समझे Cervical Myelopathy और उसका इलाज
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- Опубликовано: 17 сен 2024
- Dr Himanshu Tyagi, Senior consultant Orthopaedic & spine surgeon.
Phone : 9654095717
MCh Orthopaedics (U.K), FNB Spine surgery, DNB Orthopaedics.
What is cervical myelopathy?
Cervical myelopathy is a form of myelopathy that involves compression of the spinal cord in the cervical spine (neck). Your cervical spine contains seven vertebrae (C1 to C7), with six intervertebral discs and eight nerve roots. The spinal cord travels inside the vertebral column constructed from the front by vertebrae, cushioned by the intervertebral discs, and from the back by the facet joints and lamina. In the cervical spine, eight nerve roots branch out that primarily control the function of your shoulders, arms and hands.
Symptoms of Cervical Myelopathy
Cervical myelopathy produces two types of symptoms: the ones you may feel in the neck, and the ones appearing elsewhere in the body at or below the compressed area of the spinal cord.
The neck symptoms may include:
Neck pain
Stiffness
Reduced range of motion
As the disease progresses, one may experience shooting pain that originates in the neck and travels down the spine.
Other cervical myelopathy symptoms may include:
Weakness in the arms and hands
Numbness or tingling in the arms and hands
Clumsiness and poor coordination of the hands
Difficulty handling small objects, like pens or coins
Balance issues
Is neck pain a sure sign of cervical myelopathy?
Many people experience neck pain, but not all neck pain can be traced back to cervical myelopathy. Some patients with this condition don’t have any neck pain at all. The cause of your neck pain could be muscular rather than neurological. Talk to your doctor if you are suffering from persistent neck pain.
Cervical Spondylotic Myelopathy
One common type of cervical myelopathy is cervical spondylotic myelopathy. The term “spondylotic” refers to one of the possible causes of myelopathy - gradual degeneration of the spine that happens as you age. Therefore, cervical spondylotic myelopathy is more common in people 50 and older.
The gradual degeneration of the spine often takes the form of cervical spinal stenosis, which is the narrowing of the spinal canal in the neck. Some people are born with a narrow spinal canal (congenital spinal stenosis) and may experience myelopathy sooner than others if further narrowing occurs. Bulging or herniated discs and bone spurs in the neck are other forms of spinal degeneration that can press on the spinal cord and cause myelopathy.
Other Causes of Cervical Myelopathy
Besides the gradual wear and tear of the spine, cervical myelopathy can also be caused by the ossification (hardening) of the ligaments surrounding the spinal cord, such as posterior longitudinal ligament and ligamentum flavum.
The ossification of posterior longitudinal ligament (OPLL) is more common. This means that the soft tissue that connects the bones of the spinal column becomes less flexible and slowly turns into bone (ossification). As the ligament becomes thicker, it starts taking up more space and putting pressure on the spinal cord, which leads to myelopathy. The neck portion of the spine is the most common location for OPLL ossification.
Other causes of cervical myelopathy may include:
Rheumatoid arthritis of the neck
Whiplash injury or other cervical spine trauma
Spinal infections
Spinal tumors and cancers
Cervical Myelopathy Diagnosis
The earlier cervical myelopathy is diagnosed, the more successful the treatment is expected to be. However, cervical myelopathy symptoms are not unique to this condition and are often mistaken for “normal” signs of aging.
To diagnose cervical myelopathy, your doctor may:
Conduct a physical examination and measure your muscle strength and reflexes.
Conduct further tests, including an MRI scan, an X-ray or a CT myelogram of your neck.
Conduct electrical tests to measure how well the nerves in your arms and hands communicate with your brain through the spinal cord.
Cervical Myelopathy Treatment
There are some nonsurgical options for relieving cervical myelopathy symptoms, including physical therapy and a cervical collar brace. However, to eliminate the compression of the spinal cord and prevent worsening of the condition, surgery is often necessary.
There are a few surgical procedures your doctor may recommend for treating cervical myelopathy. Widening of the spinal canal (laminoplasty) can be a good motion-sparing option for some patients. Others may benefit from spine decompression surgery
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C2 c3
Very nice sir
Thanks
Sir mera C6C7 acdf surgery 9month ho gaya everything is fine mera abhi age hain 39 what is it's future Mera 20 years more service life baki hain . With regards..
Sir, kidhar se surgery Kiya hai...cost kitna....mujhe vi same problem...please reply
@@surajitsamanta2370bhai aapko kaisa hain
Sir surgery kaha se krwayi
Sir mairi disk bulge huva hai or central cor pe pressure hai but koi dhikat abhi nhi ho rhi hai to kya karu
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@@DrHimanshuTyagi beji thi sir but vo bol rhe hai ki appointment lo
Sir c2 C3 mylopathi bimari hai dr delhi aiims refer kiya hai kiya kare
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Sir hm bihar se hai apke hospital me ayush man card chalta hai or kiya cost lagega
Hello sir please help me sir meri c7 nuse me problem ha me sara din baad per rahta hu Mera
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Thanks so much sir
Welcome
@@DrHimanshuTyagi hallo g
Sir I want to consult you... How can I approach you online?
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प्रनाम सर
Hello Sir,
My name is SUJOY PAUL,
I have gone through MRI test and my neurologist said that I have compressive myelopathy. will it cure with medicine 💊 Sir. Please give valuable suggestions. Please find attached herewith my MRI
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sir muje 2 years hogye h cervical pain ko or ab mere hath Pero me kafi drd rehne lga or head me lgatar pain rehta h .weight kafi badh rha h .
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Naresh Kumar how r u now
Heloo doctor i am jay prakash from delhi i am suffering from axial atlantico disorder ,safdarjung doctor fixation c1-c2 in posterior position but no any improvment
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Hello doctor I am from Islamabad Pakistan and I am sero positive RA patient with hypothyroid, sjögren, lupus and Asthma now a days I am same symptoms you have been mentioned in this video and I am taking methotrexate 20mg weekly and hydroxychloroquine 200 mg Leflunomide 20 mg daily and completed 3 cycle of Rituximab also but no improvement after COVID my lungs affected 50% and it leads to asthma. Is there a way to come out all of it? I also want to know the right posture of sitting and sleeping for patients like us thank you.
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I had a fall while doing a backflip on trampoline in 2018. D12 compressed tha. 2 saal baad anxiety aur panic attacks shuru hue. Medications se band hue magar abhi 3 months pehle stress ke karan headache shuru hua aur depressed rehta tha pure din. Firse medications shuru ki. Could it be because of the fall? Back pain to almost gayab hai. 3 saal regular gym bhi jata hu.
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sir bht preshan hun plz rply krna chote bhai ko cervical mythology btaya h doctor kya krunnn
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Sir merabhi problm hain sir hedech hota hain sir
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Sir mera c4 c7 lemnoplasty bhi ho gaya hai fhir chal nahi pa rara hun kya kare
Aapki age kya hai sir
Sir mera C4 C5 C6 C7 aur
Mujhe urine Potty Ke Saath Hota Hai Rukh Rukh Ke Constipation Ki Problem Hai Mere Pairo Mai Chalte Time Weakness Lagti Hai Loss Of Balance Lagta Hai Zino Jaldi Chade Ni Jate Right Side Pair Mai Halki Jalan Lagti Hai
Please Reply
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Suzzankhan how r u now?? 😢😢
@suzzankhan9402 abhi aapko kaisa hain?
Operation honeke bad kitna somoi lagtahe thik hone me sir please bolie
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Will tell you everything
Hlo sir mere pita ji ka accident ho gya tha 6 month pehle Ab 1 month se unke ungliyo me jhanjhnahat hoti h or hath ki nasho me khichav hota h or hath uth nhi Pate
Pls send me your x-ray and MRI report over WhatsApp on +91-9654095717. Will tell you all the details.
Sir namaskar mai cervical canal stenosis with myelopathy and L4 l5 s1 lumber disc bulge hai jisase scitica bhi ho gaya hai kya kare
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App kya treatment le rahi ho...
@@surajitsamanta2370aapko same issue hain?
@raveenaali6771 kya mylopathy theak hua aapka? Plz tell me
Sir mere maa ko cervical myelopathy ho gya hai.... physiotherapy doctor bol Raha hai mt krawo surgery recovery nhi hota hai bol Raha tha.. . kiya kre sir
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Sir servical myelopathy main body pain hot a hai
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My husband has been diagnosed with vertical maylopathy. I was wondering if there is any treatment for c4 c5 c6.
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@@DrHimanshuTyagi .
Ap ke husband thik ho gye mam k na
@@manishsharma-mr1vw no my husband is still the same.he will soon go for an operation.i wonder is I could talk to you for some advice
Neck me kyea problem aa ji
Sir how to connect with you
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Kya surgery se mylopathy theek ho jaati hai ?
Pls send me your x-ray and MRI report over WhatsApp on +91-9654095717. Will tell you all the details.
Mere papaka operation ho geya lekin diktat or bar geya ab keya kore sir
Pls send me your x-ray and MRI report over WhatsApp on 9654095717.
Will tell you everything
Abhi kese hai aapki papa
Sarwakal.narv.root.injection.ki.Kim at.h.
Hi. मुझे 9654095717 (WhatsApp) पर अपनी MRI /X-ray रिपोर्ट भेजें.
Sir mera leg paralysis hogeya hai surgery se
Ab thik hai pair
Sir aapka hospital address
Our Delhi Address -
Gurgaon : Artemis Hospital, sector 51, Gurgaon
Noida : A-107, Near Mother's Pride School, Sector 93B, Noida. Delhi NCR
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U can come and meet me in Delhi (Noida or Gurgaon)
Pls Call Rahul
for appointment
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Sir mujhe halki halki servical spnodilitis ho gai hai..aapko dikhani hai khaa ana padega sir mujhe
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Sir mere papa ko bhi cervical myelopathy aya he per doctor ne mri karene ke bareme kuch nehi bole he aur mere papa ko balance me problem he par koi dard nehi he. To isme kya koui serious problem he
Pls send me your x-ray and MRI report over WhatsApp on +91-9654095717. Will tell you all the details
Sir c6- c7 ai vain dab gayi gai jis se muze cervical mylopathy ki problem ho gayi hai. Legs numness ho rahi hai
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@cglaspirant1234aapke papa theek hai kya
Sir meri sari report normal hai aur doctor ne mylopathy likha hai
Dusre dictor bole mylopathy k symptom to nhi lg rahe hai
Mrra d3 ya calcium 7 hai
B12 184 hai
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@akumar8757 how u now 😢
@@AashishmJogi ab theek hai thoda
Vitamin D3
Vitamin B12
Calcium ki deficiency thodi theek hai to improvement hai ab
Agar apko koi pbm hai
To apna phle
B12
D3
Calcium
Hemoglobin
Phle check karaye
@@yeskumar8757 mujhe bhi b12 d3 Kam hain. Maine start Kiya injections .but plz aapko symptoms kya tha bataiye. Kya pair mein weekness numbness balance Mein problem pain etc tha aapko?? Plz tell me 2 saal se bed pe hu
@@AashishmJogi apka MRI report Kaya hai ?
Your number doesn’t exit
+919654095717
+919205849347
20 days hogeya hai
Ab kaise ho Bhai or kaha se krwayi
Number de dijiye sir
Sure, pls call 9654095717.
Sir your phone number is not showing on whatsApp
Pls call +919654095717 for appointment. We are available in Delhi. Send us your MRI/X-ray report over WhatsApp on +919654095717.