Cervical Myelopathy
Diagnosis & Treatment for Cervical Myelopathy Treatment on Long Island
Cervical myelopathy isn’t a condition most people hear about often. Nevertheless, it affects thousands in the United States each year. The condition is often misunderstood, yet it’s one of the leading causes of spinal cord dysfunction in adults. If you’re worried about cervical myelopathy symptoms or have recently received a diagnosis, Dr. Salvatore Palumbo is here to help. Dr. Salvatore Palumbo has years of experience in complex conditions like cervical myelopathy and has served countless patients on Long Island. Here’s what you need to know about a cervical myelopathy diagnosis.
What Is Cervical Myelopathy?
Cervical myelopathy is a condition affecting the spinal cord and cervical (neck) region of the spine. It causes compression and damage to these areas, which leads to further complications, as the cervical spine controls several critical functions. Unlike acute spinal injuries caused by accidents, cervical myelopathy develops gradually. Timely diagnosis and intervention can significantly improve outcomes, so recognizing the signs early is crucial.
Recognizing Cervical Myelopathy Symptoms
Cervical myelopathy symptoms vary from person to person, depending on the severity and location of the spinal cord compression. Some patients might initially dismiss their symptoms as mild discomfort or age-related issues, but they typically worsen over time. Here are some common symptoms to be aware of:
- Neck Pain or Stiffness—Often mistaken for general neck strain, this is often one of the earliest signs of cervical myelopathy.
- Clumsiness in the Hands—Difficulty with everyday tasks, such as writing, buttoning a shirt, or using utensils, could indicate problems with the cervical spine.
- Weakness in the Arms or Legs—Some patients report mild to severe weakness in the arms and legs that begins to affect coordination.
- Numbness or Tingling—Many patients feel numbness or tingling in the hands, arms, or legs due to cervical myelopathy.
- Loss of Balance or Frequent Tripping—The compression in the cervical spine may interfere with normal walking patterns or coordination.
What Causes Cervical Myelopathy?
Cervical myelopathy often results from conditions that narrow the spinal canal (a process known as spinal stenosis) and place pressure on the spinal cord. Here are some of the known cervical myelopathy causes:
- Degenerative Changes—Age-related wear and tear in the spine’s discs and joints that can lead to bone spurs and compressed nerves.
- Herniated Discs—Bulging or slipped discs in the cervical spine may push against the spinal cord, narrowing available space.
- Trauma or Injury—Previous neck injuries can damage the spine and lead to myelopathy over time.
- Congenital Conditions—Some individuals are born with a narrower-than-average spinal canal, putting them at higher risk for developing myelopathy.
- Tumors or Other Masses—Growths within or near the spinal cord can cause compression.
- Inflammatory Diseases—Conditions such as rheumatoid arthritis can cause damage to the joints and spinal column. Eventually, these medical issues can contribute to cervical myelopathy.
Methods for Diagnosing Cervical Myelopathy
Diagnosing cervical myelopathy involves several steps, starting with understanding your symptoms and medical history. Dr. Salvatore Palumbo recognizes that each patient is unique and will require a different approach. But in general, you can expect the following when getting diagnosed:
- Physical Exam—We begin with an assessment of your reflexes, muscle strength, and ability to feel sensations. Beyond that, Salvatore Palumbo may test your balance and coordination.
- Imaging Tests—After a physical exam, we’ll move on to some imaging tests. MRIs, x-rays, and CT scans are all useful for pinpointing cervical myelopathy causes.
- Neurological Tests—If necessary, Dr. Salvatore Palumbo may check for nerve-related damage associated with cervical myelopathy.
Explore Potential Cervical Myelopathy Treatments
Cervical myelopathy treatments vary based on how advanced a patient’s condition is. While there are several non-surgical methods, more invasive approaches are sometimes necessary. Get to know these treatment approaches:
Non-Surgical Management
Physical therapy is often the starting point for patients with cervical myelopathy. Exercises designed to improve strength, flexibility, and posture can all help ease mild symptoms. Medications are also an important part of non-surgical management. Dr. Salvatore Palumbo may prescribe anti-inflammatory drugs to take care of discomfort. On top of that, we may recommend some lifestyle changes to minimize your cervical myelopathy symptoms. Consider using ergonomic support, maintaining good posture, and avoiding activities that strain the neck.
Surgery for Cervical Myelopathy
If your symptoms are severe and drastically reduce your quality of life, we may suggest surgery for cervical myelopathy. Procedures like laminoplasty can go a long way toward relieving spinal cord compression and minimizing your discomfort. Dr. Salvatore Palumbo will work with you to determine the best surgical option for your needs.
Moving Past Surgery: Follow-Up Care
With timely diagnosis and appropriate treatment, many patients experience substantial improvement in their symptoms. After treatment, regular follow-ups are essential. These appointments allow Dr. Salvatore Palumbo to monitor your recovery and address any recurring or new symptoms.
How Dr. Salvatore Palumbo Can Help You
A qualified healthcare provider is vital to diagnosing, treating, and managing cervical myelopathy. Dr. Salvatore Palumbo is here to help guide you through imaging tests, explain your condition thoroughly, and provide tailored treatment plans suited to your symptoms and lifestyle. If you’re ready to take the first step toward a better quality of life, contact our office today.