In this episode of Speech Talk, Emily and Eva dive into cervical osteophytes (aka bone spurs in the neck) and how they can mechanically impact swallowing. We break down what osteophytes are, why they form, and how they can present just like “typical” dysphagia — globus, coughing, choking, wet vocal quality — but may gradually worsen over time.

We talk about imaging (Because how else would we even know it’s there!?), conservative management strategies like texture modification and suprasubglottic swallow, and when a surgical consult might be appropriate.

Citations

Bakshi, S. S., & Ramesh, S. (2021). Cervical osteophytes causing dysphagia: A case report. The American Journal of the Medical Sciences, 361(5), e43. https://doi.org/10.1016/j.amjms.2020.10.014

Lyrtzis, C., Poutoglidis, A., Stamati, A., Lazaridis, N., & Paraskevas, G. (2024). A case of dysphagia due to large osteophytic lesions in the cervical spine: A conservative approach. Cureus, 16(4), e59011. https://doi.org/10.7759/cureus.59011

Egerter, A. C., Kim, E. S., Lee, D. J., Liu, J. J., Cadena, G., Panchal, R. R., & Kim, K. D. (2015). Dysphagia secondary to anterior osteophytes of the cervical spine: A retrospective case series and literature review. Global Spine Journal, 5(5), e78–e83. https://doi.org/10.1055/s-0035-1546954

Park, B. J., Gold, C. J., Piscopo, A., Schwickerath, L., Bathla, G., Chieng, L.-O., Yamaguchi, S., & Hitchon, P. W. (2021). Outcomes and complications of surgical treatment of anterior osteophytes causing dysphagia: A single center experience. Clinical Neurology and Neurosurgery, 207, 106814. https://doi.org/10.1016/j.clineuro.2021.106814

Melbourne Swallow Analysis Centre. (n.d.). Cervical osteophytes and dysphagia. Retrieved February 13, 2026, from https://www.melbswallow.com.au/resources/cervical-osteophytes-and-dysphagia/

HealthCentral. (n.d.). Osteophytes (bone spurs). Retrieved February 13, 2026, from https://www.healthcentral.com/condition/spondylosis/osteophytes-bone-spurs

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