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Cervical Myelopathy: A Major Cause of Neck Pain Symptoms and Treatment

 Neck pain is a common health problem in modern life, especially among people who spend long hours sitting, working on computers, or using mobile phones. One serious but often overlooked cause of chronic neck pain is cervical myelopathy. If left untreated, this condition can lead to long-term nerve damage and reduced quality of life.




What Is Cervical Myelopathy?

Cervical myelopathy is a condition in which the spinal cord in the neck (cervical spine) becomes compressed. This compression is usually caused by age-related degeneration of the spine, such as disc herniation, bone spurs, or narrowing of the spinal canal.

As the spinal cord controls movement and sensation throughout the body, pressure on it can cause symptoms not only in the neck but also in the arms, hands, and even legs.


Common Causes of Cervical Myelopathy

  • Degenerative disc disease

  • Cervical spondylosis (age-related wear and tear)

  • Herniated or slipped discs

  • Bone spurs (osteophytes)

  • Thickened spinal ligaments

  • Spinal injuries or trauma


Symptoms of Cervical Myelopathy

Symptoms may develop slowly and worsen over time. Common signs include:

  • Persistent neck pain or stiffness

  • Numbness or tingling in the arms, hands, or fingers

  • Weakness in the hands or difficulty gripping objects

  • Poor balance or trouble walking

  • Coordination problems (clumsiness)

  • Neck pain that radiates to the shoulders or arms

  • In severe cases, bladder or bowel control issues

These symptoms should never be ignored, especially if they are progressive.


How Is Cervical Myelopathy Diagnosed?

Doctors may use:

  • Physical and neurological examinations

  • MRI or CT scans of the cervical spine

  • X-rays to detect bone degeneration

Early diagnosis is crucial to prevent permanent spinal cord damage.


Treatment and Management Options

1. Non-Surgical Treatment (for Mild Cases)

  • Pain-relief medications

  • Anti-inflammatory drugs

  • Physical therapy

  • Neck braces (short-term use)

  • Lifestyle and posture correction

These treatments help manage symptoms but may not stop disease progression.


2. Surgical Treatment (for Moderate to Severe Cases)

Surgery may be recommended to:

  • Relieve pressure on the spinal cord

  • Prevent further neurological damage

Common procedures include disc removal, spinal decompression, or fusion surgery.


Prevention and Self-Care Tips

  • Maintain proper posture while sitting and using devices

  • Take regular breaks from screen work

  • Use a supportive pillow while sleeping

  • Avoid heavy lifting and sudden neck movements

  • Exercise regularly to strengthen neck and back muscles


Conclusion

Cervical myelopathy is a serious condition and a major cause of chronic neck pain that should not be ignored. Early recognition of symptoms and timely medical intervention can prevent long-term complications. If you experience persistent neck pain along with numbness, weakness, or balance problems, consult a healthcare professional as soon as possible

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