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Myelopathy

Myelopathy refers to the compression of the spinal cord, often due to conditions like spinal stenosis or disc herniation, leading to neurological symptoms. This can result in difficulty walking, loss of hand function, and other motor control issues.

Dealing with myelopathy can be a challenging and distressing experience, as it affects the spinal cord and can lead to significant physical and neurological symptoms. At SpineCare of NY, we understand the complexities of this condition and are dedicated to providing compassionate care tailored to each patient’s unique needs.

What is Myelopathy?

Myelopathy is an injury to the spinal cord that is caused by severe compression. This condition can lead to a variety of neurological deficits that can significantly hinder your ability to complete everyday tasks, affecting your quality of life. Anyone can develop myelopathy, but it is more common in individuals over the age of 55, as its main cause is age-related disc degeneration. There are mainly two types of myelopathy: cervical and thoracic. Cervical myelopathy occurs in the neck and thoracic myelopathy occurs in the upper to mid back.

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What Causes Myelopathy?

Myelopathy is a serious neurological condition stemming from injury to the spinal cord. Myelopathy can develop as a result of a spinal injury, degenerative disc disease, or any catalyst that compresses the spinal cord. Common causes can include:

  • Herniated Discs: Discs that bulge or rupture can press on the spinal cord leading to damage or injury.
  • Spinal Stenosis: Condition that is characterized by the narrowing of the spinal canal which can compress the spinal cord.
  • Degenerative Disc Disease: As we age, our spinal discs can change and wear down, affecting spinal cord function.
  • Trauma: Injuries to the spine, such as fractures or dislocations, can damage the spinal cord.
  • Tumors: Abnormal growths in or around the spinal cord can cause compression.
  • Infections: Conditions like epidural abscesses or discitis can lead to spinal cord inflammation and damage.

Symptoms of Myelopathy

Symptoms of myelopathy can depend on what part of your spine is affected, as each area contains different nerves that control different parts of the body. Common symptoms can include:

  • Pain in your neck or back.
  • Tingling, numbness or weakness in your arms, hands, legs or feet.
  • Difficulty with fine motor skills.
  • Balance or coordination issues.
  • Changes to reflexes in your extremities.
  • Loss of bladder or bowel control.

What Our Patients Are Saying

We are dedicated to delivering expert and compassionate care at SpineCare of NY. Check out our reviews to hear the stories of our incredible patients.  

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Dr. Hughes and his entire staff were professional, caring and courteous. Dr. Hughes gave me great advice on how to move forward after my spine surgery. I would recommend Dr. Hughes highly. I appreciate his care and concern.

Lisa C.
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Great experience. Doctor Hughes is an extraordinary doctor. After my surgery, I am a new person. All staff are excellent and caring. Nurses are the best, they treated me like a queen. I am truly grateful!

Doris O.
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Dr. Hughes and his staff are outstanding!!! I had a microdiscectomy-Laminectomy surgery. My pain prior to surgery was at a 10. I felt immediate relief post surgery and now pain free. I can’t thank Dr. Hughes and his staff enough! I’m back to the gym and playing tennis 3x a week.

Patrick O.
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Had an excellent experience with HSS Spine Department. Dr. Sama was outstanding. He took time and explained everything to me and my wife. Loved his bedside manner and professionalism. So happy I came from New Jersey to see him. His staff was also outstanding to deal with.

Thomas M.
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How is Myelopathy Diagnosed?

At SpineCare of NY, myelopathy will be diagnosed using a combination of comprehensive diagnostic methods. As myelopathy shares symptoms with other common spine conditions, a thorough examination is required to accurately diagnose the condition. This will start with a review of your medical history and any past injuries. A physical exam will be done to assess neurological function and to locate your pain. Imaging tests, like MRI or CT scans, are used to visualize the spinal cord and identify any compression, degeneration, or structural abnormalities causing symptoms. Additional tests, like X-rays, may be employed to further assess spinal alignment.

How is Myelopathy Treated?

Myelopathy treatment depends on its severity and the underlying cause but generally includes both non-surgical and surgical options. Non-surgical treatments may involve physical therapy to strengthen the muscles, improve flexibility, and relieve pressure on the spinal cord. Medications such as pain relievers and anti-inflammatory drugs can help manage symptoms. For more severe cases or when non-surgical methods are insufficient, surgical intervention may be necessary. This could include procedures like microsurgical decompression surgery to relieve pressure on the spinal cord or spinal fusion to stabilize the spine. The goal of treatment at SpineCare of NY is to alleviate symptoms, prevent further neurological damage, and improve overall function the first time using a minimally invasive approach.

Frequently Asked Questions

What is myelopathy, and how does it affect the spinal cord?

Myelopathy is an injury to the spinal cord that is caused by severe compression and can disruptrncommunication from the brain to the rest of the body. By compressing the spinal cord, it canrnalso lead to pain, numbness, weakness, and tingling. It can also cause loss of coordination andrndecreased fine motor skills.

What are the most common causes of myelopathy?

Some of the most common causes of myelopathy include herniated discs, spinal stenosis, andrnbone spurs. It can also be due to trauma, infections, and tumors.

What symptoms should I watch for if I suspect myelopathy?

Some of the symptoms you should look out for include pain, numbness, tingling, weakness inrnthe arms and legs, and difficulty walking. You may also notice loss of balance and impaired finernmotor skills.

How does cervical myelopathy differ from other types of spinal cord compression?

Cervical myelopathy is a type of spinal cord compression that affects the neck. Thoracicrnmyelopathies are lower down the spinal cord. The symptoms of cervical myelopathy can alsorndiffer from other forms. They can include weakness in the arms and legs, balance issues, andrnclumsiness in the hands.

When should I see a spine specialist for possible myelopathy?

If you are experiencing symptoms like worsening weakness or numbness in the arms and/or legs, difficulty walking, and/or a loss of fine motor skills, it’s time to see a spine specialist. They will help diagnose your myelopathy and start you on a customized treatment plan.

What tests are used to diagnose myelopathy at SpineCare of NY?

At SpineCare of NY, we use a combination of tests to diagnose myelopathy. We’ll perform a thorough examination of your spine, review your medical history, and run imaging tests like MRIs and CT scans. X-rays may also be done for further information.

Can myelopathy be treated without surgery?

Yes, some forms of myelopathy can be treated without surgery. Physical therapy, medications, and other non-surgical methods can be the first line of treatment for myelopathy depending on the severity. If those aren’t effective, surgery is typically the next option.

What are the surgical options for treating myelopathy?

At SpineCare of NY, we offer a few different surgical options for myelopathy, includingrnmicrosurgical decompression surgery, laminoplasty, fusion, and more. Which surgery is right forrnyou will depend on your unique needs.

How long is the recovery after myelopathy surgery?

The recovery process after myelopathy surgery can differ from patient to patient and on the typernof surgery. During the first few weeks, you will want to limit your activity levels and follow yourrnsurgeon’s aftercare instructions.

Can myelopathy be prevented or reversed with early treatment?

Yes, myelopathy can often be reversed or halted with early treatment and prevent irreversiblernspinal cord damage. How successful the treatment is can depend on the underlying cause ofrnthe myelopathy and the severity.

Schedule a Consultation

The physicians at SpineCare of NY are dedicated to providing the most advanced and up-to-date solutions to your spinal condition by continuing to engage in ongoing research. We are affiliated with HSS, Hospital for Special Surgery, the number one ranked orthopedic hospital in the United States, ensuring you are in capable hands throughout the entirety of your spinal health journey. To schedule a consultation and learn more about myelopathy, head to our website and fill out an online contact form.

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SpineCare of NY is located at 523 East 72nd Street, 3rd Floor, New York, NY 10021.

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