Treatment for Myelopathy
Cervical Spinal Cord Compression Treatment in Phoenix
Do you have nagging stiffness in your neck? Aching in your neck, arm or shoulder? Weakness or stiffness in the legs? Electric shock-like sensation down your spine when you flex your neck forward? These can be signs of a serious spine condition known as myelopathy.
Myelopathy is compression of the spinal cord. People often confuse it with other spinal conditions such as spinal stenosis or radiculopathy. Spinal stenosis describes the narrowing of the spinal canal (which can lead to myelopathy) and radiculopathy describes irritation of the nerve roots as they leave the spinal cord or cross the intervertebral disc. But myelopathy describes compromise of the spinal cord itself.
Symptoms of myelopathy
Myelopathy is typically a symptom of a spinal condition such as stenosis, spondylosis, or a herniated disc. The most common form of myelopathy is known as Cervical Spondylotic Myelopathy. This form of myelopathy occurs in the cervical spine (neck) and is caused by spondylosis (spinal arthritis). Thoracic (upper back) myelopathy is less common, but can cause similar symptoms. Lumbar (lower back) myelopathy is rare.
People with myelopathy may experience:
- Stiffness or weakness in the legs (the most common symptom)
- Persistent neck stiffness
- Aching in the neck, arm and shoulder
- Numbness and tingling in the hands
- Weakness/clumsiness in the hands
- Problems with balance or walking
- Subtle changes in bowel or bladder function
- Electric-shock sensation down the spine when the neck is flexed forward
- Weakness, muscle atrophy and cramping in the lower extremities (lumbar myelopathy)
Causes of myelopathy
A number of changes in the spine can create compression of the spinal cord, especially when they are left untreated for a long time. Bulging or herniated discs, bone spurs (Osteophytes), spinal trauma, spinal arthritis (spondylosis), tumors or other abnormal growths are common causes of myelopathy.
Congenital deformities, inflammatory diseases and diabetes can also cause myelopathy, as can spinal infection, radiation therapy or neurological disorders.
Treatment for myelopathy
First of all, it is important to ascertain whether your symptoms are caused by myelopathy and not something else. Dr. Baig will use imaging and electrodiagnostic tests in conjunction with a thorough physical examination to rule out less serious conditions that could be causing your symptoms. While we never want to frighten patients, myelopathy will only worsen over time. It is important to get treatment early on.
Mild myelopathy may be treated with medication, bracing and physiotherapy. These treatments can help deal with pain and increase mobility, but they do not treat the root cause of the problem– tissue pressing against the spinal nerves.
The most common surgery for myelopathy is laminectomy. Dr. Baig is skilled and experienced in the most advanced and least invasive forms of decompression and spinal fusion surgery available, and will only perform surgery if he’s fully confident it will bring relief. Patients can be cared for at any of our spine treatment centers in Phoenix.
Types of myelopathy
Since myelopathy can occur anywhere in the spine, there are different types of myelopathy named for where it forms.
In the neck, it’s known as cervical myelopathy, which is also the most common form of myelopathy. Symptoms include neck pain, though not all patients that have cervical myelopathy will necessarily experience neck pain.
Another form of myelopathy is known as thoracic myelopathy, which is myelopathy that occurs in the middle of the spine. Commonly caused by herniated discs, spinal trauma or bone spurs, thoracic myelopathy sees an unnatural compression of the spinal cord and associated pain, stiffness or restricted movement.
The third type of myelopathy is lumbar myelopathy, a rare condition where the spinal cord sits low enough to be affected by the lumbar spine.
While Phoenix-based patients may desire cervical spinal cord compression treatment, it’s important to get a good diagnosis before moving forward. Unfortunately, symptoms of myelopathy are common in other conditions, which means that you’ll need an accurate diagnosis before you can receive treatment for a compressed spine in Phoenix.
It usually starts with an X-ray to rule out other problems, progressing to an MRI to create a detailed visualization of the spine and spinal canal. The MRI can help show areas of stenosis, though a more advanced X-ray known as a myelography utilizes a contrast material to reveal any abnormalities with the spinal cord. For those who can’t receive an MRI, the myelography is the next best thing.
Other electrical tests may also be conducted, including an electromyogram or somatosensory evoked potentials, which can help show the function of the nerves and movement in your arms and legs. By stimulating your extremities, the test monitors how the information travels to the brain via the spinal cord.
If you have another related condition, your treatment for spinal cord compression at our Phoenix-based practice may be part of other similar treatments, such as the treatment of cervical stenosis with myelopathy. Sometimes, myelopathy can be a complication related to another disorder, such as when the spinal cord is damaged due to diabetes, which may affect your myelopathy treatment options. In these cases, it’s important to discuss your options with your Arizona-based spinal cord compression doctor.