Cervical myelopathy (spinal cord compression)

Description Compression of the ...

Description

Compression of the spinal cord in the neck. The most common causes are degenerative arthritis, thickening of ligaments, and herniated discs. The disorder is more common in the elderly, and patients experience neck pain, weakness, and numbness.

Symptoms

Neck stiffness, arm pain, numbness in the hands, weakness of the arms and legs, stiff legs, incoordination, trouble walking.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be performed. The exam will identify weakness and numbness. A MRI can identify the site of spinal cord involvement.

Tests:
Magnetic resonance imaging (MRI)

Specialists:
Neurosurgery, Spine Surgery

Treatment

Therapy depends on the extent of the disease. Medications can reduce the pain but are generally not effective in reducing the numbness and weakness. For these symptoms surgery is generally required to decompress the spinal cord and prevent possible permanent damage.