Myelopathy

 
 

What Is Myelopathy?
Myelopathy is a medical condition affecting the spinal cord, caused by disease, injury, or abnormality that can lead to neurological symptoms. Common causes include degenerative changes in the spine, trauma, infections, tumors, or autoimmune disorders.

In cases of myelopathy, there is severe compression of the spinal cord, typically developing gradually due to aging. As people age, several changes can occur, including:

  • Disc degeneration: The discs between the vertebrae dry out, bulge, or herniate.

  • Bone spurs: Arthritis can cause the shape of the vertebrae to change, leading to spur-like protrusions.

  • Ligament thickening: The ligaments connecting the vertebrae thicken and stiffen.

These factors often combine to narrow the spinal canal, causing pressure on the spinal cord and leading to cervical myelopathy.

How Is Myelopathy Diagnosed?
Myelopathy is diagnosed through a combination of medical history, physical exams, and diagnostic tests. Dr. Karan Johar, a Dual Board Certified Pain Management Physician with a Specialization in Spine, will ask about symptoms, medical history, and perform a physical exam to assess muscle strength, reflexes, and sensation. Diagnostic tests may include:

  • Imaging tests: X-rays, MRIs, and CT scans can reveal spinal cord compression or herniated discs.

  • Electromyography (EMG): Measures electrical activity in muscles to assess nerve function.

  • Spinal tap (lumbar puncture): Tests cerebrospinal fluid for infection or inflammation.

  • Blood tests: Checks for infections, inflammation, or autoimmune disorders.

A thorough evaluation is essential to confirm the diagnosis and develop an appropriate treatment plan.

Myelopathy Symptoms
Myelopathy symptoms result from spinal cord compression. Symptoms vary depending on the location of the compression and may include:

  • Weakness in the arms or legs

  • Numbness or tingling in the arms or legs

  • Difficulty walking or maintaining balance

  • Neck or back stiffness

  • Loss of fine motor skills (e.g., difficulty buttoning clothes or writing)

  • Bladder or bowel dysfunction

  • Shooting pain in the arms or legs

  • Muscle spasms or cramping

  • Loss of sensation in the hands or feet

Symptoms can develop gradually or suddenly following trauma. Early diagnosis and treatment can prevent further spinal cord damage and improve outcomes.

What Happens If Myelopathy Is Left Untreated?
Untreated myelopathy can lead to progressive worsening of symptoms and permanent spinal cord damage, including:

  • Loss of sensation and movement: Permanent damage can result in loss of sensation and mobility in affected areas.

  • Paralysis: In severe cases, myelopathy can cause temporary or permanent paralysis.

  • Bowel and bladder dysfunction: Myelopathy can cause incontinence and other problems with bowel or bladder control.

  • Chronic pain: Ongoing pain can impact quality of life.

  • Decreased quality of life: The symptoms of myelopathy can make it difficult to perform daily tasks and hobbies.

  • Respiratory problems: In rare cases, myelopathy can lead to respiratory issues or failure.

Seeking medical attention early is critical to prevent further damage and improve outcomes.

Endoscopic Spine Surgery for Myelopathy at Park Avenue Medicine & Surgery
Dr. Karan Johar specializes in minimally invasive endoscopic spine surgery, an advanced technique for treating myelopathy. This procedure involves a small incision (less than half an inch) through which an endoscope is inserted. The endoscope is equipped with a camera and micro-instruments, allowing Dr. Johar to treat the spinal condition with minimal disruption to surrounding tissues.

How Long Does It Take To Recover from Myelopathy Treatment?
Recovery varies depending on the patient and the procedure. However, Dr. Johar’s minimally invasive endoscopic surgery typically results in faster recovery times compared to traditional surgery.

Frequently Asked Questions About Myelopathy
If you have questions about myelopathy and your treatment options, Park Avenue Medicine & Surgery is here to guide you and provide comprehensive care every step of the way.

Ready to Take the First Step Toward a Pain-Free Life?
At Park Avenue Medicine & Surgery, we know how challenging chronic back or neck pain can be. Dr. Karan Johar offers cutting-edge treatments, including endoscopic spine surgery and disc regeneration, to relieve pain and restore mobility. Whether you suffer from myelopathy, spinal stenosis, herniated discs, or other spine conditions, Dr. Johar provides personalized care tailored to your needs.

If you're ready to take the first step toward a pain-free life, contact us today. Our friendly team is available to answer your questions and schedule a consultation with Dr. Johar. Let Park Avenue Medicine & Surgery help you regain control of your life.