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Published on: 3/5/2025

What Are the Symptoms of Cervical Spondylosis Affecting the 5th and 6th Cervical Vertebrae?

Cervical spondylosis affecting the 5th and 6th cervical vertebrae can lead to a variety of symptoms, primarily due to the degeneration of the cervical spine and potential compression of nearby nerves. Recognizing these symptoms is important for timely diagnosis and management.

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Explanation

Understanding Cervical Spondylosis

Cervical spondylosis is a condition that involves the wear and tear of the cervical spine, which can lead to the degeneration of discs and joints in the neck. This condition is common, especially in older adults, and can result in pain and other neurological symptoms.

Symptoms Specific to the 5th and 6th Cervical Vertebrae

When cervical spondylosis affects the 5th (C5) and 6th (C6) cervical vertebrae, the following symptoms may occur:

  • Neck Pain: This is often the most common symptom. The pain may be localized to the neck or may radiate to the shoulders and upper back.
  • Radiating Pain: Patients may experience pain that radiates down the arm, particularly into the areas supplied by the C5 and C6 nerve roots. This can include the shoulder, upper arm, and sometimes the forearm.
  • Numbness and Tingling: There may be sensations of numbness or tingling in the arm or hand, especially in the thumb and index finger, which are typically associated with the C6 nerve root.
  • Weakness: Weakness in the muscles of the shoulder, arm, or hand may occur. This can affect the ability to lift objects or perform tasks that require grip strength.
  • Reduced Range of Motion: Patients may find it difficult to turn their head or tilt it backward due to stiffness and pain in the neck.

Potential Complications

In more severe cases, cervical spondylosis can lead to cervical spondylotic myelopathy, which occurs when the spinal cord is compressed. Symptoms of this condition can include:

  • Gait Disturbances: Difficulty walking or maintaining balance.
  • Coordination Problems: Issues with fine motor skills, such as buttoning a shirt or writing.
  • Bowel or Bladder Dysfunction: In advanced cases, there may be changes in bowel or bladder control.

(References)

  • Kuo DT, Tadi P. Cervical Spondylosis. 2023 May 1. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. PMID: 31855384.

  • McCormick JR, Sama AJ, Schiller NC, Butler AJ, Donnally CJ 3rd. Cervical Spondylotic Myelopathy: A Guide to Diagnosis and Management. J Am Board Fam Med. 2020 Mar-Apr;33(2):303-313. doi: 10.3122/jabfm.2020.02.190195. PMID: 32179614.

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