Myelopathy

What Is Myelopathy?

Myelopathy refers to a neurological condition caused by compression or damage to the spinal cord, which disrupts communication between the brain and the body. It can result in pain, weakness, numbness, and difficulty with coordination or movement.

Types of Myelopathy

1. Cervical Myelopathy (neck region)

   • Most common type
   • Symptoms: neck pain, hand clumsiness, difficulty walking, numbness in arms

2. Thoracic Myelopathy (mid-back)

   • Symptoms: leg weakness, coordination issues, difficulty walking

3. Lumbar Myelopathy (lower back)

   • Rare
   • Symptoms: leg pain, bowel/bladder dysfunction

Symptoms of Myelopathy

• Pain in neck, back, arms, or legs
• Numbness or tingling
• Muscle weakness
• Difficulty walking or maintaining balance
• Poor coordination and fine motor skills
• Loss of bladder or bowel control

Causes of Myelopathy

• Degenerative changes (e.g., spinal stenosis, arthritis)
• Herniated discs
• Bone spurs
• Spinal trauma or injury
• Autoimmune diseases
• Tumors or cysts
• Infections
• Congenital abnormalities

Treatment Options

Non-Surgical Management

• Physical therapy
• Pain medications
• Bracing
• Activity modification
• Epidural or nerve block injections

Surgical Intervention

• Decompression surgery
• Spinal fusion
• Laminectomy or discectomy

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