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Myelopathy

Understanding Myelopathy: Causes, Treatment, and Recovery

What is Myelopathy?

Myelopathy is a term used to describe any pathological condition that affects the spinal cord. As detailed by Scott Raffa, MD, board-certified neurosurgeon, it can result from a variety of causes, including compression, inflammation, ischemia, or degeneration. Symptoms may range from mild to severe and may include muscle weakness, numbness, pain, coordination loss, and difficulty with balance. As the condition progresses, it may lead to significant disability and reduced quality of life.

Common Causes

Dr. Scott Raffa explains this condition can occur due to several reasons, with the most common causes including:

  • Cervical Spondylotic Myelopathy (CSM): CSM is the most common cause of myelopathy and results from degenerative changes in the cervical spine, such as spinal stenosis, disc herniation, or bone spurs. These changes can cause spinal cord compression, leading to neurological symptoms.
  • Traumatic Myelopathy: This form of myelopathy occurs due to a direct injury to the spinal cord, such as a car accident, fall, or sports-related injury. The severity of symptoms depends on the extent of the spinal cord injury.
  • Tumors: Benign and malignant spinal cord tumors can lead to myelopathy if they compress or invade the spinal cord.
  • Infections: Infections such as bacterial meningitis or viral myelitis can cause inflammation and damage to the spinal cord, leading to myelopathy.
  • Vascular conditions: Insufficient blood supply to the spinal cord (ischemia) due to spinal cord infarction or arteriovenous malformation can cause myelopathy.

Treatment Options

Dr. Raffa emphasizes that the treatment depends on the underlying cause, the severity of symptoms, and the patient’s overall health. For certain conditions, non-invasive treatments like pain management, physical therapy, and medications might be adequate. Many patients have reported significant pain relief after being treated by our specialist team in Interventional Spine & Pain Management, which includes Drs. Giuffrida, Westerhaus, and Chhatlani.

However, surgery may be necessary when conservative treatments fail or symptoms worsen. Surgical options can include:

  • Decompression Surgery
  • Spinal Fusion
  • Vertebroplasty/Kyphoplasty
  • Tumor Removal
  • Infection Management

Post-Surgery Recovery & Rehabilitation

Recovery from myelopathy surgery is a comprehensive journey that requires dedication, patience, and expert guidance. Dr. Raffa places an emphasis on the postoperative phase, recognizing that this phase is important for long-term success of the surgery. Upon completing the surgical procedure, patients may experience initial discomfort, swelling, or stiffness. These are natural responses as the body begins its healing process. Dr. Raffa recommends a tailored pain management regimen that can include medications, cold compresses, and gentle movements to alleviate these symptoms.

Physical therapy is a cornerstone of recovery. A specialized therapist can create a personalized program aimed at restoring strength, flexibility, and coordination. These sessions not only aid in physical recovery but also empower patients by equipping them with the knowledge and exercises they can continue at home. Occupational therapy might be introduced, especially if the patient’s daily activities or profession is affected. This therapy focuses on teaching adaptive techniques and using assistive devices to ensure that patients can safely and effectively return to their daily routines and work responsibilities.

Dr. Scott Raffa encourages regular follow-up appointments. These check-ins allow for monitoring of the healing process, making any necessary adjustments to the recovery plan, and addressing concerns promptly. With a combination of expert medical care, physical therapy, and emotional support, many patients find themselves returning to a life of quality and fulfillment post-surgery.

Prevention & Maintaining Spinal Health

While not all cases can be prevented, Dr. Raffa advises individuals to take measures to reduce their risk of developing spinal cord problems. This involves a combination of a healthy lifestyle, good posture, safe lifting techniques, and avoiding high-risk activities.

Myelopathy is a complex condition with various causes and symptoms that can significantly impact a patient’s quality of life. He emphasizes that early diagnosis and intervention are essential. It’s crucial for patients to work closely with their healthcare team, like Dr. Raffa, to find the most appropriate treatment plan tailored to their specific needs.

If you’re experiencing symptoms or are in search of a diagnosis, trust the expertise that South Florida residents have come to rely on at Cantor Spine Center at the Paley Orthopedic & Spine Institute. Schedule your consultation with Dr. Scott Raffa today by calling 561-935-1188 or request an appointment online.