Spinal cord compression can be a scary diagnosis to receive. Let's discuss what this means and possible ways to remedy the issues.
Cervical cord compression, or cervical myelopathy, is a condition that identifies compression of the 'cord', or spinal column in the neck. There are a number of reasons you could be experiencing the compression, such as spinal stenosis (which is the narrowing of the canal that the spinal cord runs in), disc herniation, trauma or infections. Most often in physical therapy, we see patients that have experienced myelopathy due to changes that occur slowly over time, like longstanding cervical stenosis or disc hernations. We rarely see myelopathy that occurs due to a trauma or infections. It's very likely that if you were diagnosed with myelopathy, your physician is aware of any other complicating factors and are treating it appropriately.
How is cervical myelopathy diagnosed?
For any condition, a thorough medical history is crucial in determining the onset and nature of your symptoms. Additionally, it helps clarify the specific symptoms you are experiencing. Since other neurological issues can mimic myelopathy, imaging is ultimately used alongside the medical history to confirm the diagnosis.
Cervical myelopathy symptoms
- Cervical pain
- Numbness, tingling in the arms and hands
- Weakness in arms and hands
- Difficulty with fine motor tasks like buttons and writing
Do I need surgery for cervical myelopathy?
Ultimately, it is up to you and your surgeon to determine the need for surgery. However, spinal cord compression is not relieved by nonsurgical treatment. Physical therapy can help manage the symptoms related to the compression until/if surgery is recommended. Additionally, PT is an excellent tool after decompression surgery.
How does physical therapy help manage cervical myelopathy?
- Manual therapy to help increase blood flow, decrease muscle and connective tissue restrictions, and decrease pain. After surgery manual therapy can help scar tissue mobility and muscle guarding.
- Posture education and movement strategies to help make activities of daily living easier
- Strengthening of arm and spine muscles to reduce strain on the neck and provide stabilization.
Physical therapy for cervical myelopathy in Columbia and Baltimore, Maryland
If you have experience cervical myelopathy in the past and have already followed up with your primary care physician or orthopedist, reach out to our office today to see if our physical therapists can assist!
