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Cervical myelopathy

Cervical myelopathy is a condition characterized by spinal cord compression within the cervical region, specifically between the C1 and T1 vertebrae. This syndrome can present symptoms similar to other neurological and degenerative disorders, posing a challenge for accurate diagnosis. Treatment focuses on surgically decompressing the spinal canal, which may involve anterior, posterior, or a combined approach based on the compression’s location and specific patient-related factors. Early treatment, before the progression of severe symptoms, generally results in favorable outcomes.

What are the causes and symptoms of Cervical Myelopathy?

Causes of Cervical Myelopathy

Degenerative Disc Disease: Age-related wear and tear on the spinal discs can lead to cervical myelopathy.
Spinal Stenosis: Narrowing of the spinal canal in the cervical region compresses the spinal cord.
Herniated Discs: Discs that bulge or rupture can press against the spinal cord.
Osteophytes: Bone spurs that grow as a result of spinal osteoarthritis can impinge on the spinal cord.
Trauma: Accidents or injuries causing fractures or dislocations of the vertebrae can compress the spinal cord.
Rheumatoid Arthritis: Inflammation of the cervical spine joints can lead to spinal cord compression.

Symptoms of Cervical Myelopathy

Neck Pain and Stiffness: Often one of the first symptoms, reflecting the compression in the cervical spine.
Numbness and Tingling: These sensations can occur in the arms, hands, legs, or feet, indicating nerve compression.
Weakness: Muscle weakness in the limbs can make daily tasks difficult.
Coordination Problems: Difficulty with fine motor skills and changes in walking gait can manifest.
Balance Issues: Individuals may experience problems with balance, increasing the risk of falls.
Bowel and Bladder Dysfunction: In severe cases, control over bladder or bowel movements may be lost.

How to diagnose cervical myelopathy?

MRI (Magnetic Resonance Imaging): Provides detailed images of soft tissues, including the spinal cord and nerves, to identify areas of compression.
CT (Computed Tomography) Scan: Offers a detailed view of the spinal column and can help identify bone spurs, herniated discs, or other causes of spinal cord compression.
X-rays: Can reveal the overall structure of the spine and indicate degenerative changes or alignment issues.
Myelogram: Involves injecting a contrast dye followed by X-ray or CT imaging to provide detailed views of the spinal canal and nerve roots.
Electromyography (EMG) and Nerve Conduction Studies: These tests measure the electrical activity of muscles and the speed of nerve signals, respectively, to detect nerve damage.

What is the treatment option for cervical myelopathy?

Physical Therapy: Aimed at strengthening neck muscles, improving flexibility, and reducing pain. It can also help with balance and coordination.
Medications: Anti-inflammatory drugs to reduce swelling and pain. In some cases, muscle relaxants may be prescribed to ease muscle spasms.
Cervical Collar: A neck brace can be used temporarily to provide support, limit movement, and allow the neck to heal.
Activity Modification: Avoiding activities that exacerbate symptoms and learning safer ways to perform daily tasks.

What are the surgical options for Cervical Myelopathy?

Anterior Cervical Discectomy and Fusion (ACDF)
Cervical Laminectomy
Laminoplasty
Posterior Cervical Fusion
Cervical Disc Replacement

Synapse Spine is your dedicated partner in addressing Cervical Myelopathy Best neck pain specialist Mumbai, India , offering tailored treatment options for your unique needs. With a focus on minimally invasive surgery techniques, we strive to provide effective solutions with improved recovery times. Schedule your appointment today to begin your journey towards recovery with Synapse Spine.