Doctor insights on:
Cervical Myelopathy Surgery Recovery Time
It is indicated: When diagnosed secondary to cord compression, it will get worse without surgery but this progression varies from patient to patient. Surgery is indicated to prevent progression but it is unpredictable as to extent of recovery but the earlier it is diagnosed with the least objective findings and symptoms, the better the prognosis. Cord changes on imaging also tend to suggest a worse prognosis. ...Read more
Generally ok: For this diagnosis, surgery will prevent a progression of the myleopathy but does not mean that whatever neurologic functions that have been affected will recover if at all. Recovery is variable as well if at all ranging from complete resolution of symptoms to no resolution to everything in between. Once diagnosed, it is best to treat it before it progresses based on the unpredictable recovery. ...Read more
Yes: By definition, a cervical myelopathy is a condition that causes compression of the spinal cord in the neck. The symptoms of cervical myelopathy can be weakness in upper limbs in particular but can also cause weakness in the legs as well. In the upper limbs, one can see muscle wasting, particularly in the hands. Severe cord compression can cause problems with the bowels and bladder. See a doc. ...Read more
Yes: Taking pressure off the spinal cord can reduce spasticity in some cases. Medication can help as well. For some, an pump can be implanted to put drug directly into the spinal fluid to reduce spasticity. See a physician who specializes in care of myelopathy (spine surgeons, many neurosurgeons, spinal cord injury specialists, rehabilitation specialists). ...Read more
Compression: Cervical myelopathy is most often caused by compression on the cervical spinal cord. This can occur acutely, for example, after a ruptured herniated disc or if there is a blood clot. This can also occur slowly over time as the patient develops spinal stenosis or narrowing of the spinal canal. This leads to "squeezing" of the spinal cord and the symptoms of myelopathy. ...Read more
Multiple reasons: A large disc herniation, narrowing of spinal canal due to degenerative changes, calcification of spine ligaments with enlargement, spinal trauma, instabilities secondary to prior trauma or degeneration, cysts, tumors, epidural abscesses, syringomyelia, post radiation, to name several reasons. Most times the spinal canal is too narrow for the spinal cord. ...Read more
Neck arthritis: Myelopathy from spinal cord pressure is usually from disk bulges or herniations, bone spurs, ligament thickening from the degeneration ("aging") process ("arthritis" or spondylosis). People born with small canals and tendency for degeneration are more likely to get it than people born with large canals (the channel for the spinal cord). ...Read more
Not very frequent:
Cervical myelopathy means the discs are compressing the spinal cord, causing spinal cord dysfunction, no just pain, they have to have weakness in there legs and sensory symptoms --this is rare
more common cervical radiculopathy, where a disc compress one nerve root coming out, cause weakness, numbness and pain in one arm. ...Read more
Cannot tell without: Doctor needs to examined and should have upper motor neurone signs. ...Read more
Spinal cord problem: It is a problem with the spinal cord. A common cause is pressure from disk, bone spurs or soft tissues around the cord. Some reflexes are weakened, but most of them are increased. The person with myelopathy may notice this because the muscles are spastic (contract on their own, tight) and/or weak. ...Read more
Myelopathy: No. Ataxia, or a staggering walk akin to being drunk without alcohol is typical. Coordination problems--trouble writing, buttoning buttons, discerning coins in your pocket. Spastic reflexes or muscle twitches. Weakness in hands, numbness like stockings and gloves. These symptoms may progress to loss of walking very gradually, almost unnoticed until too late. ...Read more
A SEQUENCE: History and exam provides an initial diagnosis which can be confirmed via MRI and even spinal tap. An emg-ncs is a test for peripheral nervous system issues, from the nerve roots outward, and cannot provide good data regarding spinal cord problems. An evoked potential study has been used on occasion, but is, in my experience highly unreliable. ...Read more
There are surgical: Options, such as tendon transfers. There are physicians at tgh that I know can do this. However, this will not correct the myelopathy, it will only ease the pain from the spasticity. It may not improve function as well. Have you tried Botox injections? They are very useful with spasticity of you have not tried yet. ...Read more
Spine surgeon: Usually it is a spine surgeon (orthopedic or neurological spine surgeon). Sometimes a rehabilitation physician (physiatrist) will care for myelopathy. Myelopathy due to spinal cord compression is usually best treated by surgery unless the symptoms are very mild and stable (not worsening), or other medical conditions make surgery too risky. ...Read more
No adjustment!: Myelopathy means you have symptoms due to pressure on the spinal cord in the neck. Adjustments are absolutely out of the question. A decompression or fusion is the most appropriate treatment to stop progression of symptoms. However, the kind of procedure is dependent on the reason you have myelopathy. You need to see a spine surgeon in order to fully evaluate your problem. ...Read more
Which hospital is good for the treatment of cervical myelopathy in india? Am I safe to travel back home afterward?
Review Carefully: Medical care obtained abroad can be risky. Check out this from the cdc before making your decision: http://www. Cdc. Gov/features/medicaltourism/. ...Read more
Calcium and ionized calcium level normal, but taking calcium supplements helps control fasiculations/spasms. Why? I also have cervical myelopathy.
Can cervical spinal stenosis with myelopathy that is bad enough to require surgery because of so much narrowing of spinal canal cause a delay in urination and problems ejaculating? I don't have ED but usually can't "finish" sometimes I can with aggressive
Yes: These are classic symptoms of cervical cord compromise. They are some of the earliest symptoms. ...Read more
Oshould Narcotics be given for lumbosacral spondylosis without myelopathy n do u need surgery for it?
Lumbosacral spondylosis without myelopathy is a general diagnosis that covers a lot of different kinds and severity of complaints ranging from mild low back pain to severe back and leg pain with neurologic abnormalities like weakness, numbness and tingling.
Severe symptoms may sometimes be treated with narcotics or sometimes even with surgery, depending on the history, physical exam, and tests. ...Read more
Spinal cord pinching: Myelopathy means abnormality of spinal cord, and cervical spondylosis implies progressive deterioration of the neck vertebrae. Therefore, body changes eventually compress the cord in the neck. Mri films can demonstrate the compression. Treatment may require surgical decompression. ...Read more
F/u question, I'm a competative equestrian rider & Skier, with severe cervical stenosis& myelopathy. How much risk am I putting myself in to continue?
X-games: Good Lord, Roger! Horse riding and skiing, why not do some sky diving along with that. Okay, no joke, you've chosen some really risky sports already and you have bone disease on top of that. I can't give you a number or percentage of your risk but I can truthfully tell you that you're not doing anything to help yourself. Try a low impact sport like swimming or biking. Good luck :) ...Read more
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