CERVICAL MYLOPATHY
Cervical myelopathy is a condition that occurs when there is compression or damage to the spinal cord in the neck region. This can cause a variety of symptoms related to nerve dysfunction in the upper extremities, including weakness, numbness, and tingling.
Common causes of cervical myelopathy include degenerative changes in the spine, such as herniated discs, spinal stenosis, and arthritis, as well as traumatic injuries to the neck.
The diagnosis of cervical myelopathy typically involves a combination of physical examination, imaging studies such as MRI, and nerve function testing.
The role of physiotherapy in the management of cervical myelopathy involves:
- Assessment of the patient’s strength, flexibility, and functional abilities to develop an individualized treatment plan.
- Education on posture and body mechanics to reduce pressure on the spinal cord and nerves.
- Exercises to improve range of motion, strength, and balance.
- Manual therapy techniques to reduce pain and improve mobility.
- Coordination with other healthcare professionals, such as neurologists or surgeons, to provide comprehensive care for the patient.
It is important to note that the effectiveness of physiotherapy for cervical myelopathy may vary depending on the severity and underlying cause of the condition, and treatment may be supplemented with medications or surgical intervention as needed.
SYMPTOMS OF CERVICAL MYELOPATHY
The symptoms of cervical myelopathy can vary depending on the severity and location of the spinal cord compression or damage. Some common symptoms of cervical myelopathy include:
- Neck pain
- Weakness or stiffness in the arms, hands, legs or feet
- Numbness or tingling in the arms, hands, legs or feet
- Loss of coordination or balance
- Difficulty with fine motor skills, such as writing or buttoning clothes
- Difficulty walking or with other basic motor functions
- Difficulty with bladder or bowel control (in more severe cases)
- Sensory changes, such as difficulty distinguishing between hot and cold or difficulty sensing pressure
These symptoms may develop gradually over time or may come on suddenly, and may worsen with activity or changes in posture. It is important to seek medical attention if you experience any of these symptoms, as early treatment can help prevent the condition from worsening.
CAUSES OF CERVICAL MYELOPATHY
Cervical myelopathy is typically caused by compression or damage to the spinal cord in the neck region. This compression or damage can be caused by a variety of factors, including:
- Herniated disc: A herniated disc in the neck can put pressure on the spinal cord, leading to cervical myelopathy.
- Spinal stenosis: Spinal stenosis is a condition in which the spinal canal narrows, putting pressure on the spinal cord. This can be caused by degenerative changes in the spine, such as osteoarthritis.
- Trauma: Traumatic injuries to the neck, such as from a car accident or sports injury, can cause damage to the spinal cord and lead to cervical myelopathy.
- Tumors: Tumors in the spinal cord or surrounding tissues can compress the spinal cord and cause cervical myelopathy.
- Inflammatory conditions: Inflammatory conditions such as rheumatoid arthritis or ankylosing spondylitis can cause inflammation and damage to the spinal cord, leading to cervical myelopathy.
- Congenital abnormalities: Some people are born with abnormalities in the spine that can put pressure on the spinal cord and cause cervical myelopathy.
It is important to identify the underlying cause of cervical myelopathy in order to develop an effective treatment plan.
ROLE OF PHYSIOTHERAPIST
The role of a physiotherapist in the management of cervical myelopathy is important in improving mobility, strength, and balance, and reducing pain and other symptoms associated with the condition. Here are some specific ways in which a physiotherapist can help:
- Exercise prescription: A physiotherapist can prescribe exercises to improve range of motion, strength, and balance. These exercises may include stretching, strengthening, and aerobic exercises.
- Manual therapy: Manual therapy techniques such as soft tissue mobilization, joint mobilization, and muscle release can help alleviate pain, improve joint mobility, and reduce muscle tension.
- Posture education: A physiotherapist can educate the patient about proper posture and body mechanics to help reduce strain on the cervical spine.
- Modalities: Physiotherapists can use modalities such as ultrasound, electrical stimulation, and heat or cold therapy to reduce pain and inflammation.
- Patient education: A physiotherapist can educate the patient about the condition, its causes, and the benefits of exercise and other interventions.
A physiotherapist works closely with other healthcare professionals such as a neurologist or neurosurgeon to develop a comprehensive treatment plan that addresses the patient’s unique needs and goals.
ROLE OF CHIROPRACTOR
Chiropractors can play a role in the management of cervical myelopathy, but their role would be limited to the conservative treatment of the condition.
Chiropractors primarily focus on the diagnosis and treatment of musculoskeletal disorders, especially those involving the spine. They use manual manipulation and other techniques to restore joint mobility and alleviate pain. In the case of cervical myelopathy, a chiropractor may use cervical manipulation and other manual therapies to relieve pain and improve spinal mobility.