Cervical Myelopathy
What is Cervical Myelopathy?
Cervical myelopathy is a condition caused by compression of the spinal cord in the neck (cervical spine). This can result in problems with movement, coordination, and sensation in the arms and legs.
Causes:
Degenerative changes due to aging (spondylosis)
Herniated discs
Bone spurs
Rheumatoid arthritis
Spinal injuries or trauma
Congenital narrowing of the spinal canal
Symptoms:
Neck pain or stiffness
Weakness in the arms, hands, or legs
Numbness or tingling in the arms and hands
Difficulty with fine motor skills (buttoning shirts, writing)
Problems with balance and walking
Bowel or bladder dysfunction (in severe cases)
Diagnosis:
A healthcare provider may diagnose cervical myelopathy using:
Medical history and physical examination
Imaging tests such as MRI, CT scan, or X-rays
Electromyography (EMG) or nerve conduction studies
Treatment Options:
Conservative (Non-Surgical) Treatments:
Physical therapy to improve strength and flexibility
Medications such as anti-inflammatory drugs or pain relievers
Cervical collars to limit movement and provide support
Surgical Treatments:
If symptoms worsen or conservative treatments do not help, surgery may be recommended.
Common procedures include decompression surgery (removing structures pressing on the spinal cord) or spinal fusion (joining vertebrae for stability).
Self-Care & Prevention:
Maintain good posture
Engage in regular exercise, including stretching and strengthening
Use ergonomic equipment for work and daily activities
Avoid activities that strain the neck
When to See a Doctor:
Persistent or worsening symptoms
Difficulty walking or loss of balance
Weakness or numbness affecting daily activities
Loss of bladder or bowel control (seek emergency care)