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Cervical myelopathy is a condition affecting the spinal cord within the neck region, potentially causing sensations such as discomfort or pain. It results from changes in the spinal structures that apply pressure on the spinal cord, disrupting normal nerve signals between the brain and the body.
Cervical myelopathy can be caused by various factors, each leading to pressure on the spinal cord in the neck.
Cervical myelopathy presents a range of symptoms associated with spinal cord compression in the neck.
Diagnosing cervical myelopathy involves several steps:
Several non-surgical approaches can be employed to treat cervical myelopathy. These are often considered in mild to moderate cases.
Physical Therapy |
This involves exercises and techniques to strengthen muscles, enhance flexibility, and improve posture. Physical therapy is integral in managing symptoms and preventing further complications, focusing on supporting the spine and alleviating pressure on the spinal cord. |
Medication |
A range of medications is utilised to address different aspects of cervical myelopathy. Pain-relieving medications target discomfort, while anti-inflammatory drugs reduce swelling around the spinal cord. Muscle relaxants help in easing muscle spasticity, and specific neuropathic pain medications address nerve-related pain. |
Corticosteroid Injections |
For more targeted relief, corticosteroid injections can be administered. These injections reduce inflammation around the affected spinal areas, providing temporary but effective relief from pain and discomfort. |
Cervical Collar Brace |
In certain cases, a cervical collar brace may be recommended by the spine specialist. This brace provides support to the neck, reducing movement and allowing the spine to rest and heal. It can be particularly useful in cases where motion exacerbates symptoms. |
In cases where non-surgical methods are insufficient or the severity of cervical myelopathy is high, surgical intervention may be necessary.
This surgery is performed to address spinal cord compression by removing or reducing structures exerting pressure, such as herniated discs or bone spurs. It is intended to assist in restoring function and alleviating symptoms.
In situations where spinal instability is a concern, spinal fusion surgery may be considered. This procedure involves fusing two or more vertebrae, providing stability to the spine and preventing further compression.
For some patients, especially those where motion preservation is a priority, a damaged disc causing compression can be replaced with an artificial disc. This procedure is utilised to maintain mobility and manage pressure on the spinal cord.
As a motion-sparing option, laminoplasty involves the widening of the spinal canal. This procedure is suitable for some patients, depending on their specific condition.
Schedule An Appointment With Us
Consult our MOH-accredited orthopaedic surgeon for an accurate diagnosis & personalised treatment plan.
Although it is not always possible to prevent cervical myelopathy, adopting specific measures may help in reducing its risk.
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MRCSEd
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FRCSEd
With over 20 years of experience, Dr Poh Seng Yew is an orthopaedic surgeon specialising in hip, knee, shoulder and elbow surgery, sports medicine, and trauma surgery.
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Cervical myelopathy treatment focuses on managing symptoms and preventing progression. The potential for a cure largely depends on the underlying cause and the severity of the condition. In some cases, particularly with early intervention and appropriate treatment, improvement and symptom relief can be achieved. Ongoing management with a spine specialist is recommended for optimal outcomes.
The healing time for cervical myelopathy varies based on the treatment method and the individual’s response to therapy. Non-surgical treatments may offer gradual improvement over weeks or months, while surgical recovery can vary. Post-surgery, rehabilitation can help aid recovery.
Specific exercises, under the guidance of a spine specialist, can aid in managing cervical myelopathy. These might include gentle neck stretches, isometric exercises, and activities to strengthen neck and core muscles.
If cervical myelopathy is not addressed, it may lead to a progression of symptoms, potentially resulting in increased pain, weakness, and neurological deficits. Early and consistent management with a spine specialist can help prevent deterioration and improve quality of life.