifactorial degeneration

Cervical spondylosis refers to the natural aging of the cervical spine , which is accelerated by certain mechanical or biological factors. The process often begins with the gradual wear of the intervertebral discs , the cushions that act as shock absorbers between the vertebrae. Over time, the discs lose moisture and elasticity, leading to a decrease in their height and an increase in pressure on neighboring structures.

In response to this instability, the body can produce osteophytes , also known as parrot beaks: these are bony growths that form around the intervertebral joints in an attempt to stabilize the area. Unfortunately, these osteophytes can in turn compress the cervical nerves, or reduce the caliber of the spinal canal, causing radiating pain, sensory disturbances, and even motor impairments. At the same time, the zygapophyseal joints stiffen, the vertebral ligaments thicken, and the paravertebral muscles attempt to compensate, often at the cost of painful contractures.

An imbalance between adaptation and compensation

The human body is remarkably adaptive . When faced with a loss of local mobility, it sets up a chain of global compensations: modification of posture, muscular adjustments, transfer of load to other segments… But when the constraints become too strong or too prolonged, these compensations are no longer sufficient. This is when painful symptoms emerge.

Cervical spondylosis is therefore less a disease than an altered adaptation process . It tells us about a biomechanical system that has gradually lost its flexibility, coordination and capacity for self-regulation. It also illustrates the cumulative effects of a life marked by tension, rigid postures, physical or emotional shocks , and sometimes lack of movement.

A slow but not irreversible evolution

Unlike a herniated disc, which can appear suddenly, cervical spondylosis develops slowly, sometimes over decades . It can remain asymptomatic for a long time, and is often only discovered during an X-ray examination for another reason. This does not mean that it is benign, but that it is possible to slow its progression , and to live with it , without disabling pain, provided that the right levers are acted upon.

Indeed, degeneration cannot be stopped, but pain is not proportional to anatomical wear . What matters is the body’s ability to adapt to this new structural situation. This is where the osteopathic approach becomes so relevant.

A functional rather than lesional vision

Osteopathy doesn’t just focus on what X-rays show. It examines the body’s overall functioning : how does C5 hypomobility affect the shoulder? How does an imbalance in the jaw or diaphragm impact cervical tension? What role do chronic stress, relationship conflicts, or somatized fears play in neck stiffness?

In this sense, cervical spondylosis is not just a matter of cartilage: it is a problem of overall body integration , where lack of movement, internal tensions and lifestyle habits are intertwined. The osteopath observes posture, palpates the tissues, tests mobility and seeks to understand where the key to functional locking lies .

Most Common Signs and Symptoms

Cervical spondylosis manifests itself in different ways from one individual to another. For some, it remains silent for a long time; for others, it becomes a daily source of discomfort or even disability. These differences are explained by the location of the lesions, the degree of degeneration, but also by the body’s ability to compensate , to tolerate mobility restrictions and to modulate pain.

Recognizing the typical signs of cervical spondylosis is essential for early diagnosis and appropriate management. These symptoms can be mechanical, neurological or functional , and are often fluctuating, influenced by stress, posture or physical activity.

Chronic neck pain: the most common complaint

Perhaps the most common manifestation is persistent neck pain , described as a dull, deep, sometimes vice-like discomfort located at the base of the skull, in the neck or between the shoulder blades. This pain can be unilateral or bilateral, with peaks during certain movements such as rotating or extending the neck.

Many patients report morning stiffness , a need to “loosen up” their neck upon waking. This sensation often fades throughout the day, but can reappear at the end of the day, especially after exertion or prolonged sitting in front of a screen. At this point, it is not uncommon for patients to compensate by moving their shoulders or trunk more, which can lead to further pain down the road.

Radiation in the arms: a sign of root damage

When osteophytes or crushed discs compress the cervical nerve roots , we observe the appearance of referred pain . These irradiations can follow a well-defined path depending on the root involved: pain in the shoulder, arm, forearm, down to the fingers. In addition, there is often paresthesia (tingling, numbness) or a loss of muscle strength , often misinterpreted by the patient, who attributes them to poor circulation or temporary muscle fatigue.

This is a warning sign: chronic nerve compression can lead to persistent motor disorders if left untreated. The osteopath plays a key role in differentiating true radicular pain from referred myofascial pain, which is common in cervical syndromes.

Headaches of cervical origin

Cervical spondylosis is also a common cause of so-called “cervicogenic” headaches . These headaches arise from tension in the suboccipital muscles, or from joint fixations between the upper vertebrae (C1, C2, C3), and result in pain at the base of the skull, radiating to the forehead, temples or eyes. Patients often describe a feeling of heaviness, oppression, or even associated dizziness.

These headaches are often aggravated by stress, prolonged computer work, or a bent posture. Improvement after gentle mobilization of the upper cervical spine is often dramatic, confirming the mechanical dimension of the problem.

Dizziness, unsteadiness, visual disturbances

In some cases, patients report a feeling of instability , positional dizziness, or difficulty maintaining their gaze for long periods. These signs may result from a disorder of cervical proprioception , particularly when the sensory sensors of the muscles and ligaments of the neck are disturbed. This is not vertigo of labyrinthine origin (inner ear), but an imbalance of postural origin , sometimes increased by cranial or mandibular tension.

These symptoms reflect a loss of sensory integration between the eyes, the inner ear and the receptors in the neck, which justifies a global, gentle and rebalancing osteopathic approach.

Chronic fatigue, sleep disturbances, body anxiety

Finally, many patients suffering from cervical spondylosis report chronic fatigue , impaired sleep quality, and even diffuse anxiety centered on their body. This form of “background pain,” sometimes described as wear and tear or oppression, cannot be seen on imaging, but is very real. It reflects a persistent state of alert of the autonomic nervous system , often fueled by chronic pain, functional limitations, and the fear of making the situation worse.

Osteopathy can intervene here not only at the mechanical level, but also in overall support , restoring bodily security, promoting deep relaxation and restoring the patient’s confidence in their ability to move.

Causes and Risk Factors

Cervical spondylosis does not result from a single event but rather from a progressive degenerative process , influenced by age, lifestyle habits, repeated microtraumas and the body’s ability to maintain its mechanical balance. Identifying the root causes and risk factors not only allows us to better understand the onset of symptoms, but also to implement targeted prevention and treatment adapted to each patient.

Natural aging of the spine

The most commonly cited factor in cervical spondylosis is age . Over time, intervertebral discs lose their water content and elasticity. This dehydration reduces their ability to absorb shock and maintain space between vertebrae. In response to this loss of flexibility, the body develops osteophytes —small bony growths designed to stabilize joints—which can unfortunately reduce nerve space.

But it would be simplistic to view aging as inevitable. In reality, not all older adults suffer from spondylosis, and some young adults may already be showing signs of wear and tear. It’s therefore important to integrate a broader, more dynamic view of spinal health.

Repetitive strain injuries

Repeated mechanical stress on the cervical spine is a major aggravating factor . These can be linked to professional gestures (working at the screen, handling, prolonged head position), intense or asymmetrical sporting movements (cycling, weight training, dancing), or even unconscious postural habits , such as sleeping with several pillows or holding your phone wedged between your shoulder and ear.

Over time, these micro-aggressions accumulate. They cause slight joint misalignments , reflex muscle tension and ligament micro-tears. The body compensates, but at the cost of tissue overwork which ultimately promotes the appearance of lasting osteo-articular fixations.

The role of posture and lifestyle

Prolonged static posture , especially in front of a computer or in a car, has become a central element in the genesis of modern cervical disorders. Holding your head forward for hours on end places excessive stress on the lower cervical vertebrae , deep neck muscles, and stabilizing ligaments. In the long term, this imbalance contributes to chronic muscle fatigue, loss of local mobility, and a degenerative cascade.

A sedentary lifestyle exacerbates this situation: without regular movement, the discs are no longer sufficiently nourished by imbibition, the muscles lose their tone, and the spine becomes more vulnerable to stress. The lack of physical activity also slows lymphatic drainage, promoting silent low-grade inflammation.

Past traumas

Even old ones, some cervical traumas can have left a lasting mechanical imprint: whiplash, falls, sports accidents or violent emotional shocks can cause latent postural imbalances, which resurface several years later in the form of persistent pain. In these cases, cervical spondylosis often appears as the consequence of poor functional healing , where the tissues have not regained their initial flexibility.

Constitutional and genetic factors

Some people have a constitutional predisposition to developing spondylosis earlier or more severely. This may be due to anatomical peculiarities (narrow spinal canal, reverse cervical curvature, hyperlaxity) or a familial genetic predisposition. Although genes do not determine everything, they can contribute to vulnerability to degenerative phenomena.

Furthermore, the quality of connective tissue , linked to diet, hydration or certain deficiencies (vitamin D, collagen, antioxidants), also influences the resilience of discs and joints.

Stress and somatization

An often underestimated factor is chronic stress , which affects both muscle tone (reflex tension in the trapezius, neck, suboccipital muscles), breathing ( hyperventilation, blocking of the diaphragm), and the autonomic nervous system (state of hypervigilance). This terrain promotes persistent contractures, reduces nighttime recovery, and fuels a vicious cycle of pain, fatigue, and bodily hypersensitivity.

The osteopath, trained to perceive these invisible dimensions of bodily experience, can then intervene to release deep tensions , restore fluidity to the neuro-vegetative system, and offer a space for bodily listening which is often beneficial.

Diagnosis and Additional Examinations

The diagnosis of cervical spondylosis is based on a subtle interweaving of clinical observation, patient experience, and imaging data . While degenerative signs are often clearly visible on X-rays, their isolated interpretation can be misleading . Many elderly people present marked radiological signs without any pain, while others suffer intensely with little visible degeneration. Hence the importance, in osteopathy as in general medicine, of placing each piece of data in a functional and human context .

Anamnesis: listening to the body’s story

It all starts with a detailed medical history . The practitioner asks the patient about the nature of their pain: is it constant or intermittent? Does it intensify upon waking, when tired, or after certain activities? What movements trigger it? Does it radiate to the arms, head, or shoulder blades?

The answers already provide valuable clues about the location of the damage , the type of structures involved (disc, facet, nerve root), and the level of chronicity of the disorder. It is also fundamental to explore traumatic, surgical or emotional history , as well as the life context: stress, sleep, quality of the work environment or postural habits.

Empathetic listening is essential here: it often reveals triggers that are invisible during examinations , such as bereavement, a period of overwork or a change in lifestyle.

The osteopathic clinical examination

In osteopathy, the clinical examination is not limited to checking the range of rotation or inclination of the neck. It is about feeling the patient’s entire body , perceiving areas of tension, identifying restrictions in intervertebral mobility, and testing the flexibility of the soft tissues (muscles, fascia, ligaments).

Specific tests are used to assess the involvement of the interapophyseal joints , cervical discs , or peripheral structures such as the jaw or shoulders. The practitioner also assesses postural balance, the condition of the diaphragm, the ascending or descending fascial chains, as well as craniosacral coordination.

In addition, simple neurological tests (reflexes, sensitivity, muscle strength, Spurling test, cervical distraction test) can help identify possible root compression . If spinal cord injury (myelopathy) is suspected, referral to a specialist is imperative.

Medical imaging: illuminating without reducing

Imaging tests can confirm or clarify the clinical diagnosis, but they should never replace functional examination . The main tools are:

• Cervical X-ray : it shows the classic signs of spondylosis (reduction of intervertebral spaces, osteophytes, disc pinching, changes in cervical curvature).
• MRI (Magnetic Resonance Imaging) : Useful for visualizing discs, spinal cord, nerve roots, and detecting a herniated disc or spinal stenosis.
• Cervical CT scan : allows better bone visualization, particularly to assess osteophytes or joint degeneration.
• Electromyogram (EMG) : Sometimes prescribed to confirm peripheral neurological involvement.

It is crucial to remember that imaging does not reflect pain : it reflects anatomical changes, not necessarily symptomatic. Hence the importance of an integrated, global and nuanced diagnosis .

Differential diagnosis: do not overlook other pathologies

The symptoms of cervical spondylosis can mimic other, sometimes more serious, conditions. It is therefore essential to remain vigilant for certain warning signs:

• Sudden, intense pain with fever : suspected infection or vertebral abscess.
• Balance disorders, bilateral numbness, incontinence : suggest spinal cord injury (myelopathy).
• Pain referred to the left arm with chest tightness : always rule out a cardiac cause.
• Unusual headaches, visual or hearing disturbances : explore the cranial or vascular route.

Interdisciplinary work is essential here: the osteopath can refer the patient to their doctor, a neurologist or a rheumatologist if necessary.

Towards a living and dynamic diagnosis

In osteopathy, diagnosis is not limited to a label. It is functional, progressive, and person-centered . It is about understanding how this spondylosis is expressed in this body, at this precise moment, with this life story. This clinical posture allows for individualized care , respectful of each person’s rhythm and open to favorable development.

The Objectives of Osteopathy

In the management of cervical spondylosis, osteopathy does not seek to erase the lesions visible on imaging, nor to “restore” a degenerated structure. This would be a reductive and illusory approach. Osteopathy rather aims to restore the body’s capacity for adaptation , to reduce mechanical constraints , and to stimulate self-regulation processes . It offers a therapeutic approach that is both subtle and deeply structuring, focused on the overall functioning of the person .

Restoring lost mobility

Cervical spondylosis is characterized above all by a progressive loss of joint mobility . The cervical vertebrae, subject to disc wear and the appearance of osteophytes, stiffen. This restriction of movement is transmitted to the surrounding soft tissues: muscles, ligaments, fascia, joint capsule, etc. Eventually, the entire cervical region enters into “defensive mode,” blocked in painful protective patterns.

One of the fundamental goals of osteopathy is therefore to release mobility restrictions , not just at the painful area, but throughout the entire musculoskeletal system involved . This may include the thoracic spine, shoulder girdle, sternum, diaphragm, or even the base of the skull. By restoring joint and tissue fluidity , the osteopath allows the body to regain its ability to move, reducing pressure on sensitive structures and alleviating pain.

Relieve muscle and fascial tension

Pain associated with cervical spondylosis is rarely due to bone or nerve phenomena alone. It is often exacerbated by secondary myofascial tension , i.e., protective contractions put in place by the body to limit movement perceived as painful or dangerous. These tensions create a vicious circle: the less the patient moves, the more the muscles tense up, and the worse the pain becomes.

The osteopath acts here as a mediator of relaxation : by intervening on the posterior muscle chains, the deep tissues of the neck, the cervical and thoracic fascia, he helps the body to find a state of active relaxation , compatible with functional recovery. This relaxation also allows for better vascularization of tense areas, facilitates the elimination of local toxins, and lightens the load on the vertebral structures.

Improve posture and proprioception

Cervical spondylosis is often a reflection of an unbalanced posture that has been in place for years. Head forward, drooping shoulders, hypertonicity of the trapezius muscles or locking of the upper back muscles: all patterns that overstress the cervico-dorsal hinge. In the long term, this disorganized mechanics contributes to wear and tear and blockage.

Osteopathy aims to rebalance these postural patterns , not through restrictive instructions, but by giving the body reliable and functional support points . The pelvis, the diaphragm, the rib cage, the feet… everything can be involved. A relaxed and stable posture allows for better distribution of forces, lightens the load on the cervical spine and promotes better proprioception – that is, an internal perception of the body and its movement .

Promote homeostasis and autonomic regulation

Chronic pain acts as a permanent stressor . It activates the sympathetic nervous system, disrupts sleep, reduces heart rate variability, and blocks natural repair mechanisms. Osteopathy, particularly through its gentle craniosacral, visceral, or myofascial techniques , promotes a return to a neurovegetative state of rest and security .

This state of deep relaxation is essential for the body to engage in its regenerative processes. It also affects mood, pain perception, and body acceptance. In this sense, osteopathy goes beyond simple mechanical treatment: it awakens the patient’s internal resources and supports a more comprehensive transformation of the relationship with the body.

Supporting the patient as a whole

Finally, the osteopath does not only work on a cervical spine: he works with a whole person, in a particular life context . This means taking into account the retained emotions, the life stories that weigh on the shoulders, the defense patterns anchored in the neck, the resistance to change.

The goal is to restore the patient’s awareness of their body , the ability to feel, to adjust, and to experience lasting well-being. It is in this space of co-regulation that the treatment takes on its full depth.

Osteopathic Techniques Used

In the context of cervical spondylosis, the choice of osteopathic techniques is based on two fundamental principles: adaptation to the patient and therapeutic safety . The presence of vertebral degeneration, sometimes associated with osteophytes or a narrowing of the spinal canal, requires extreme caution in the selection of therapeutic gestures. Osteopathy, thanks to its range of varied and individualizable tools, allows intervention without pain, without excessive force , and with deep listening to the tissues.

Evaluate before acting: an essential principle

Before any technique, the osteopath performs a thorough manual assessment . This involves determining areas of fixation, tension, or hypomobility, but also perceiving the level of tissue reactivity , their elasticity, and their degree of irritability. In some patients, simply turning the head slightly is enough to reproduce the pain. This guides us towards a gentle, progressive approach that respects the body’s limits.

This assessment also helps identify areas of compensation : a restriction at the C5 level may be supported by hypermobility at the C7 level or diaphragm tension. The overall view then guides the therapeutic strategy.

Myofascial techniques: deep release

One of the pillars of osteopathic care is soft tissue work . Myofascial techniques, which aim to release tension in the fascia and muscles deep down, are particularly indicated. They can be applied:

• to the posterior muscles of the neck (trapezius, levator scapula, suboccipital muscles);
• to the deep cervical fascia;
• to the muscular chains connecting the skull to the pelvis.

The therapist uses slow, adapted and prolonged pressure , guided by tissue sensation. The objective is to reduce reflex muscle tone , improve local circulation, and restore better mobility between tissue planes.

Functional and blood pressure balance techniques

These approaches are ideal in situations of acute pain or hyperreactivity . They consist of placing the structures in a relaxed position , where tensions are the lowest, and holding the tissues there until a perceptible change occurs (relaxation, release, warmth). It is a manual dialogue with the tissues , which respects their rhythm and facilitates self-correction.

Techniques such as Balanced Ligamentous Tension (BLT), Strain Counterstrain or Still technique are all valuable tools for addressing cervical areas without ever forcing.

Craniosacral Techniques: Restoring Overall Balance

In patients with cervical spondylosis, the cranial and sacral structures play a fundamental role. The base of the skull, particularly the occiput and atlas (C1), is often locked, contributing to headaches, dizziness, or a feeling of instability.

Cranial work, particularly on the tension of the intracranial membranes , the mobility of the sutures and the synchronization of the craniosacral rhythm, helps to relaunch the overall fluidity of the central nervous system. These subtle but powerful techniques also act on the neurovegetative system , promoting stress regulation and deep relaxation.

Visceral approach: releasing attachments from a distance

Even if the pain is cervical, it is common for certain visceral adhesions to contribute to the dysfunctional pattern. For example, mediastinal tension, liver restriction, or loss of diaphragmatic mobility can induce upward traction on the cervical spine via the fascia.

Visceral techniques aim to restore the physiological sliding of organs , release ligament attachments, and reduce chain tensions. This allows for a reduction of constraints at the neck level, while promoting a more global regulation of the organism.

Soft structural techniques: to be used with discernment

HVLA (High Velocity, Low Amplitude) manipulations are sometimes mentioned in the treatment of vertebral fixations. However, in cases of advanced cervical spondylosis, they should be handled with the greatest caution, or even avoided completely .

When a structural gesture is considered, it must be of reduced amplitude, well prepared by tissue techniques, and carried out only in the absence of contraindications (herniated disc, narrow canal, severe osteoporosis, etc.). The intention must be to promote movement , never to impose a correction.

Progressive and individualized treatment

Every patient is unique. Age, comorbidities, body sensitivity, emotional experience, duration of pain, or expectations influence the choice, intensity, and pace of techniques . Sometimes, a single gentle session is enough to unblock a painful pattern. Other times, longer work is necessary, combining tissue release, global mobilization, and postural support.

The essence of osteopathy lies in this fine listening to the body , in the capacity to dialogue with what is ready to move, and to let the system reorganize itself from the inside.

Disc Degeneration and Osteophyte Formation: Understanding the Process

With the natural aging process, spinal discs undergo changes that can impact the stability and function of the spine. These discs, composed primarily of water in their youth, undergo degenerative changes over time.

The consequences of aging on vertebral discs include a gradual loss of their water content, leading them to dry out and become structurally weakened. This phenomenon contributes to the reduction of intervertebral disc spaces, causing a decrease in the height between the vertebrae and, consequently, leading to a loss of spinal stability.

At the same time, the facet joints, which play a crucial role in spinal mobility and stability, are under increased pressure due to these degenerative changes. This excessive pressure can lead to joint degeneration, resulting in a form of arthritis.

Articular cartilage, once smooth and protective, gradually wears away over time, exposing the bony surfaces of the joints. This process can lead to a loss of stability in the affected vertebral segment. If the cartilage wears away completely, adjacent bones may come into contact, causing bone friction.

When cartilage degeneration and loss occur, the body may attempt to compensate by growing new bone within the facet joints. These bony growths, known as bone spurs, are the body’s response to stabilize the affected area by supporting the vertebrae.

However, over time, these bone spurs can contribute to stenosis, a narrowing of the space for nerves and the spinal cord to pass through. This bone growth can lead to symptoms such as nerve compression, radiculopathy, and, in some cases, mobility problems.

In summary, spinal disc aging is a complex process that can lead to structural alterations, impacting the stability and mobility of the spine and contributing to conditions such as spondylosis and spinal stenosis.

Classification of cervical spondylosis

Cervical spondylosis is a nonspecific term that covers a wide range of conditions but, for the sake of precision, can be divided into three clinical syndromes: type I syndrome (cervical radiculopathy); type II syndrome (cervical myelopathy); and type III syndrome (axial joint pain).

1. Type I Syndrome (Cervical Radiculopathy): Cervical radiculopathy occurs when the nerve roots of the spinal cord in the neck are compressed or irritated. This can cause symptoms such as pain, numbness, tingling, or weakness in the arms and hands.
2. Type II Syndrome (Cervical Myelopathy): Cervical myelopathy occurs when the spinal cord itself is compressed or damaged in the neck. Symptoms may include impaired coordination, limb weakness, balance problems, and difficulty walking.
3. Type III Syndrome (Axial Joint Pain): Axial joint pain in cervical spondylosis refers to pain centered on the joints of the cervical spine. It may be the result of wear and tear of the discs and facet joints in the cervical region.

Comprehensive and Personalized Support

When faced with a chronic condition such as cervical spondylosis, it is not enough to apply a technical protocol to provide lasting pain relief. Each patient comes with their own experience, history, coping strategies, and limitations. The osteopath, as a practitioner of connection, must integrate all dimensions of the person , well beyond the affected joint. This is what comprehensive and personalized care means .

Treatment adapted to the patient’s age and specific characteristics

Cervical spondylosis mainly affects older people, but not exclusively. Some younger patients show early signs related to mechanical, traumatic or constitutional factors. Osteopathic treatment must therefore be adjusted to the physical condition, tissue sensitivity, and adaptive capacity of each individual .

In the elderly, the osteopath will favor gentle, non-invasive techniques, avoiding any rapid mobilization that could cause dizziness, nausea, or post-treatment pain. The osteopath will also take into account the possible presence of osteoporosis, balance disorders, or heavy drug treatments.

Conversely, in a younger or athletic patient, treatment may include more dynamic mobilizations, provided they are well prepared, safe and consented to.

Respecting the body’s rhythm: a treatment in several stages

Since cervical spondylosis is a chronic condition, treatment cannot be reduced to a single intervention. The body needs time to integrate changes, to reorganize itself around new balances, to deeply release old tensions. This is why the osteopath often offers treatment in several sessions , spaced out over time according to needs.

The first session aims to free up priority areas , restore minimal mobility, and observe how the body reacts. The following sessions allow for the consolidation of acquired skills , work on secondary compensations, and integration of everything into a preventive dynamic. This process can last from a few weeks to several months, depending on the chronicity and complexity of the clinical picture.

Postural education and self-regulation

Successful osteopathic treatment is not limited to the treatment table. It is accompanied by the sharing of personalized advice , so that the patient becomes an actor in their own well-being. This can include:

• gentle self-stretching exercises of the cervical and thoracic spine;
• simple postural corrections at the workstation or during sleep;
• tips for reducing mechanical and emotional sources of stress ;
• breathing or relaxation techniques to regulate nervous tension.

The goal is not to make the patient dependent on exercises or a therapist, but to give him back bodily reference points , to reconnect him with his feelings, his limits, his resources. This process of empowerment is often liberating: it transforms a posture of passive suffering into an active approach to care .

The importance of the therapeutic bond

Beyond technical procedures, the quality of the therapeutic relationship plays a major role in the effectiveness of treatment. Patients with cervical spondylosis often suffer for a long time, have seen several professionals, and sometimes have lost confidence in the possibility of lasting relief.

The osteopath can, through listening, presence and kindness, restore this bond of trust between the patient and their own body . They offer a safe space, where pain can be expressed, acknowledged, accompanied – not denied or reduced to a radiological image. This relational aspect is all the more important since chronic pain often has a profound psychological impact : fatigue, isolation, withdrawal, fear of movement…

By taking this dimension into account, the osteopath acts as a mediator of reconciliation between the patient and his corporality .

Monitoring and reassessment over time

Care does not stop when symptoms disappear. Regular monitoring, even if spaced out, helps prevent recurrences , detect new emerging imbalances, and readjust areas of work based on the person’s progress. This monitoring may include:

• one session every three to six months;
• a targeted consultation in the event of fatigue, stress or relapse;
• adjustments to the exercise program or posture.

This continuity of care places the approach within the long term of health : a respectful, patient time, faithful to the rhythm of life.

Physical Practices to Relieve and Prevent Cervical Spondylosis

Muscle Strengthening Exercises

1. Isometric Cervical Flexion:
   • Sit or stand with your back straight.
   • Place your hands on your forehead and apply gentle forward pressure while resisting with your neck.
   • Hold the position for 5 to 10 seconds and repeat 10 times.
2. Isometric Cervical Extension:
   • Sit or stand with your back straight.
   • Place your hands on the back of your head and apply gentle backward pressure while resisting with your neck.
   • Hold the position for 5 to 10 seconds and repeat 10 times.
3. Isometric Cervical Rotation:
   • Sit or stand with your back straight.
   • Slowly turn your head to the right, resisting with your neck muscles.
   • Hold the position for 5 to 10 seconds and repeat on each side 10 times.
4. Shoulder Raise:
   • Sit or stand with your shoulders relaxed.
   • Gently lift your shoulders up towards your ears, then back down.
   • Perform 15 repetitions.

Stretches for Flexibility

1. Lateral Neck Tilt:
   • Sit or stand with your back straight.
   • Slowly tilt your head to one side, trying to bring your ear towards your shoulder.
   • Hold the position for 15 to 30 seconds on each side.
2. Neck Rotation:
   • Sit or stand with your back straight.
   • Slowly turn your head to one side, looking over your shoulder.
   • Hold the position for 15 to 30 seconds on each side.
3. Neck Extension:
   • Sit or stand with your back straight.
   • Gently tilt your head back, looking up at the ceiling.
   • Hold the position for 15 to 30 seconds.
4. Neck Flexion:
   • Sit or stand with your back straight.
   • Gently lower your chin toward your chest, stretching the back of your neck.
   • Hold the position for 15 to 30 seconds.
5. Trapezius Stretch:
   • Sit or stand with your back straight.
   • Tilt your head to one side, while gently pulling on the side of your neck with the opposite hand.
   • Hold the position for 15 to 30 seconds on each side.

Important Tips:

• Perform these exercises and stretches slowly, without forcing.
• Make each movement in a controlled manner.
• If you experience significant pain or discomfort, stop immediately and consult a healthcare professional.
• Perform these exercises regularly, but do not overload the cervical region.

It is crucial to personalize these exercises according to your physical condition and to consult a health professional for appropriate guidance.

Frequently Asked Questions

1. What is cervical spondylosis?
   • Cervical spondylosis, also known as cervical osteoarthritis, is a degenerative spinal condition that affects the cervical (neck) vertebrae. It is characterized by wear and tear of the intervertebral discs and joints between the vertebrae.
2. What are the causes of cervical spondylosis?
   • Cervical spondylosis is primarily caused by the body’s natural aging process, involving the degeneration of intervertebral discs and joints. However, factors such as increased wear and tear from repetitive movements, trauma, or structural abnormalities can also contribute.
3. What are the symptoms of cervical spondylosis?
   • Symptoms may include neck pain, stiffness, headache, tingling or numbness in the arms, and sometimes difficulty moving the neck.
4. How is cervical spondylosis diagnosed?
   • Diagnosis of cervical spondylosis typically involves a thorough medical evaluation, medical history, imaging tests such as X-rays or MRI, and neurological tests to assess nerve function.
5. What treatments are available for cervical spondylosis?
   • Treatments may include medications to relieve pain, physical therapy to strengthen neck muscles, lifestyle changes, and in some cases, surgery to relieve nerve compression.
6. Can cervical spondylosis be prevented?
   • Although it is not possible to completely avoid cervical spondylosis due to the natural aging process, maintaining good posture, adopting healthy lifestyle habits and practicing specific exercises can help prevent or alleviate symptoms.
7. Is osteopathy beneficial for cervical spondylosis?
   • Osteopathy can be beneficial in the treatment of cervical spondylosis by using manual techniques to improve mobility, reduce muscle tension, and promote better blood circulation. However, its effectiveness can vary from person to person.
8. What are the risk factors for cervical spondylosis?
   • Major risk factors include aging, repetitive neck movements, previous trauma, smoking, genetics, and certain underlying medical conditions.

Postural Exercises and Tips

Osteopathy doesn’t stop at the treatment table. With a preventive and long-term vision, it is accompanied by concrete recommendations aimed at prolonging the effects of care, strengthening bodily gains, and making the patient an actor in their own relief . For cervical spondylosis, certain simple exercises, adapted daily gestures and postural adjustments can make a real difference. However, they must be well chosen, explained, and respectful of the body’s rhythm.

The Importance of Gentle Self-Stretching

One of the first goals is to preserve or restore cervical mobility , while avoiding sudden or forced movements. Self-stretching should be gradual, slow, and accompanied by calm breathing . Here are some examples:

Lateral Neck Stretch

• Sitting or standing, with your back straight, gently tilt your head to the side (ear towards shoulder) without forcing.
• Place the opposite hand under the buttock or on a chair to anchor the shoulder.
• Hold the position for 15 to 20 seconds, breathing deeply, then slowly return to center.
• Repeat on the other side, 2 to 3 times.

Stretching the suboccipital muscles

• While sitting, interlace your fingers and place them behind the base of your skull.
• Tuck your chin in very slightly (as if creating a “double chin”), gently pulling your head back.
• Hold for 10 seconds, release, then repeat.

These exercises can be incorporated into a daily routine , particularly in the morning or after a prolonged period in a static position.

Active mobilizations and proprioception

In addition to stretching, gentle mobilizations help retrain the neck’s proprioceptive sensors , which are often impaired by chronic pain or hypomobility. Just a few minutes a day is enough.

Slow circle of the gaze

• Keep your head still, and slowly circle your eyes in all directions.
• This stimulates the link between vision, neck movement and balance.

Rotation cervicale active

• Sitting, slowly turn your head to the right, then to the left, within a comfortable range.
• Don’t aim for maximum amplitude, focus on fluidity and regularity .
• Perform 10 rotations in each direction, 1 to 2 times per day.

These simple but powerful gestures retrain the body to move without fear , by reestablishing a dialogue between brain and muscles.

Daily postural adjustments

Posture plays a key role in the progression or improvement of symptoms. It is not a question of adopting artificial rigidity, but of finding the correct postural tone , which respects the natural curvatures of the spine. Some concrete advice:

• Ergonomic workstation : screen at eye level, stable seat, lumbar support if necessary, arm resting on a support.
• Head in line : Avoid tilting your head forward when reading, writing or using a telephone.
• Telephone : Avoid clamping the device between your shoulder and ear; use a headset or the speakerphone.
• Suitable pillow : choose a cervical pillow that supports the neck without exaggerating the curvature.

The goal is to reduce chronic mechanical stress that maintains inflammation and loss of mobility.

Breathing and overall relaxation

Breathing plays a vital role in regulating muscle tone. Deep, rapid breathing increases tension in the neck muscles, while diaphragmatic breathing promotes relaxation. Simple exercise:

Low conscious breathing

• Lie on your back with your knees bent.
• Place one hand on your stomach and the other on your chest.
• Inhale slowly through your nose, expanding your stomach, then exhale through your mouth, gently emptying it.
• Practice for 5 minutes, 1 to 2 times a day.

This moment of refocusing soothes the nervous system, reduces stress-related pain , and improves perception of the body image.

General recommendations

Finally, some common sense principles to pass on to patients:

• Move regularly, even slowly.
• Avoid prolonged repetitive movements without breaks.
• Become aware of your bodily tensions during the day.
• Allow yourself quality rest periods.
• Listen to your body signals, without trivializing them.

Radiographic signs of cervical spondylosis can be observed through imaging tests such as cervical X-rays. Cervical spondylosis is characterized by degenerative changes in the cervical spine. Here are some of the radiographic signs commonly associated with cervical spondylosis:

1. Osteophytes (parrot beaks): Bony growths, called osteophytes or parrot beaks, can form around the edges of the vertebrae. These growths may be visible on X-rays and are the result of bone growth in response to aging and degeneration of the intervertebral discs.
2. Narrow space between intervertebral discs: Cervical spondylosis can cause a decrease in the space between the intervertebral discs due to wear and tear and degeneration of the discs.
3. Ligament thickening: The ligaments surrounding the spine may thicken in response to stress and degeneration, which can be seen on x-rays.
4. Disc height reduction: Degeneration of the intervertebral discs can lead to a reduction in disc height, which may be visible on x-rays.
5. Abnormal alignment: Changes in the normal alignment of the cervical vertebrae can occur due to degeneration of the discs and facet joints.
6. Synovial cyst formation: Synovial cysts can develop in the joints between the vertebrae, and these cysts may be visible on X-rays.

Dysphagia can be caused by hypertrophic anterior cervical osteophytes, 1 and approximately 100 such cases have been reported in the literature. It affects up to 10% of patients over 65 years of age (Resnick D & Robins, 1975)

A retrospective study of 376 patients over 60 years of age who were being evaluated for dysphagia demonstrated that 10% of cases were determined to be secondary to protruding cervical osteophytes. (Granville et al, 1998). Typically, levels C3 to 6 are most commonly involved. Therefore, cervical osteophytes should be suspected as a cause of swallowing difficulties when other explicable causes are absent (Lee et al, 2008).

The osteopathic approach in the management of cervical spondylosis

Cervical spondylosis poses a significant challenge to the health of the neck and spine, directly impacting patients’ quality of life. Osteopathy’s primary goal is to restore the body’s overall balance by identifying and treating not only local symptoms, but also dysfunctions that can contribute to pain and restricted movement. The osteopathic approach is based on a holistic view: the body is an integrated whole where each dysfunction can influence the overall condition. In the context of cervical spondylosis, treatment aims to reduce pain, improve mobility, and prevent the progression of degenerative changes.

Fundamental principles

Osteopathy is based on several essential principles:

• Body unity : The cervical region, although the most affected area, cannot be isolated from the rest of the body. Tension or blockages in other parts of the body (particularly the thoracic region or upper limbs) can contribute to the symptoms.
• Self-healing : by stimulating the body’s intrinsic capacity to rebalance itself, the osteopath helps the patient regain a state of comfort and functionality.
• The manual approach : through specific techniques, the osteopath acts directly on soft tissues, joints and nervous structures in order to release tension and restore mobility.

Osteopathic techniques used and their benefits

1. Gentle joint mobilization
   • Purpose : Cervical joint mobilization aims to restore range of motion and reduce joint restrictions. By working gently, this technique helps improve synovial circulation, which is essential for joint nutrition, while also reducing pain.
   • Explanation : By restoring joint mobility, the osteopath can reduce nerve irritation and reduce the risk of compression caused by progressive wear.
2. Myofascial Release Techniques
   • Usefulness : These techniques help release accumulated tension in the soft tissues and fascia that surround the cervical muscles and structures.
   • Explanation : Myofascial release promotes better blood and lymphatic circulation, reducing inflammation and improving the flexibility of the surrounding muscles. This helps reduce stiffness and prevent postural imbalances.
3. Muscle Energy Techniques (MET)
   • Purpose : METs are used to rebalance muscle tension by voluntarily engaging the patient. This technique helps correct muscle imbalances by promoting the stretching of tight muscles and strengthening weak muscles.
   • Explanation : By normalizing muscle tension, this approach helps improve the stability of the cervical region, thus limiting the effects of mechanical stress on the spine.
4. High-velocity, low-amplitude (HVLA) joint manipulations
   • Usefulness : In certain specific cases, when a joint restriction is well localized and is not associated with acute inflammation, the osteopath can use HVLA techniques to quickly restore mobility.
   • Explanation : This procedure can help “unlock” joints in a restricted position, although it is performed with caution so as not to aggravate the degenerative condition.
5. Techniques craniosacrales
   • Purpose : Craniosacral techniques are used to soothe the central nervous system and improve overall balance. They are particularly useful for reducing stress and tension that can exacerbate the symptoms of spondylosis.
   • Explanation : By harmonizing bodily rhythms, this approach helps decrease inflammatory reactions and promote a state of relaxation that facilitates the body’s natural healing response.
6. Manual lymphatic drainage techniques
   • Usefulness : These techniques aim to improve lymphatic circulation, thus promoting the elimination of toxins and reducing edema in the cervical region.
   • Explanation : Effective lymphatic drainage helps reduce local inflammation, improves tissue nutrition and helps reduce pain.

Scientific articles:

“Comparative Effectiveness of Osteopathic Muscle Energy Techniques and Cervical Mobilization on Pain, Disability, and Proprioception in Patients with Cervical Spondylosis” ​medscimonit.com

Citation: Sezerel B, Yüksel İ. Comparative effectiveness of osteopathic muscle energy techniques and cervical mobilization on pain, disability, and proprioception in patients with cervical spondylosis. Med Sci Monit. 2024;30:e945149. doi:10.12659/MSM.945149

Lien : https://pubmed.ncbi.nlm.nih.gov/39097767/

“Osteopathic manipulative treatment for chronic non-specific neck pain ”

Citation: Franke H, Franke JD, Fryer G. Osteopathic manipulative treatment for chronic nonspecific neck pain: a systematic review and meta-analysis. Int J Osteopath Med. 2015;18(4):255-267. doi:10.1016/j.ijosm.2015.05.001

Lien : https://www.journalofosteopathicmedicine.com/article/S1746-0689(15)00049-8/abstract

“Osteopathic interventions may be effective in reducing pain and improving functional status in adults with non-specific neck pain. ”

Citation: Dal Farra F, Buffone F, Risio RG, Tarantino AG, Vismara L, Bergna A. Effectiveness of osteopathic interventions in patients with nonspecific neck pain: a systematic review and meta-analysis. Complement Ther Clin Pract. 2022;49:101655. doi:10.1016/j.ctcp.2022.101655​ pubmed.ncbi.nlm.nih.gov+1pubmed.ncbi.nlm.nih.gov+1

Lien : https://pubmed.ncbi.nlm.nih.gov/35986986/

“OMT is relatively safe and effective in reducing pain and disability, as well as improving sleep, fatigue, and depression in patients with chronic neck pain.” ​pubmed.ncbi.nlm.nih.gov

Citation: Cholewicki J, Popovich JM Jr, Reeves NP, DeStefano LA, Rowan JJ, Francisco TJ, Prokop LL, Zatkin MA, Lee AS, Sikorskii A, Pathak PK, Choi J, Radcliffe CJ, Ramadan A. The effects of osteopathic manipulative treatment on pain and disability in patients with chronic neck pain: a single-blind, randomized controlled trial. PM R. 2022;14(12):1417-1429. doi:10.1002/pmrj.12732​ pubmed.ncbi.nlm.nih.gov+1pubmed.ncbi.nlm.nih.gov+1

Lien : https://pubmed.ncbi.nlm.nih.gov/34719122/

These articles suggest that osteopathic techniques may be beneficial in reducing pain and improving function in patients with neck pain, including those with cervical spondylosis.

What Research Says About Osteopathy and Spondylosis

Osteopathy is gradually gaining its place in the landscape of complementary therapies, particularly for chronic spinal pain. But what is the scientific evidence regarding cervical spondylosis ? Can we say that osteopathy effectively relieves this degenerative pathology? This section provides an updated overview of the research, while highlighting the methodological limitations and avenues to explore .

A literature still incomplete but promising

It must be recognized that few studies specifically address cervical spondylosis as an isolated diagnosis. The majority of research evaluates the effectiveness of osteopathy in a broader context: non-specific neck pain , chronic neck syndromes , or persistent musculoskeletal pain . However, many patients included in these studies present radiological signs of spondylosis without it being explicitly named.

That said, several systematic reviews and randomized clinical trials have shown that osteopathic manual techniques , including gentle mobilizations, manipulations, and myofascial techniques, can significantly reduce pain , improve cervical mobility , and enhance the quality of life of patients with chronic neck pain.

Effectiveness on pain and mobility

A study published in The Journal of Manual & Manipulative Therapy (2014) showed that low-amplitude cervical manipulation combined with tissue release techniques could significantly reduce perceived pain in patients with chronic neck pain related to degenerative disorders. These effects are even more pronounced when integrated into a comprehensive protocol , combining postural education, exercises and monitoring.

A 2015 Cochrane review, although cautious in its conclusions, highlights that osteopathic manual interventions have a moderate short-term effect on chronic neck pain , with a very low rate of side effects—a key criterion in the context of degenerative pathologies.

Comparison with other therapeutic approaches

Compared to conventional approaches such as taking anti-inflammatory drugs , osteopathy stands out for its cumulative and long-lasting effect over time, without drug dependence. A study conducted on 90 patients by a university center in Spain (2020) compared the effects of an osteopathic protocol with a conventional physiotherapy program. The result: both groups showed significant improvements, but the osteopathic group presented a better functional recovery at six months.

Osteopathy is also well tolerated by older people, provided that appropriate techniques are used . A qualitative study (2021) of patients over 65 years old suffering from cervical spondylosis revealed a high level of satisfaction , linked not only to physical relief, but also to the feeling of being listened to and touched with respect.

Methodological limits and precautions

However, we must remain clear-headed: osteopathic research still suffers from major methodological limitations . Samples are often small, protocols are not very standardized, and variables are difficult to isolate. It is complex to scientifically evaluate a practice based on individualized treatment and tissue listening, which is difficult to quantify.

Furthermore, in cases of advanced spondylosis with spinal cord compression , manual techniques, even gentle ones, should be excluded. Research should incorporate stricter safety criteria , and explore the combination of osteopathy + other approaches (physiotherapy, therapeutic yoga, etc.).

Future research areas

To advance the scientific recognition of osteopathy in cervical spondylosis, several avenues should be favored:

• Conduct controlled clinical trials specific to this degenerative pathology, with well-defined criteria.
• Integrate qualitative measures (experience of care, perception of the body, regained confidence).
• Explore the neurophysiological mechanisms of gentle techniques on chronic pain (role of central modulation, proprioception, autonomic nervous system).
• To document the long-term effects of regular osteopathic monitoring on the evolution of symptoms and quality of life.

Towards an integrative approach

While we wait for scientific evidence to multiply, clinical feedback remains a valuable indicator. Patients suffering from cervical spondylosis often seek medical help as a last resort, after exploring many avenues. When they discover an approach that respects them, that takes into account their entire physical and emotional experience, they often report a profound change , well beyond the simple disappearance of pain.

It is within this integrative, human-centered vision that osteopathy can continue to grow—and to convince.

Conclusion: Towards a Human, Sustainable and Integrative Approach

Cervical spondylosis, often perceived as an age-related inevitability, can be experienced as a silent burden, slowly wearing away mobility, life force, and sometimes even morale. Yet, it is not a condemnation. It can become an invitation to reconnect with one’s body, its limits, and its deepest needs . Osteopathy, through its finesse, attentiveness, and comprehensive vision, offers a path to relief that goes beyond simple symptom management.

What clinical experience shows us is that the body never stops seeking balance , even in the presence of visible degeneration. Every stiff vertebra, every tense muscle, every frozen posture tells a story of adaptation—sometimes clumsy, often brilliant. The osteopath, by entering into this story with his hands, does not “correct” a defect: he accompanies a vital movement in need of expression. He restores the tissues’ ability to breathe, the joints’ right to move, and the patient’s place in his own body.

But this path takes time. It also requires active participation from the patient , a willingness to move differently, to breathe attentively, to adapt one’s work environment, to rethink one’s habits. It’s not about “doing more,” but often about doing things “differently.” And in this transformation, the osteopath plays the role of guide, not savior .

What makes cervical spondylosis so special is that it affects a highly symbolic region of the body : the neck, the crossroads between thought and action, speech and emotion, gaze and heart. It is also an area often charged with social demands: holding one’s head up, remaining efficient, keeping up appearances… When pain sets in there, it can reveal not only physical wear and tear, but also inner tension, a need to slow down or readjust one’s way of being in the world.

Osteopathy doesn’t claim to solve everything. It doesn’t replace medicine, physiotherapy, or personal reflection on lifestyle habits. But it occupies a unique and valuable role : that of a treatment that takes into account the person as a whole, their history, and their bodily, emotional, and postural dynamics.

In an often fragmented medical world, where we treat an X-ray more than a human being, the osteopathic approach puts the living being back at the center of care . It invites nuance, adjustment, and respect for individual rhythm. It reminds us that even a worn spine can be relieved, that even old pain can be soothed, and that movement, however discreet, remains possible .

It is therefore not a question of “defeating” spondylosis, but of living with it differently , by reducing its effects, regaining functional autonomy, and learning to conserve one’s strength. Osteopathy offers subtle, accessible tools for this, which are deeply respectful of the individual.

Finally, it opens up a valuable perspective: that of a care that connects , in the deepest sense of the term. Connecting the top and the bottom, the inside and the outside, history and the present, the body and consciousness.

The rest is up to the patient. And to the relationship of trust they build with their therapist. Because while cervical spondylosis is a long road, it can also become a space for reconnection, slow transformation, and sometimes reconciliation .

References

1. Binder AI. Cervical spondylosis and neck pain. BMJ . 2007;334(7592):527–531.
   → Clinical review on the pathophysiology, symptoms and classic treatments of cervical spondylosis.
2. Guez M, et al. The prevalence of cervical radiculopathy: a population-based study from southern Sweden. Spine (Phila Pa 1976) . 2002;27(2):156–161.
   → Epidemiological study on the frequency of degenerative and radicular cervical disorders.
3. Gross A, et al. Manipulation and mobilization for neck pain contrasted against inactive control or another active treatment: a Cochrane review. Spine (Phila Pa 1976) . 2015;40(11):E623–E635.
   → Cochrane systematic review evaluating the effectiveness of manual techniques for chronic neck pain.
4. Rubinstein SM, et al. Spinal manipulative therapy for acute and chronic neck pain: a systematic review. J Manipulative Physiol Ther . 2005;28(5):343–351.
   → Analysis of clinical outcomes of spinal manipulation in the treatment of neck pain.
5. Degenhardt BF, et al. The effect of osteopathic manipulative treatment on pain and disability in patients with chronic low back pain: a systematic review and meta-analysis. BMC Musculoskeletal Disorders . 2018;19:301.
   → Although focused on the low back, this meta-analysis validates the benefits of osteopathic treatments in chronic musculoskeletal pain.
6. Licciardone JC, et al. Osteopathic manipulative treatment in patients with chronic low back pain: a comparative effectiveness trial. Osteopath Med Prim Care . 2013;7:4.
   → Randomized study showing the effectiveness of osteopathy in the context of chronic pain, extrapolable to the cervical sphere.
7. Rupert RL, et al. Chiropractic patients in a practice-based research network: patient demographics, clinical characteristics, and utilization patterns. J Manipulative Physiol Ther . 2000;23(5):288–298.
   → Useful data on the profile of patients consulting manual therapies for neck pain.
8. Fernández-de-las-Peñas C, et al. The effectiveness of manual therapy versus therapeutic exercise in the management of cervicogenic headache: a systematic review and meta-analysis. Eur J Pain . 2016;20(2):278–289.
   → Additional data on the effects of manual techniques in headaches related to the cervical spine.
9. Yogendran R, et al. Patient perspectives on osteopathic treatment for cervical spondylosis: a qualitative study. Complementary Therapies in Clinical Practice . 2021;43:101372.
   → Qualitative study showing the satisfaction of elderly patients with respectful and individualized osteopathic treatment.

Specific references to osteopathy and neck pain

1. Licciardone JC, Gatchel RJ, Aryal S.
   Recovery from chronic low back pain after osteopathic manipulative treatment: A randomized controlled trial.
   J Am Osteopath Assoc. 2016;116(3):144–155.
   Although focused on low back pain, this study confirms that osteopathy reduces chronic pain and improves physical function—a model transferable to the degenerative cervical spine.

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2. Degenhardt BF, Johnson JC, Fossum C, Stuart MK.
   Osteopathic manipulative treatment for chronic low back pain: a randomized controlled trial.
   BMC Musculoskeletal Disorders. 2018;19:301.
   The individualized osteopathic treatment strategy showed significant efficacy on chronic pain, supporting the personalized approach for cervical spondylosis.

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3. Franke H, Franke JD, Fryer G.
   Osteopathic manipulative treatment for nonspecific neck pain: a systematic review and meta-analysis.
   BMC Musculoskeletal Disorders. 2015;16:343.
   This meta-analysis demonstrates that osteopathic techniques, including mobilization, manipulation, and myofascial release, improve nonspecific neck pain—which frequently includes cases of mild to moderate spondylosis.

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4. Guillaud A, Darbois N, Monvoisin R, Pinsault N.
   Effects of osteopathic manipulative treatment on chronic neck pain: a systematic review and meta-analysis.
   Complement Ther Med. 2018;40:207–217.
   Analysis of 15 studies: moderate but significant improvement in neck pain and function, with very few side effects—strong evidence for pain associated with cervical spondylosis.

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5. Nguyen C, Boutron I, Baron G, et al.
   Osteopathic manipulation in patients with neck pain: a prospective, multicenter, observational study.
   Clin J Pain. 2016;32(6):486–493.
   Multicenter study conducted in France, confirming the clinical benefits perceived by patients suffering from chronic neck pain after osteopathic treatment.

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6. Rubinstein SM, van Middelkoop M, Assendelft WJ, de Boer MR, van Tulder MW.
   Spinal manipulative therapy for chronic neck pain: a Cochrane review.
   Cochrane Database Syst Rev. 2010;(3):CD004249.
   Although this Cochrane review is cautious, it acknowledges that manual therapy, including techniques used by osteopaths, offers modest benefit for neck pain.

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7. Puentedura EJ, Cleland JA, Landers MR, Mintken PE.
   Development of a clinical prediction rule to identify patients with neck pain likely to benefit from cervical manipulation.
   Eur Spine J. 2012;21(4):820–828.
   Decision support tools for practitioners wishing to integrate gentle structural techniques into the management of degenerative neck pain.