Myelopathy

Myelopathy refers to any neurological condition that affects the spinal cord, resulting in compression, inflammation, or damage to the nerves responsible for communication between the brain and body. It can develop gradually due to degenerative changes in the spine or suddenly from trauma or injury. At Covenant Spine and Neurology, our board-certified specialists provide comprehensive evaluation and management of myelopathy. Using advanced diagnostic imaging and a multidisciplinary approach, we focus on identifying the underlying cause, preventing further spinal cord damage, and improving function and quality of life.

Common Causes of Myelopathy

Myelopathy can occur for several reasons, including:

 

  • Cervical spondylosis (degenerative disc disease): Age-related changes in the spine that narrow the spinal canal and compress the cord.

  • Spinal stenosis: Progressive narrowing of the spinal canal.

  • Herniated or bulging discs: Pressure on the spinal cord from displaced disc material.

  • Traumatic injury: Fractures or dislocations that compress the cord.

  • Tumors or infections: Growths or inflammation affecting spinal cord tissue.

  • Congenital abnormalities: Structural conditions present at birth that predispose the spine to compression.

Understanding the specific cause of myelopathy is essential for creating an effective, individualized treatment plan.

Recognizing the Symptoms

Symptoms of myelopathy can vary depending on the area of the spinal cord affected, but often include:

 

  • Weakness or stiffness in the arms or legs

  • Difficulty walking or maintaining balance

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

  • Loss of fine motor skills, such as handwriting or buttoning a shirt

  • Neck or back pain

  • Changes in bladder or bowel control in more advanced cases

These symptoms often progress over time. Early diagnosis and treatment are key to preventing permanent nerve damage.

Diagnostic Evaluation

At Covenant Spine and Neurology, we perform a thorough evaluation to accurately diagnose myelopathy and determine its cause. This may include:

 

  • Detailed neurological examination

  • MRI or CT scans to assess spinal cord compression and structural abnormalities

  • Electromyography (EMG) and nerve conduction studies to measure nerve function

  • Blood tests or additional imaging to rule out infection or autoimmune causes

Our team works closely with neurosurgical and orthopedic partners when surgical intervention may be needed.

Treatment Options for Myelopathy

Treatment depends on the severity of the condition and its cause. Our team develops personalized care plans designed to relieve pressure on the spinal cord, improve function, and prevent further damage. Treatment options may include:

 

  • Medication management: To reduce inflammation, pain, and muscle stiffness.

  • Physical therapy: To improve strength, balance, and coordination.

  • Minimally invasive procedures or surgery: In cases of severe compression or spinal instability, surgical decompression may be recommended.

  • Lifestyle and posture modification: To support spinal health and reduce strain on affected areas.

  • Ongoing neurological monitoring: To track progress and adjust treatment as needed.

Our multidisciplinary approach ensures that patients receive comprehensive care from diagnosis through recovery.

Compassionate, Ongoing Care

Living with myelopathy can be challenging, but with the right care, many patients experience significant improvement in mobility and comfort. At Covenant Spine and Neurology, we combine cutting-edge medical technology with compassionate, patient-centered care to help restore function and independence.

Schedule a Consultation

If you’re experiencing symptoms of myelopathy or have been told you may have spinal cord compression, don’t wait to seek care. Early evaluation can make a lasting difference. Contact Covenant Spine and Neurology today to schedule a consultation and begin your path to recovery or click here to find one of our locations near you.

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For more information or to schedule an appointment call us at 336-761-4020.

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