By Dr Abhinav Agrahari, the Best Neurosurgeon Doctor in South Delhi
Cervical myelopathy is a serious condition affecting the spinal cord due to compression in the cervical (neck) region. It can lead to neurological deficits if left untreated. As a neurosurgeon, I have treated numerous cases of cervical myelopathy, helping patients regain mobility and improve their quality of life. In this article, we will discuss the causes, symptoms, diagnosis, and treatment options for cervical myelopathy.
Causes of Cervical Myelopathy
Cervical myelopathy occurs when the spinal cord in the neck is compressed. Several factors can contribute to this condition, including:
1. Degenerative Disc Disease – Age-related wear and tear lead to disc degeneration, causing narrowing of the spinal canal.
2. Cervical Spondylosis – Also known as neck arthritis, it results from prolonged degeneration of the cervical spine.
3. Herniated Discs – Bulging or ruptured discs can press against the spinal cord, leading to myelopathy.
4. Spinal Stenosis – A condition where the spinal canal narrows, exerting pressure on the spinal cord.
5. Trauma or Injury – Severe neck injuries from accidents or falls can cause spinal cord compression.
6. Tumors or Infections – The growth of tumours or infections in the spinal cord can lead to myelopathy.
Symptoms of Cervical Myelopathy
The symptoms of cervical myelopathy develop gradually and may worsen over time. Common signs include:
● Neck pain and stiffness
● Weakness in the arms, hands, or legs
● Numbness or tingling sensations in the limbs
● Difficulty in fine motor tasks such as buttoning clothes
● Loss of balance and coordination
● Bladder or bowel dysfunction in severe cases
If you experience these symptoms, seeking medical attention from the best neurosurgeon doctor in South Delhi is crucial for early diagnosis and management.
Diagnosis of Cervical Myelopathy
A thorough evaluation is required to diagnose cervical myelopathy. Common diagnostic approaches include:
1. Clinical Examination – Assessing neurological function, reflexes, muscle strength, and coordination.
2. MRI (Magnetic Resonance Imaging) – The most effective imaging technique to detect spinal cord compression.
3. CT Scan with Myelography – Helps in identifying bone abnormalities and narrowing of the spinal canal.
4. Electromyography (EMG) and Nerve Conduction Studies – Evaluate nerve function and identify possible nerve damage.
Treatment Options for Cervical Myelopathy
Treatment depends on the severity of the condition. It can be managed through conservative approaches or surgical intervention.
Non-Surgical Treatments
For mild cases, conservative treatments may help manage symptoms:
● Physical Therapy – Exercises to improve posture and strengthen neck muscles.
● Pain Management – Anti-inflammatory medications, muscle relaxants, and corticosteroid injections.
● Lifestyle Modifications – Avoiding heavy lifting, maintaining good posture, and using neck braces.
Surgical Treatment
For moderate to severe cases, surgery is often required to relieve spinal cord compression. Common procedures include:
● Anterior Cervical Discectomy and Fusion (ACDF) – Removing the affected disc and fusing vertebrae for stability.
● Laminectomy – Removing the lamina (back part of the vertebra) to create space for the spinal cord.
● Laminoplasty – Reshaping the vertebra to relieve pressure while maintaining spinal stability.
As the best neurosurgeon doctor in South Delhi, I recommend early intervention to prevent permanent neurological damage and improve quality of life.
Conclusion
Cervical myelopathy is a progressive spinal condition that requires timely diagnosis and appropriate treatment. Whether through conservative management or surgical intervention, seeking expert medical advice is crucial. If you or a loved one are experiencing symptoms, consult a qualified neurosurgeon for the best possible care.
For expert consultation on cervical myelopathy and other spinal disorders, feel free to reach out. Your spine health is my priority!