A common cause of neck pain, especially in older patients, is cervical stenosis. Cervical stenosis is a narrowing of the spinal canal in the neck area or upper part of the spine. This narrowing places pressure on the spinal cord. While some patients are born with this narrowing, most cases of cervical stenosis occur to patients over the age of 50 and are the result of aging and “wear and tear” on the spine. Many patients with cervical stenosis have a history of some kind of injury or trauma to the neck, however this trauma may have occurred many months or even years before the onset of stenosis symptoms.Most cases of cervical stenosis are successfully treated with non-surgical techniques such as pain and anti-inflammatory medications. Depending on the extent of nerve involvement, some patients may need to temporarily restrict their activities and wear a cervical collar or neck brace for a time.If non-surgical measures do not work, your doctor may recommend surgery to treat your stenosis. There are a number of surgical techniques that can be used to treat this condition. The goal of each of these surgical decompression treatments is to widen the spinal canal and relieve the pressure on the spinal cord by removing or trimming whatever is causing the compression.