This is the degeneration of the inter-vertebral discs (fibrous discs of cartilage that connect adjacent vertebrae) and the joints of the spine. It is characterised by pain in the neck and lumbar region, where the movement may become restricted. There may be muscle weakness and difficulty in movement if the spinal cord is compressed. Due to degeneration of the discs and formation of osteophytes (bony projections), the space occupied by the discs is reduced. Physiotherapy, neck collar, support belt in the lumbar region and traction are some of the methods adopted to relieve pain.