IJRAP International Journal of Research in Ayurveda and Pharmacy 2277-4343 Moksha Publishing House 10.7897/2277-4343.174147 CERVICAL SPONDYLOSIS AND ITS MANAGEMENT: AN EVIDENCE-BASED INTEGRATIVE REVIEW Dwivedi Amarprakash Archana Anand * 11 -0001 113 119 Cervical spondylosis is one of the most common degenerative disorders affecting the cervical spine and a leading cause of chronic neck pain, functional disability, and impaired quality of life worldwide. In Ayurvedic literature, cervical spondylosis closely resembles Manyagata Vata, a subtype of Vatavyadhi (Vata Disorders), characterized by pain, stiffness, and restricted movements of the cervical region. This narrative review was prepared by critically evaluating classical Ayurvedic texts and contemporary scientific literature from standard peer-reviewed journals to provide an evidence-based integrative perspective. Cervical spondylosis is a multifactorial disorder resulting from progressive degeneration of the cervical spine influenced by aging, biomechanical stress, occupational factors, and lifestyle practices, which demonstrates considerable similarity with the Ayurvedic concepts of Vata Prakopa (Vitiation of Vata Dosha), Asthi-Majja Dhatu Kshaya (Degeneration of bones), and Srotodushti (Obstruction of Channels). Conservative management remains the cornerstone of treatment, whereas Ayurvedic interventions including Nidana Parivarjana (Avoidance of etiological factors), Shamana Chikitsa (Palliative Treatment), Nasya (Trans-nasal drug Instillation), Manya Basti (Local Olation therapy), Basti (Medicated enema), and Agnikarma (Heat-burn Therapy), Jalukavacharan (Leech Therapy), Lepa Chikitsa (Medicated Herbal Paste) adjuvant to the standard physiotherapy and Yoga exercises have demonstrated encouraging clinical outcomes in reducing pain, improving cervical mobility, and enhancing functional status. Cervical spondylosis requires a multidisciplinary and patient-centred management strategy. An evidence-based integrative approach may provide comprehensive care and improve functional outcomes. This review highlights the need for holistic management of cervical spondylosis. However, well-designed clinical trials are needed to validate integrative management and support this perspective. Cervical spondylosis Manyagata Vata Manyastambha Nasya Manya-Basti Agnikarma.