Doctor insights on:
What Does I Need To Tell My Child When Older About Having Had Myelopathy
Good question: Some of the things leading to myelopathy do run in families, so letting them know about your experience is good. They may or may not be at risk, but if they experience numbness (especially hands), clumsiness or weakness (hands common again), trouble with balance when walking they should consult their doctor or a spine specialist for examination and testing if needed. ...Read more
Cannot tell without : Doctor needs to examined and should have upper motor neurone signs. ...Read more
I'm a 64 year old male with mod severe cervical spond. What is the probability of it developing to spondylotic myelopathy? I stretch,
Depends: Cervical spondylosis is degeneration ("arthritis") of the neck portion of the spine. If the degeneration narrows the space for the spinal cord, you may develop myelopathy. If the canal remains adequate, you will not. It depends on how large the channel (canal) is to start with. Stretching and massage do not affect this. ...Read moreSee 1 more doctor answer
Neck degeneration: Cervical spondylosis is an arthritic-like wear and tear degeneration of the vertebrae, and typically results in neck pain, stiffness, and decreased flexibility. When the process results in bony changes, the spinal canal can narrow at various levels, and if the spinal cord is compressed, that can cause numbness, weakness, and bladder problems (result of "myelopathy"). ...Read moreSee 1 more doctor answer
Can someone tell me what cervical spondylosis without myelopathy means? And what are annular tears?
Degenerative changes: Cervical spondylosis implies degenerative changes of the cervical spine. These changes will occur in everyone, & typically starts in the 2nd decade of life. It involves bone spurs, degenerative disc(s), includes tears in the annulus (structure that surrounds the disc material), herniated discs. Myelopathy is a disturbance of the spinal cord mostly due to a pathology compressing the spinal cord. ...Read more
I was diagnosed today with lumbar disc prolapse with myelopathy. ICD-9: 722.73. I am a 50 year old female. Is this a big deal? I work retail.
Not necessarily: Back problems are very common, occurring in over 80 percent of the US population at some point in their lives. By the age of 50, over 50 percent of people will have some degree of " prolapsed" or degenerative disc disease as seen on an MRI. So the finding can cause pain and limitation in some and there are many treatment options; but the finding itself is not unusual or dangerous. ...Read moreSee 1 more doctor answer
Is it common for a 29 yr old to have thoracic spondylosis without myelopathy and degeneration of lumbosacral intervertebral disc issues? Treatment?
Not very common: not very common in my experience. Any hx. of trauma? Otherwise, typically conservative tx. PT, etc. ...Read more
History, exam, MRI: In many cases, your history will show the symptoms of myelopathy (e.g., hand clumsiness, numbness, weakness). A careful exam may show signs of spinal cord problems. In most folks MRI will be the test to confirm the diagnosis (if you cannot have an mri, a ct with dye in the spinal fluid can give similar information to mri). ...Read more
Cervical or lumber: Cervical myelopathy may note one or more of the following heavy feeling in the legs inability to walk at a brisk pace deterioration in fine motor skills (such as handwriting or buttoning a shirt) ntermittent shooting pains into the arms and legs (like an lermitte’s phenomenon) •arm pain. ...Read moreSee 1 more doctor answer
Numb, weak, gait: Common symptoms include numbness (perhaps tingling) in the hands and sometimes the arms. The hands are often weak and lose dexterity (cannot write, type, play musical instruments, button clothing, open bottles). Walking becomes difficult, with decreased balance (need to hold on to walls, use cane or walker). ...Read more
Avoid further trauma: Once myelopathy is diagnosed, your spinal cord needs to be treated gently. Avoid contact sports, impacts to your head, falls, bouncing or jarring. If surgery is required to relieve pressure on your spinal cord, then pursue it. Your spinal cord function can improve after surgery but will not return to normal tolerance to extreme activities. Walking, riding a bike, and swimming are good exercises. ...Read moreSee 1 more doctor answer
Myelopathy: Myelopathy refers to abnormal irritation or injury to the spinal cord, whereas radiculopathy refers to irritation to a nerve root extending from the cord. It can manifest differently depending on the level. Symptoms can include weakness, balance problems, sensory loss, difficulty with fine motor skills, or bowel/bladder problems. Examination will show brisk and sometimes abnormal reflexes. ...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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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