Cervical Spondylotic Myelopathy: Causes, Signs and Treatment

Written by Medicover Team and Medically Reviewed by Dr Prachi Rahul Pawar , Neurologists

Causes
Find a Doctor
Diagnosis
Treatment
FAQs
Book an Appointment

1. Causes 2. Find a Doctor 3. Diagnosis 4. Treatment 5. FAQs

Cervical Spondylotic Myelopathy is a condition that affects the spinal cord in the neck region due to degenerative changes in the spine. This condition can impact a person's overall health and quality of life by causing problems with mobility, coordination, and fine motor skills.

It can lead to difficulties in performing daily activities and may affect a person's independence and well-being. Early recognition and appropriate management of this condition are crucial to prevent further deterioration and maintain optimal health.

What are the Types of Cervical Spondylotic Myelopathy?

Cervical Spondylotic Myelopathy can manifest in various ways, each affecting the spinal cord and causing distinct symptoms that may impact daily activities and mobility.

Mild Cervical Spondylotic Myelopathy: Characterized by minimal symptoms such as occasional neck pain or stiffness.
Moderate Cervical Spondylotic Myelopathy: Symptoms include weakness in the arms or legs, numbness, and difficulty with fine motor skills.
Severe Cervical Spondylotic Myelopathy: Presents with significant motor and sensory deficits, difficulty walking, and potential bladder or bowel dysfunction.
Non-Progressive Cervical Spondylotic Myelopathy: Symptoms remain stable over time without worsening neurological function.
Progressive Cervical Spondylotic Myelopathy: Symptoms worsen gradually over time, leading to increasing neurological impairments and potential disability.

What are the Symptoms of Cervical Spondylotic Myelopathy?

Cervical Spondylotic Myelopathy typically presents with a range of symptoms related to spinal cord compression in the neck region.

Neck pain
Stiffness in the neck
Numbness or weakness in the hands, arms, legs, or feet
Difficulty walking or maintaining balance
Lack of coordination
Tingling sensations in the extremities
Loss of fine motor skills in the hands
Muscle weakness in the arms or legs
Loss of bladder or bowel control
Difficulty gripping objects

What are the Causes of Cervical Spondylotic Myelopathy?

Cervical Spondylotic Myelopathy is primarily caused by degenerative changes in the spine, leading to compression of the spinal cord in the neck region.

Degeneration of cervical discs
Bone spurs in the neck
Herniated discs in the cervical spine
Ligament thickening in the spine
Osteoarthritis in the neck joints
Trauma or injury to the neck

When should you see a Doctor for Cervical Spondylotic Myelopathy?

You should seek medical attention if you experience symptoms of cervical spondylotic myelopathy, as early diagnosis and treatment can help prevent permanent spinal cord damage and long-term neurological complications. Timely evaluation by Neurologists can help identify the severity of spinal cord compression, recommend appropriate imaging tests, determine the underlying cause, and develop the most effective treatment plan.

Persistent Neck Pain: Ongoing neck pain or stiffness that does not improve with rest, medications, or conservative treatment.
Weakness in the Arms or Legs: Progressive muscle weakness, difficulty lifting objects, climbing stairs, or performing routine daily activities.
Numbness or Tingling: Persistent numbness, tingling, or reduced sensation in the arms, hands, legs, or feet should be evaluated promptly.
Difficulty Walking or Balance Problems: Unsteady gait, poor coordination, frequent falls, or difficulty maintaining balance may indicate spinal cord involvement.
Loss of Hand Dexterity: Difficulty writing, buttoning clothes, holding objects, or performing fine motor tasks requires medical evaluation.
Bladder or Bowel Dysfunction: Loss of bladder or bowel control, urinary urgency, urinary retention, or difficulty passing urine requires immediate emergency medical attention.
Progressive Neurological Symptoms: Worsening pain, increasing weakness, muscle stiffness, spasms, or loss of sensation should be assessed without delay.
History of Cervical Spine Disorders: Individuals with cervical arthritis, degenerative disc disease, previous neck injury, spinal stenosis, or abnormal MRI findings should consult Neurologists promptly if symptoms develop or worsen.

Find Neurologists for Cervical Spondylotic Myelopathy Treatment Near You

How is Cervical Spondylotic Myelopathy Diagnosed?

Cervical Spondylotic Myelopathy is typically diagnosed through a combination of medical history assessment, physical examination, and diagnostic tests.

Physical examination
Medical history assessment
Neurological examination
Imaging studies (MRI, CT scan)
Electromyography (EMG)
Nerve conduction studies (NCS)

How is Cervical Spondylotic Myelopathy Treated?

Cervical spondylotic myelopathy is generally treated through a combination of non-surgical and surgical interventions aimed at alleviating symptoms and preventing further spinal cord damage.

Physical Therapy and Exercise: Physical therapy focuses on strengthening muscles and improving flexibility to reduce symptoms and improve function in cervical spondylotic myelopathy.
Medication: Medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) or pain relievers may help manage pain and inflammation associated with cervical spondylotic myelopathy.
Surgery: In severe cases or when conservative treatments fail, surgery may be recommended to decompress the spinal cord and stabilize the spine, relieving pressure on the nerves.
Bracing: Bracing may be used to support the neck and limit movement to reduce strain on the spine in cervical spondylotic myelopathy.
Lifestyle Modifications: Maintaining good posture, avoiding activities that worsen symptoms, and managing weight can help control symptoms and slow disease progression.

Your health is everything - prioritize your well-being today.

Consult Cervical Spondylotic Myelopathy Doctors Today

What are the Risk Factors for Cervical Spondylotic Myelopathy?

Several risk factors for cervical spondylotic myelopathy include aging, previous spine injuries, genetic predisposition, and certain activities that put strain on the neck.

Age
Genetics
Smoking
Occupation
Obesity
Injury
Poor posture

Frequently Asked Questions

1. What is Cervical Spondylotic Myelopathy (CSM)?

Cervical Spondylotic Myelopathy is a condition caused by compression of the spinal cord in the neck due to degenerative changes in the spine.

2. What are the common symptoms of Cervical Spondylotic Myelopathy?

Common symptoms include neck pain, weakness in the arms and legs, numbness or tingling, problems with coordination, and difficulty walking.

3. How is Cervical Spondylotic Myelopathy diagnosed?

Diagnosis is typically made through a combination of medical history, physical examination, imaging studies like MRI or CT scans, and neurological tests.

4. What are the treatment options for Cervical Spondylotic Myelopathy?

Treatment may include physical therapy, medications for pain and inflammation, surgical decompression of the spinal cord, and lifestyle modifications.

5. What is the prognosis for patients with Cervical Spondylotic Myelopathy?

Prognosis varies depending on the severity of the condition and how early it is diagnosed and treated. Early intervention can lead to better outcomes and symptom management.