Cervical spine refers to neck portion of spine, and cervical spine conditions may result from overuse injuries, trauma and certain diseases. Cervical stenosis refers to narrowing of the spinal canal that protects the spinal cord and its branching nerves. The condition causes neck pain radiating to arms and hands, numbness or weakness in the legs. This condition causes cervical myelopathy and cervical radiculopathy. The abnormal pressure placed on the spinal cord causes damage and results in spinal cord dysfunction. This condition is known as myelopathy. Cervical radiculopathy occurs when the nerve roots connecting the spinal cord are injured or pinched as they exit the spinal canal. Myeloradiculopathy occurs when there is damage to the spinal cord and nerve roots.

  • Causes:

Cervical stenosis;-It develops after age 50, because of aging and spinal wear and tear. Some patients have a history of back injury or trauma. Different disorders can cause nerve compression, such as:

  • Thickening of spinal ligaments

  • Osteophytes (bony overgrowths)

  • Bulging or herniated discs

  • Degenerative disc disease

  • Symptoms:

Some people have no symptoms; they are asymptomatic. However, the symptoms may gradually develop and worsen over time. The common symptom of cervical stenosis is mild to intense neck pain. Other symptoms include:

  • Problems with gait and balance

  • Clumsy hand coordination

  • Upper extremity pain and weakness

  • Numbness, tingling, pins and needles sensation

  • Bladder and bowel problems

  • Rarely, loss of function (paraplegia)

Cervical spinal stenosis is usually diagnosed based on your medical history, physical and neurological examination, and diagnostic tests such as x-rays, CT or MRI scans, or myelography.

Cervical stenosis may be treated with conservative treatment approaches such as use of pain medications, physical therapy, steroid injections, or acupuncture. In chronic cases, surgery may be required to treat the condition. Surgery is considered for patients in whom the pain is not responding to conservative treatment.




Mid-back pain is also called as thoracic pain or upper back pain. It occurs at the back of the chest and is much less common than lower back pain. It may occur due to poor posture, muscle strain, improper lifting and bending, physical inactivity, sports injury, trauma in a car accident, cancer or an autoimmune disease.

It generally has a simple musculoskeletal origin and can be managed at home with rest, over the counter pain medicines, heat or ice pack and exercise. Treatment is required if the pain gets worse and interferes with your daily activities.

It can be treated non-surgically through chiropractic approach. Chiropractic approach relieves pain by balancing the structure and function of the spine through spinal manipulation and by promoting self-healing. Spinal manipulation involves moving the joint beyond its usual motion by applying high velocity short arm thrust to the abnormal vertebra to relieve pain and improve functionality of the back. Often a popping or cracking sound is heard when the spinal manipulation is done by the chiropractic doctor. As the ribs are connected to the mid-back spine, manipulation of the ribs may also be done to relieve mid-back pain.