Your video is very informative. I'm 63 years old and have been diagnosed with severe cervical myelopathy and am currently consulting with a spine surgeon regarding future surgery. Your video is outstanding. Thank you
Thank you for this very simple and easy explanation of a complex issue. I live in New Zealand and have been diagnosed with Cervical Myelopathy and this has helped me understand the critical need for early surgery.
The doctor here gives thorough and understandable information about this topic. He’s a good teacher. As a sufferer of these conditions, I feel better already by just understanding well the what and how of the condition. Thanks, Dr. Armaghani, for this video.
Oh my goodness! Thank you so much... for taking the time from your busy schedule to make this video. WOW, WOW, WOW. I was blind until now about my problem.
Thank you so much for this explanation. I was diagnosed with cervical myelopathy and just had ACDF surgery. Makes sense why I’ve been dropping things the past few years, falling, off balance, and why so many actions I have to demand out loud for my body to eventually respond.
Dr. Armaghani, thank you for your thorough information about the cervical spine myelopathy. Look forward to seeing more and more topics related to spine issues.
I'm am looking forward to surgery after watching the video. Thank you so much for explaining this so well. Thanking God and all the new technology for our doctors to improve our health!
@@logan9920 I use pain meds, Pilates when neck pain worse, and walk regularly. I avoid sudden movements or impact activity. I have suffered poor tolerance to emotional stress on physical and neurological sypts since having condition so removing stress as much as possible vital for me
My dad has this, and it was just really diagnosed a month ago, he's 71 and I'm really scared. They say it's in the first stages, and this video really gave me a little bit of peace and hope. Thank you.
This is the best video I've seen explaining this; I was diagnosed in 2018 when my arms got really weak. It wasn't bad enough to warrant surgery. Today - I can hardly use my computer, I'm dropping things, and I use a cane sometimes to walk. I asked my doctor for a new MRI and she didn't agree and is sending me for nerve testing instead. What are your thoughts? She doesn't think it's surgical.
I think anytime you feel that symptoms are worsening especially if you were diagnosed previously with myelopathy, it is likely a good idea to get new imaging if it is over 1-2 years old.
@@ArmaghaniSpine Thank you very much for your input. Do you know if nerve testing in the arms would point to the issue of a slipped disc in the neck that is pressing o the spinal cord? Or are those two separate issues?
Hi, a guy from the UK here! 👏🏻 I’m 52 and recently felt a trapped nerve at the base of my neck, that was nearly a year ago but I haven’t fully recovered. I do get weakness of the right arm, and pins and needles throughout the arm. In fact, I can position my head/neck at a specific place to create the numbness and tingling. I want to go to the Doctors but I’ve never had much faith in our “ beloved NHS “ . I know for sure, I’ll never get an assessment as thorough as one of your videos! Well, I think it’s probably time to make that phone call and get myself booked in….. wish me luck! 😃🙄, and many thanks 🙏🏼 for your detailed information. 🇬🇧❤️🇺🇸
I always feel it's a good idea to get an opinion on your condition. That doesn't hurt anyone. Gather all the information you can about your condition and that will allow you to make the best decision possible. Good luck!
I had right single door C3-C5 Laminoplasty a month ago. I played Judo when I was in college. I’m 38 y/o, no history of trauma or accident, or no known injury during my playing years. 8 yrs prior I had been experiencing clicking sound in my neck and my right knee feels weaker going down the stairs. 4 mos prior surgery, I had numbness in the right hand, wobbling of right knee, and right leg weakness. I never experienced neck pain. I had an MRI which showed C3C4 Severe Disc Protusion and C5C6 Disc Arthrosis w/ Anterior Autofusion and right foraminal narrowing, Congenital Spinal Canal Narrowing, and Myelomalacia at C3C4. All symptoms went away after surgery, except for numbness but it isn’t as bad as before. My main concern is 4 wks post-op, I have been having left shoulder blade stiffness and spasms when walking and standing for at least 30 mins and sitting 90 degrees. I hope it gets better and doesn’t become chronic. I don’t know doctor if this is a normal progression or something bad waiting to become a chronic condition.
I am in UK and a patient at the National Hospital for Neurosurgery and Neurology in London. I have CSM. My pain is down both arms on rising from bed daily. Yesterday I had my first steroid injection at C6. I have spinal cord compression at C/5 and foraminal stenosis at C6. My Neurosurgeon wants me to have another injection next month (Aug 2022) and I see him for consult regarding decompression surgery on Oct 4 2022. Today is the first day I have had no pain at all from the arms which feels great. My diagnosis was only six months ago and progression has been swift in the last few months (now July 2022). I am a retired nurse so I research everything! I know surgery can only stop progression of my disease process but it could give me more years of painfree life hopefully. I trust my Neurosurgeon completely. I found your video one of the best that I have looked at online and thanks for that. I wish more UK Neurosurgeons or Spinal Surgeons would make these videos! Thank you again.
best of luck to you in your journey. the statistics say about 2/3rds of patients will progress but they progress at different rates. that is why we tend to want to follow patients with csm closely to pick up on subtle changes in their exam/history.
Thank you so much for this very well designed and well informative video, I have been suffering from neck and shoulder pain along with clumsiness and uncoordinated lower limbs for several years, it led initially to a diagnosis of fibromyalgia until I started having shouting pain in my arms that prompted my family doctor to finally order a neck MRI that showed severe multilevel degenerative disease along with severe central stenosis at C6-C7 due to a herniated disc, despite all this findings and increasingly severe impairment due to the pain and lower limb weakness causing me difficulties walking my doctor is still hesitant to refer me to spine surgeon as my EMG was normal. Your explanation about staircase evolution is spot on with how my symptoms evolved, I go through some stabilization but as soon as I start feeling good enough and try to be more active my symptoms recur worse than before which was extremely confusing with the fibromyalgia diagnosis as they were considered to be fibromyalgia flares ups . Thank you again for this wonderful to the point presentation 🙏.
Thank you soo,soo much. I was recently, finally, approved for an MRI to figure out my severe shoulder pain. My diagnosis was military neck, anteriorlisthesis of c2 c3, c3 c4, retrolisthesis of c5 on c6, convex left of lower cervical spine. Multilevel intervertebral disk space narrowing with chronic degenerative endplate changes most advanced at c5 c6, end plate edema at c5 c6 modic type 1 changes, facet arthritis on the right c2 c3. C2 c3 posterior disc uncovering, right sided uncovertebral joint hyper trophy with facet arthropathy. Right neural foraminal narrowing. C3c4 disc bulge central/right paracentral disc protrusion measuring 2mm in ap dimension.unconvertebral joint hypertrophy with facet arthropathy contact with impression/flattening along the ventral surface of the cord. Moderate spinal cord narrowing c3 c4. The thecal sac measures 8mm in ap dimension c3 c4 severe right neural foraminal stenosis with exiting nerve root impingement. C3c4 moderate left neural foraminal narrowing with contact/impression on exiting nerve root. On c4 c5 level- disc bulge uncovertebral joint hypertrophy with facet arthropathy. Contact with impression along the venal surface of the cord. Moderate spinal canal narrowing, the thecal sac measures 8-9mm in AP dimension On c5c6 disc bulge with endplate osseous ridging. Broad based central disc osteophyte complex.uncovertebral joint hypertrophy with facet arthropathy. Contact with flatteningalong the ventral surface of the cord. Moderate spinal canal stenosis. The thecal sac measures 7mm in AP dimension . Moderate bilateral foraminal stenosis with partial exiting nerve root impingement. Perineural cyst within the distal left neuroformen.c7 t1 normal disc contour facet arthropathy. All of this sounded like a lot to me but the surgeon said it wasn’t bad. That a 15 minute surgery would help the nerve pain. I asked what would happen if I didn’t have surgery and he said “nothing. You may continue to have the pain or you may get better. That’s all”. But your video sounds like he is wrong. So thank you. I’m going to seek another opinion.
I am weak and in agony and I understand why now I had l4l5 decompression surgery September 2020 and my neck has got worse since everything you describe are the symptoms I have including vision deterioration I am frightened it’s gone to far and the thought of surgery but through you video I have a better understanding Thankyou so much for taking your time to help us all Sandra
🙏🙏🙏🙏I hope you are feeling better. I am so sorry Sandra. My mom is going through this currently. I’m worried she may get worse after her 5th surgery. 😢
I had a two level anterior cervical discectomy and fusion in 2012. The highest level affected was C5/C6. I was 44 years old at the time. I had all the symptoms described, dropping things, fumble hands and feeling like I was walking on a boat at sea. Once one part of the spine goes out, it is likely to affect the rest. I try to keep the surrounding muscles strong but I was young for this, most people are past retirement.
I just had an 3 level acdf surgery at 38 and had no idea why I had all these symptoms til after surgery. I had always believed I only had a pinched nerve
In case it makes you feel better I'm having 2 levels at age 33 (and probably should have sorted this 2 years ago). I also have other bulging discs, and arthritis and it is apparently too bad for disc replacements now. So I may end up with lots of my spine fused. I like to watch scolosis patients recovery stories - they have it so much worse. There's a very young woman (maybe 19?) who had her entire spine fused after a life of pain. She took it like a champ despite so much pain. If she can do that....
I just had this surgery 6 days ago, I’m 44 as well. The surgery was very well explained to me, but I’m finding the recovery process is truly a process😢.
Awesome info here. I’m currently going through all these symptoms and they have gotten much worse over the past few months. I have had it on and off for over 11 years sometimes plateauing for a couple of years. Now the incidences are getting closer together with more symptoms. I’m waiting for the results of my MRI and the surgeon did discuss the likely hood of me having myelopathy. Thank you for this info. It has been very educational!
God you're an excellent teacher. I'm gone have a surgery for a big hernia and stenosis you made it really clear for me and now I'm convinced that I should do it before it gets worse cause it's already in contact with my spinal cord thank you so much doctor
Thank you!! My honey was injured at work July 04, 2015. We have been fighting the insurance company that kept denying his surgery. 8 years later and he is not the same man. He can barely walk, he cannot hold a spoon, open a bottle of water. WE never really understood his diagnosis until watching your video. The Insurance would like to close his case without having to approve the required surgery. I would really like to speak with you if you would be able to give us more information. THANK YOU!
Very detailed and informative video sir. Appreciate your way of explaining the topic. I am 55, diagnosed with early cervical spondylosis with nerve pinch at c6-c7 and c_spine MRI shows spinal stenosis. Hope to learn more about this subject and I am in regular medical consultations. Thank you for your detailed insights.
I'm about the same age as you and have similar issues with C5 & C6 and numbness in my right hand and occasional difficulty swallowing. May I ask how you are doing now? Thanks
Thankyou so much doctor for this explanation i am very worried about my mom she has cervical mylopathy at c3 c6 since 2 years. now we are going to get her surgery done. Praying for the best recovery for my mom.
Same here with my mom and same C3 thru C6. We just found out today and she is considering surgery. This is just how her dr explained but this video was awesome!
My Dr's are telling me that I have Primary Lateral Sclerosis. But my MRI of my cervical spine reveals myelopathy, 2 times in the last year MRI's have shown myelopathy. Now while there is only mild stenosis of my spinal cord, there is a large portion of my spinal cord that showed 0 spinal fluid, on multiple levels of my spinal canal, I suffer from speech issues, balance issues, clumsiness with my hands difficulty with fine motor skill like buttoning shirt's. Now I've done research of my own independent of my Dr's, and have found that the symptoms of PLS, and myelopathy mirror each other almost exactly. I've also discovered that the lack of spinal fluid means that my spinal cord is not receiving the nutrients necessary to keep it healthy! However I can not convince my Dr's to agree with me. The diagnosis from the radiologist, who read the images said myelopathy yet my Dr's say no! Can someone please tell how to deal with this? I'm very much in a fight not only for my mobility but for my life. I fall repeatedly, have fallen down stairs and severely injured my foot, and ankle to the point that it needs surgery to repair it. It feels as if I'm being ignored, and taken advantage of because of my speech issue. I can still write, but it's very difficult to cover everything that needs to be said in a 30 minute appointment.
@@argentinarodriguez4170 hi! Thank you for following up. My surgery was a success, I had a anterior Cervical discectomy and fusion. Two disc were replaced it took 3 hours because there was other work done. The only thing I still get are headaches once in awhile and neck pain but the whole reason for the surgery was to replace the disc and straight it so it won't hit my spinal cord. It was pretty close to it. But other than that I'm well thank you. God bless.
Thank you so much Dr.Armaghani I've been diagnosed with Cervical myelopathy and have had a anterior fusion I am now experiencing a decline in my ability to walk it's getting worse I am a 58 yr old male it's been going on about 2 years now I'm becoming afraid out the possible outcome but I'm hopeful I swim though sometimes it helps sometimes not.
Thank you so much for sharing this information with me. I did not know how to read my MRI photos. For the past year I thought I just had arthritis in my hands, shoulders and neck. Because I was having pain and fumbling when doing daily activities. Next week is my surgery to correct the problem.
Thank you for a very well explanation of cervical myelopathy. My mother was just diagnosed with this and needs surgery as her condition will worsen as you said. This video has helped me understand what she needs and how serious it can get. Thanks again!
hi dr i just want to ask you i had cervical spine surgerger last year nov 2021 c1 c7 my problem before surgery is only my left foot weakness no pain and like heavy feelings in my hips no other complains only difficulty of walking left leg operation done last nov 2021 then jan 2022 operation fo my L2L3 i stayed in the hospital untill april discharged april 62022 but unluckily i did not see any improvement i can walk but iam still using a walker i have numbness on both legs i feel like my brain is disconnected to my body . before i can not move my foot fingers . i need to imagine first to move my foot fingers my foot dorsnt follow what i want to do do like moving . but lately i can move it now i did my exercise always even in bef . how shoul i experience like this dr? i feel like i cannot carry my neck very heavy my legs so much numbness when i sit i feel like my neck is unstable . is this forever doctor ?
Doctor what type of surgery do you think I need and how long is the recovery? This is what it says on my report “There is a long-standing marked constitutional canal narrowing with further encroachment on the c3-4 canal and ( to a lesser extent ) c4-c5 canal by disc osteophyte bars. There is marked c3-4 cord compression and signal abnormality ( which is likely to be long standing) with additional incipient cord impingement at c4-5 and c5-6”. Thank you doctor for your dedication
I have moderate to severe canal stenosis and cord flattening at both C5-C6 and C6-C7 with posterior bone spurs and narrowing, and multi-level foraminal stenosis. My symptoms have been slowly worsening with numbness and tingling on my hands and feet, neck pain, unsteady hands, balance issues, and positive Hoffman. How severe does cord compression need to be before surgery is recommended to prevent serious damage from being done? How severe do symptoms need to get before surgery is recommended?
I'm just going through the process of anger because of this, I'm really a , or I was extremely positive. I apologize for the previous outbursts, please do your research on this and don't delay,
Hi everyone , really liked this video, i realise everybody tuning into this channel has a medical issue , some worse than others but you all sound like fighters and that is reassuring for me . I am 55 year old male and not entirely sure how long I've had any condition but both my feet were broken at birth so had special shoes etc , over some years early teens i was sporty when my cartilage exploded in my knee aged 15 then 2 years later a big spur on same knee damaged nerves to have it removed , had back problems from 17 and just got on with it as you do , had 5 procedures on that knee over the years then surgery on both shoulders for decompression on left and same on right with a full tear rotator cuff thrown in for good measure , both shoulders over 5 years from age 45 , so i really cant say whats going on with all the spur growths , 2021 tendonitis right achilles which still bothers me always swollen and painful and developed binocular diplopia , as you can imagine i was getting rather pissed off , so pushed for MRI and neurologist confirmed spondylosis 2022 with cord compression , i was in shock and didnt ask enough or correct questions, he knocked me for six when he mentioned surgery , i said no and stood up , thanked him and left , havent spoken to him since but i am getting gradually worse and cant or wont bring myself to call him for an appointment , YES i am terrified and negative, i havent spoken to my family about this but now my son has back problems . Any advice please ?
After seeing several videos, it seems for surgical options, the new ultrasonic technology has the best chance of helping those who are diagnosed early. This is essentially using a “Dremel tool” bit of sorts, designed to be safe around soft tissue, to remove bone and calcification and make the spinal canal larger. This is best when diagnosed early and done early enough before loss of function. Considered better than fusion for most, since fusion creates more problems later on. And, I have also learned that there are some non surgical approaches that appear to slow the progression, at least in some patients. I am just stating this based on the many other literature and videos I have watched.
Nobody explained to me this step change. This helps me so so so so much to understand I am not crazy! I couldn't understand why I'd have one set of symptoms for a month, and then they'd go away and I'd get another set, and then the old ones would come back and it just keeps getting worse. I feel bad I waited so long :(
@@yes619I'm expiriensing the worst symptoms and I'm only 26 😢😢😢 GP has no idea and in hospital they outright refused to diagnose me because I'm having burning pain in between my shoulder blades whilst I'm walking. And tinnitus, vertigo, sycnope, shortness of breath from time to time, problems with vision, right eye sees less, numbness in head, right elbow, pins and needles sensation in back. I became very depressed and hopeless, even suicidal at times. I don't understand why it's so bad here in Ireland 😢😢😢 Will try to go to another hospital in a day to try to convince them to look it up.
@@ArmaghaniSpine I started dry fasting. Have been doing it for 1 year now, 3 days a week. I feel much relieved. Pins and needles have reduced, I can feel what I touch now a little bit better. I believe the body can heal itself if given a chance!
i have this from an auto wreck. got hit at a red light by a dumb B driver. as i sat in traffic. i have been under pain management care for 12 years. i was disabled by this. but fortunately my symptoms did not worsen a lot over these ears. until almost a year ago. i got hit again. now my hands go numb, pain down my legs. i never had. falling down. and memory, vision, where is this dr. i really feel he knows his business??? .
What an amazing and insightful video. I am having many of those symptoms but it is not diagnosed. My trust has been compromised with my current provider for a variety of reasons.. I am seeking out another. Regardless, my MRI shows spurring through C2-C7 with moderate thecal sac effacement c5-c7 and severe foraminal narrowing. I have struggled with neck and back issues since I was a child due to a neck injury. My arm and hand tingles and goes numb and has been doing this for several months. This video has helped me understand the anatomy of and resulting functions of the spine. I feel like I can now make informed decisions. Thank you so much!
I'm 72,my spine surgery HX began in 1994.. multiple C and L fusions.. I am now having surgery next week for Myeloradiculopathy C-7 T 1-2 Shout out to Dr Steven Ludwig @ the University of Md Orthopedics
Can you please make a video on how to analyse a cervical CT scans specifically discussing ADR complications including osteolysis and facet joint problems
I’m 58 and have very little feeling in my arms and hands. The pain is terrible and I want to give up. My hands are either hot or freezing cold and very painful. I have numbness in my chest and when I walk I look like I’m drunk. I live in an area where there’s no good neurosurgeons, what do I do? I’m at the end of my rapidly fraying rope
Thank you so very much for this excellent video. Very informative. I am just off the operating table so to speak and I got more information out of this than my own surgeon😂🇳🇴.
Hi R u available for consultation on zoom or does it need to be in person and in usa ? I need some further consultation as my current Nhs consultant thinks it’s best not to do surgery due to age and diabetes and he thinks it may not work after surgery. So what was the website or email to contact you ? The video seems informative and you know what you are talking about and professional explanations given. Thank you so much. 🙏
My recent MRI says I have cord impingement at c5-c6.. it’s very obvious on the scan.. but my only symptoms are bad neck pain on the right side that goes behind my ear and above my ear.
One other treatment other than surgery that can be considered is Cox Flexion Distraction of the cervical spine. This of course with be co-managed with either a neurosurgeon or orthopedic spine surgeon.
35 at last stages of cervical spondylitic myelopathy found out when I was 31 years old started trying to get help at 26 took 5 years to get my first MRI the worst are the migraines started back of your neck worked away to the front of your head back your eye they it's fucked up in the last for 72 plus hours you feel coming on your fever sweating cold 48 hour mark u start puking 72-hour Mark starts to die down it goes away and it always happens when I sleep the wrong way for too long and then the tingling numbness in the fingers and arm electric sharp stabbing pain from your neck find shoulder blade then tricep the burning feeling between shoulder blades and the back of the neck the electric jolts pain shooting from back of the neck all the way down to feet
I have this problem, had the fusion and it didn't work, my Spinal canal is nearly cut off 3 through 7 , because of time off work, lost job and insurance, because of my original insurance wouldn't cover the a newer procedure. I have permanent numbness in my right pinky and palm, make sure you do your research on who does your surgery and get many opinions. I really don't know what to do now . I'm 48 years old
Had large extrusion at c6-c7, with severe canal stenosis and severe cord deformity. Edema and cord signal abnormality at and below level of extrusion. It was probably there for a while and symptoms gradually worsen. 5 months from complaint til first MRI, C6-C7 ACDF a month later, 9 months after 1st surgery, Anterior C6 Corpectomy with C5-C7 fusion. Ortho who did first surgery was considering a 2nd surgery from posterior, neurosurgeon wanted to do a 2nd anterior surgery. Neither surgery helped symptoms, plus have severe DDD at L5-S1 with large extrusion. It sucks because I can’t tell if symptoms are coming from the cervical myelopathy, L5-S1 extrusion, or the 2cm x 2cm x1cm cyst at the T12-L1. I’m only 40 and so many issues and told that symptoms will persist and hopefully surgery stopped the progression of the myelopathy
Great video. I've been suffering from shortness of breath and leg and arm circulation issues, weakness and carpal tunnel symptoms. Also have swelling in right supraclavicular area, but not lymph nodes. only diagnosis so far after numerous doctor visits, was several disc bulges from Cervical to Lumbar spine. the C5 disc appears to be impinging on spinal cord, thus one Neurosurgeion recommended Antierior disc fusion of c5 ......Seems like this may not be the true cause of the shortness of breath, perhaps the hand weakness and tingling but would hate to get this C5 fusion and find it was not the cause of my legs and breathing issues. Thoughts? a way to confirm the MRI showing C5 myelopathy is causing the Tinnitus, breathing shortness and leg and arm tingling?
Excellent video!! I'm 34 and had an emergency ACDF on c5c6 2.5months ago after a PT broke my neck. Stood with symptoms for 1.5 week. Myleopathie due to stenosis. Operation was successful (spine is freed up after checking 7weeks after) and see improvement in fingers... light residual myleopathie showed on latest scan (small white points on the MRI). Can this heal with time? Or does it mean that it' s permanently damaged? I am having spasms through my right leg and tightness across all right side of the back and leg. Can this improve over time? Thank you so much ❤
Acuma vad ca esti romanca. Si eu am primit un diagnostic de polidiscopatie cervicala. Partea ciudata e ca nu m-a durut nimic la gat, pur si simplu au aparut la un moment dat niste furnicaturi in bratul stang( care s-au ameliorat intre timp ). Este total inexplicabil pentru mine din ce cauza s-a dezvoltat chestia asta la mine(32 de ani). Nu am practicat vreun sport care sa solicite zona cervicala. Ti-a dat kinetoterapeutul niste exercitii gresite sau din ce cauza ai facut ACDF?
@@roxanamatei3309 rupt inseamna ca ti-a fracturat vertebra ceea ce ma indoiesc, probabil ti-a lezat vreun disc sau o articulatie ceva soft tissue dar e in general o idee buna sa eviti operatia ptr ca tesuturile se pot vindeca daca le lasi in pace( fara posturi vicioase sau miscari excesive ). Presupun ca aveai simptome progresive grave. Kinetoterapeutul ce a avut de zis dupa grozavia asta? Si de ce a fost nevoie sa-ti manipuleze cervicala??( niciodata nu e o idee buna sa o manipulezi)
What are the dangers of the surgery for cervical Stenosos. IS there a good ooutcome My stenosis is moderate to severe. What is recovery and a good doctor in DFW.. names please R
Can muscle cramps such as hand cramps be a symptom of myelopathy? Or radiculopathy? I noticed holding my iPhone for an extended period of time or using a screwdriver cramping started on my affected side.
My father is been confirmed by doctors that he is having CSM and he is having trouble with breathing and mentally instability, but you didn't mention that as part of the symptoms or could it be a separate disease? Please reply me if my comment is noticed.
Hello, first, thank you for the video. It was very informative and easy to understand everything. After a rear ended accident I was diagnosed with a cervical myelopathy, the MRI shows that my spinal cord suffered an injury where is swollen, two of my discs are herniated and are slightly compressing the spinal cord. Both of the neurosurgeons I consulted are in the opinion that I should go to surgery. The first neurologist suggested two level disc replacement which will help me to keep my neck mobility and will remove the pressure from the spinal cord. The other neurologist suggested a fusion on two levels which will also remove the pressure from the spinal cord but the neck mobility will be slightly affected. After all my research on this matter I’m more in favor of the disc replacement, my question is does the disc replacement will hold overtime ? Or is the fusion a better option? I know that without looking at the MRI is difficult to have an option, specific to my condition. At this point I have no pain, tingling, numbness or any of the symptoms described in your video. Thank you for your attention : )
I was recently diagnosed, at age 50 and physically fit and otherwise quite healthy and very active, with cervicular myelopathy and radiculopathy. Started as a pinched nerve that has caused radiating pain and numbness down the right arm. Over time the pain mostly went away. First surgeon recommended a hybrid fusion, then disc replacement, then skip a level, and then disc replacement. Second surgeon's opinion was for a 4 level fusion (anterior) with rods and screws (posterior)! Third surgeon, the most experienced of them all, insists that I should not get surgery at all since, aside from numbness in the right index finger and thumb that I've had for ~10 years now, I'm asymptomatic. Reassess every 3 months and after a year get another MRI and compare to see any changes. So basically my choices are major surgery that will almost assuredly result in a drastically reduced quality of life and limited neck mobility for the rest of my life, or take my chances. No one seems to be able to say with any certainty whether this will get worse or not - even this excellent video said "20% to 60% of patients" with this will get worse. Well that's an awfully imprecise percentage! At this point I'm going to take my chances and hold off and just keep monitoring, as the last surgeon strongly advised me to do. Bottom line: I urge anyone to get multiple opinions before committing to surgery. You just may find, as I have, that they all differ in their opinions and some are WAY too aggressive.
@@LearnAtMyExpense yeah prob best to monitor and if does get any worse than you can get the surgery. Hopefully it doesn’t and you don’t need to get it.
@@larrytate1657 Unfortunately a lot has changed for me since I commented. Turns out, that 3rd surgeon was a complete buffoon who, in the words of the neurosurgeons I've since seen for additional opinions, "Doesn't know what he's doing." Long story short - I do need surgery and need to get it quickly. I'm scheduled for early August - ACDF C5-7 along with a posterior C3/4 laminoplasty and supporting posterior hardware for C5-7 to guarantee fusion (since the surgeon has to go in posteriorly for the laminoplasty anyway). Told it will be the most painful 2 weeks of my life afterwards but the pain should diminish quickly after the second week. The benefit is no loss of neck mobility, which is much better than what the 4 level ACDF would result in.
Hi Thank You for this video I saw a Surgen and he said do you have pain going down you’re arm? I said not yet but I have pinching in my neck and it gets worse when I turn my head to the left my MRI shows a bulging disc he said he didn’t recommend surgery instead get shots by pain management then they burn the nerve …After watching this video I feel like I should get surgery sooner than later. Like you said to stop symptoms from getting worse. Very frustrated. What do you think about this?
Lateral view of the cervical spine revealed a posticus ponticus with a general anterior protrusion. This was in my chiropractor report. I have a functional left short leg. Can you explain this medical terminology. Currently going for chiropractic treatment. This was in an earlier report. C1 C2 affected. I think this is the cause of undiagnosed learning disability. Pelvis is coming back into alignment.
Your video is very informative. I'm 63 years old and have been diagnosed with severe cervical myelopathy and am currently consulting with a spine surgeon regarding future surgery. Your video is outstanding. Thank you
67 going have this surgery. I had early sighs at 64 should had surgery then. Good luck what ever decision you make at your age 63
Thank you for this very simple and easy explanation of a complex issue. I live in New Zealand and have been diagnosed with Cervical Myelopathy and this has helped me understand the critical need for early surgery.
What is your treatment?
literally the most understanble explanation of this that I've heard.
Thank you!
The doctor here gives thorough and understandable information about this topic. He’s a good teacher. As a sufferer of these conditions, I feel better already by just understanding well the what and how of the condition. Thanks, Dr. Armaghani, for this video.
Thanks for the kind words!
Oh my goodness!
Thank you so much... for taking the time from your busy schedule to make this video. WOW, WOW, WOW.
I was blind until now about my problem.
You are so welcome!
This by far the BEST video that help me to better understand my MRI. Was clueless once told that I have slipped disk. Thank you Dr. God bless.
You're most welcome!
This is an incredibly thorough explanation that perfectly addressed all of my questions and symptoms. Thank you!
You are most welcome!
Thank you so much for this explanation. I was diagnosed with cervical myelopathy and just had ACDF surgery. Makes sense why I’ve been dropping things the past few years, falling, off balance, and why so many actions I have to demand out loud for my body to eventually respond.
Great to hear you got treated!
I have a pinch nerve in the back of my neck it's pushing against my Spain what should I do I get headaches my head drops 17:31
How you feeling now, a year after the surgery? Did the symptoms go away?
No I have not!!
Dr. Armaghani, thank you for your thorough information about the cervical spine myelopathy. Look forward to seeing more and more topics related to spine issues.
No doubt the best explanatory video I’ve ever seen!
I'm am looking forward to surgery after watching the video. Thank you so much for explaining this so well. Thanking God and all the new technology for our doctors to improve our health!
Good luck!
Having been diagnosed with cervical myelopathy several years ago this is the best information I've seen. Thank you for explaining
You're very welcome, Donald.
How have you treated it?
@@logan9920 I use pain meds, Pilates when neck pain worse, and walk regularly. I avoid sudden movements or impact activity. I have suffered poor tolerance to emotional stress on physical and neurological sypts since having condition so removing stress as much as possible vital for me
@@donaldwilbur2479 gr8 2 know uv managed it conservatively.. can I get in touch with u pl..?
@@donaldwilbur2479 can we talk over whatsapp
I’m 49 and have an MRI tomorrow for this. Woke up a month ago unable to work and do anything. I’d rather die than live this way
I'm sorry for your struggles, Sir. Unfortunately, I'm feeling the same way.
I feel the same😢@@lucasbish6004
I pray that God has given you strength and comfort 🙏🏾
Tell me about it.ive been dealing with this for 30 years.im 40
any update please? how are you?
My dad has this, and it was just really diagnosed a month ago, he's 71 and I'm really scared. They say it's in the first stages, and this video really gave me a little bit of peace and hope. Thank you.
i am 19 and hiryama decise patient 😭😭😭
You are most welcome
same here.. my mom has it age 73. 😭
#Priya could you help me please I'm also looking treatment for my father
I have it. I'm 72.
This is the best video I've seen explaining this; I was diagnosed in 2018 when my arms got really weak. It wasn't bad enough to warrant surgery. Today - I can hardly use my computer, I'm dropping things, and I use a cane sometimes to walk. I asked my doctor for a new MRI and she didn't agree and is sending me for nerve testing instead. What are your thoughts? She doesn't think it's surgical.
I think anytime you feel that symptoms are worsening especially if you were diagnosed previously with myelopathy, it is likely a good idea to get new imaging if it is over 1-2 years old.
@@ArmaghaniSpine Thank you very much for your input. Do you know if nerve testing in the arms would point to the issue of a slipped disc in the neck that is pressing o the spinal cord? Or are those two separate issues?
Hi, a guy from the UK here! 👏🏻
I’m 52 and recently felt a trapped nerve at the base of my neck, that was nearly a year ago but I haven’t fully recovered.
I do get weakness of the right arm, and pins and needles throughout the arm. In fact, I can position my head/neck at a specific place to create the numbness and tingling.
I want to go to the Doctors but I’ve never had much faith in our “ beloved NHS “ . I know for sure, I’ll never get an assessment as thorough as one of your videos!
Well, I think it’s probably time to make that phone call and get myself booked in….. wish me luck! 😃🙄, and many thanks 🙏🏼 for your detailed information. 🇬🇧❤️🇺🇸
I always feel it's a good idea to get an opinion on your condition. That doesn't hurt anyone. Gather all the information you can about your condition and that will allow you to make the best decision possible. Good luck!
Prayers
i hope your ok brother and got some good treatment from nhs
I had right single door C3-C5 Laminoplasty a month ago. I played Judo when I was in college. I’m 38 y/o, no history of trauma or accident, or no known injury during my playing years. 8 yrs prior I had been experiencing clicking sound in my neck and my right knee feels weaker going down the stairs. 4 mos prior surgery, I had numbness in the right hand, wobbling of right knee, and right leg weakness. I never experienced neck pain. I had an MRI which showed C3C4 Severe Disc Protusion and C5C6 Disc Arthrosis w/ Anterior Autofusion and right foraminal narrowing, Congenital Spinal Canal Narrowing, and Myelomalacia at C3C4. All symptoms went away after surgery, except for numbness but it isn’t as bad as before. My main concern is 4 wks post-op, I have been having left shoulder blade stiffness and spasms when walking and standing for at least 30 mins and sitting 90 degrees. I hope it gets better and doesn’t become chronic. I don’t know doctor if this is a normal progression or something bad waiting to become a chronic condition.
I am in UK and a patient at the National Hospital for Neurosurgery and Neurology in London. I have CSM. My pain is down both arms on rising from bed daily. Yesterday I had my first steroid injection at C6. I have spinal cord compression at C/5 and foraminal stenosis at C6. My Neurosurgeon wants me to have another injection next month (Aug 2022) and I see him for consult regarding decompression surgery on Oct 4 2022. Today is the first day I have had no pain at all from the arms which feels great. My diagnosis was only six months ago and progression has been swift in the last few months (now July 2022). I am a retired nurse so I research everything! I know surgery can only stop progression of my disease process but it could give me more years of painfree life hopefully. I trust my Neurosurgeon completely. I found your video one of the best that I have looked at online and thanks for that. I wish more UK Neurosurgeons or Spinal Surgeons would make these videos! Thank you again.
best of luck to you in your journey. the statistics say about 2/3rds of patients will progress but they progress at different rates. that is why we tend to want to follow patients with csm closely to pick up on subtle changes in their exam/history.
Thank you so much for this very well designed and well informative video, I have been suffering from neck and shoulder pain along with clumsiness and uncoordinated lower limbs for several years, it led initially to a diagnosis of fibromyalgia until I started having shouting pain in my arms that prompted my family doctor to finally order a neck MRI that showed severe multilevel degenerative disease along with severe central stenosis at C6-C7 due to a herniated disc, despite all this findings and increasingly severe impairment due to the pain and lower limb weakness causing me difficulties walking my doctor is still hesitant to refer me to spine surgeon as my EMG was normal. Your explanation about staircase evolution is spot on with how my symptoms evolved, I go through some stabilization but as soon as I start feeling good enough and try to be more active my symptoms recur worse than before which was extremely confusing with the fibromyalgia diagnosis as they were considered to be fibromyalgia flares ups .
Thank you again for this wonderful to the point presentation 🙏.
Thank you soo,soo much. I was recently, finally, approved for an MRI to figure out my severe shoulder pain. My diagnosis was military neck, anteriorlisthesis of c2 c3, c3 c4, retrolisthesis of c5 on c6, convex left of lower cervical spine. Multilevel intervertebral disk space narrowing with chronic degenerative endplate changes most advanced at c5 c6, end plate edema at c5 c6 modic type 1 changes, facet arthritis on the right c2 c3. C2 c3 posterior disc uncovering, right sided uncovertebral joint hyper trophy with facet arthropathy. Right neural foraminal narrowing. C3c4 disc bulge central/right paracentral disc protrusion measuring 2mm in ap dimension.unconvertebral joint hypertrophy with facet arthropathy contact with impression/flattening along the ventral surface of the cord. Moderate spinal cord narrowing c3 c4. The thecal sac measures 8mm in ap dimension c3 c4 severe right neural foraminal stenosis with exiting nerve root impingement. C3c4 moderate left neural foraminal narrowing with contact/impression on exiting nerve root. On c4 c5 level- disc bulge uncovertebral joint hypertrophy with facet arthropathy. Contact with impression along the venal surface of the cord. Moderate spinal canal narrowing, the thecal sac measures 8-9mm in AP dimension On c5c6 disc bulge with endplate osseous ridging. Broad based central disc osteophyte complex.uncovertebral joint hypertrophy with facet arthropathy. Contact with flatteningalong the ventral surface of the cord. Moderate spinal canal stenosis. The thecal sac measures 7mm in AP dimension . Moderate bilateral foraminal stenosis with partial exiting nerve root impingement. Perineural cyst within the distal left neuroformen.c7 t1 normal disc contour facet arthropathy.
All of this sounded like a lot to me but the surgeon said it wasn’t bad. That a 15 minute surgery would help the nerve pain. I asked what would happen if I didn’t have surgery and he said “nothing. You may continue to have the pain or you may get better. That’s all”. But your video sounds like he is wrong. So thank you. I’m going to seek another opinion.
I am weak and in agony and I understand why now I had l4l5 decompression surgery September 2020 and my neck has got worse since everything you describe are the symptoms I have including vision deterioration I am frightened it’s gone to far and the thought of surgery but through you video I have a better understanding
Thankyou so much for taking your time to help us all Sandra
hope you feel better soon!
🙏🙏🙏🙏I hope you are feeling better. I am so sorry Sandra. My mom is going through this currently. I’m worried she may get worse after her 5th surgery. 😢
I have to ask how old are you
I had a two level anterior cervical discectomy and fusion in 2012. The highest level affected was C5/C6. I was 44 years old at the time. I had all the symptoms described, dropping things, fumble hands and feeling like I was walking on a boat at sea. Once one part of the spine goes out, it is likely to affect the rest. I try to keep the surrounding muscles strong but I was young for this, most people are past retirement.
I just had an 3 level acdf surgery at 38 and had no idea why I had all these symptoms til after surgery. I had always believed I only had a pinched nerve
how r u guys doing now?
In case it makes you feel better I'm having 2 levels at age 33 (and probably should have sorted this 2 years ago). I also have other bulging discs, and arthritis and it is apparently too bad for disc replacements now. So I may end up with lots of my spine fused. I like to watch scolosis patients recovery stories - they have it so much worse. There's a very young woman (maybe 19?) who had her entire spine fused after a life of pain. She took it like a champ despite so much pain. If she can do that....
I'm 66 and need surgery how did people come out
I just had this surgery 6 days ago, I’m 44 as well. The surgery was very well explained to me, but I’m finding the recovery process is truly a process😢.
Awesome info here. I’m currently going through all these symptoms and they have gotten much worse over the past few months. I have had it on and off for over 11 years sometimes plateauing for a couple of years. Now the incidences are getting closer together with more symptoms. I’m waiting for the results of my MRI and the surgeon did discuss the likely hood of me having myelopathy. Thank you for this info. It has been very educational!
I have same issue but I f don’t want any surgery. Is there any options? How are you feeling today.
How can you feel unwell for 11 years and not think "oh maybe I should see a doctor" sorry but that's way too long
Awesome lecture - Highly educational. Appreciate his expertise and illustrations👍👍👍
God you're an excellent teacher. I'm gone have a surgery for a big hernia and stenosis you made it really clear for me and now I'm convinced that I should do it before it gets worse cause it's already in contact with my spinal cord thank you so much doctor
Thank you!! My honey was injured at work July 04, 2015. We have been fighting the insurance company that kept denying his surgery. 8 years later and he is not the same man. He can barely walk, he cannot hold a spoon, open a bottle of water. WE never really understood his diagnosis until watching your video. The Insurance would like to close his case without having to approve the required surgery. I would really like to speak with you if you would be able to give us more information. THANK YOU!
Morgan and Morgan may be able to help. I’m not trying to be funny.
How is he
Excellent video! Best teaching video I've seen on this subject.
Very detailed and informative video sir. Appreciate your way of explaining the topic. I am 55, diagnosed with early cervical spondylosis with nerve pinch at c6-c7 and c_spine MRI shows spinal stenosis. Hope to learn more about this subject and I am in regular medical consultations. Thank you for your detailed insights.
good luck!
Mine is similar. Due to having three wiplash injuries over a period of 20+ years.
@@ArmaghaniSpine what is the best method to contact you for consultation?
I'm about the same age as you and have similar issues with C5 & C6 and numbness in my right hand and occasional difficulty swallowing. May I ask how you are doing now? Thanks
Thankyou so much doctor for this explanation i am very worried about my mom she has cervical mylopathy at c3 c6 since 2 years. now we are going to get her surgery done. Praying for the best recovery for my mom.
Same here with my mom and same C3 thru C6. We just found out today and she is considering surgery. This is just how her dr explained but this video was awesome!
Good luck, Nisha.
Did she face difficulty walking
How' she's now?
how she is doing after surgery ?
Your explanation ability is A1!
Thanks so much!
This is one of the best videos I have seen so far on this topic. Thank you so much
Thank you so much!
Best explanation by far. As I'm going through this type of situation right now. Thank you
Traffic on I-75 is a perfect explanation! Excellent video!
Glad you liked it! I75 is almost as bad as I4!
My Dr's are telling me that I have Primary Lateral Sclerosis. But my MRI of my cervical spine reveals myelopathy, 2 times in the last year MRI's have shown myelopathy. Now while there is only mild stenosis of my spinal cord, there is a large portion of my spinal cord that showed 0 spinal fluid, on multiple levels of my spinal canal, I suffer from speech issues, balance issues, clumsiness with my hands difficulty with fine motor skill like buttoning shirt's. Now I've done research of my own independent of my Dr's, and have found that the symptoms of PLS, and myelopathy mirror each other almost exactly. I've also discovered that the lack of spinal fluid means that my spinal cord is not receiving the nutrients necessary to keep it healthy! However I can not convince my Dr's to agree with me. The diagnosis from the radiologist, who read the images said myelopathy yet my Dr's say no! Can someone please tell how to deal with this? I'm very much in a fight not only for my mobility but for my life. I fall repeatedly, have fallen down stairs and severely injured my foot, and ankle to the point that it needs surgery to repair it. It feels as if I'm being ignored, and taken advantage of because of my speech issue. I can still write, but it's very difficult to cover everything that needs to be said in a 30 minute appointment.
Thank you Doctor that was excellent. Im going to get surgery in March 2022 on my neck, your video was great.
How was your surgery? Hope it was a success!
@@argentinarodriguez4170 hi! Thank you for following up. My surgery was a success, I had a anterior Cervical discectomy and fusion. Two disc were replaced it took 3 hours because there was other work done. The only thing I still get are headaches once in awhile and neck pain but the whole reason for the surgery was to replace the disc and straight it so it won't hit my spinal cord. It was pretty close to it. But other than that I'm well thank you. God bless.
@@virginiasanchez4614 I am very glad it was a success. God bless you!
@@virginiasanchez4614hi are you still well or improved
Thank you so much Dr.Armaghani I've been diagnosed with Cervical myelopathy and have had a anterior fusion I am now experiencing a decline in my ability to walk it's getting worse I am a 58 yr old male it's been going on about 2 years now I'm becoming afraid out the possible outcome but I'm hopeful I swim though sometimes it helps sometimes not.
Thank you so much for sharing this information with me. I did not know how to read my MRI photos. For the past year I thought I just had arthritis in my hands, shoulders and neck. Because I was having pain and fumbling when doing daily activities. Next week is my surgery to correct the problem.
Good luck!
@@ArmaghaniSpine My surgery for ACDF C5-C7 went along really well. It will be 6 weeks post op.
@@believeinyourself7511 u r feeling better after Sergery??
@@believeinyourself7511 how are you now ?
@@sasukefan6919 I am doing much better. Thank you!!!!
Thank you for a very well explanation of cervical myelopathy. My mother was just diagnosed with this and needs surgery as her condition will worsen as you said. This video has helped me understand what she needs and how serious it can get. Thanks again!
Good luck to your mother, Olga!
hi dr i just want to ask you i had cervical spine surgerger last year nov 2021 c1 c7 my problem before surgery is only my left foot weakness no pain and like heavy feelings in my hips no other complains only difficulty of walking left leg operation done last nov 2021 then jan 2022 operation fo my L2L3 i stayed in the hospital untill april discharged april 62022 but unluckily i did not see any improvement i can walk but iam still using a walker i have numbness on both legs i feel like my brain is disconnected to my body . before i can not move my foot fingers . i need to imagine first to move my foot fingers my foot dorsnt follow what i want to do do like moving . but lately i can move it now i did my exercise always even in bef . how shoul i experience like this dr? i feel like i cannot carry my neck very heavy my legs so much numbness when i sit i feel like my neck is unstable . is this forever doctor ?
Doctor what type of surgery do you think I need and how long is the recovery? This is what it says on my report “There is a long-standing marked constitutional canal narrowing with further encroachment on the c3-4 canal and ( to a lesser extent ) c4-c5 canal by disc osteophyte bars. There is marked c3-4 cord compression and signal abnormality ( which is likely to be long standing) with additional incipient cord impingement at c4-5 and c5-6”.
Thank you doctor for your dedication
Thank you for sharing and marking it plan. I was just diagnosed with degenerative disc disease. C5 and C6 it’s painful
I have moderate to severe canal stenosis and cord flattening at both C5-C6 and C6-C7 with posterior bone spurs and narrowing, and multi-level foraminal stenosis. My symptoms have been slowly worsening with numbness and tingling on my hands and feet, neck pain, unsteady hands, balance issues, and positive Hoffman.
How severe does cord compression need to be before surgery is recommended to prevent serious damage from being done?
How severe do symptoms need to get before surgery is recommended?
A great teacher & I appreciate this info 🎉
I'm just going through the process of anger because of this, I'm really a , or I was extremely positive. I apologize for the previous outbursts, please do your research on this and don't delay,
I have the exact problem and is scheduled for surgery soon. Thanks for this video.
good luck!
how r u doing now, post surgery? why did not y manage it conservatively?
@@gururajkulkarni343he’s a bot 🤖 🤖🤖🤖
Sad that you do not post any more!
Thank you so much for explaining my condition to me .
You are most welcome!
Thanks for this video doc. Really helped me in understanding my diagnosis.
Hi everyone , really liked this video, i realise everybody tuning into this channel has a medical issue , some worse than others but you all sound like fighters and that is reassuring for me .
I am 55 year old male and not entirely sure how long I've had any condition but both my feet were broken at birth so had special shoes etc , over some years early teens i was sporty when my cartilage exploded in my knee aged 15 then 2 years later a big spur on same knee damaged nerves to have it removed , had back problems from 17 and just got on with it as you do , had 5 procedures on that knee over the years then surgery on both shoulders for decompression on left and same on right with a full tear rotator cuff thrown in for good measure , both shoulders over 5 years from age 45 , so i really cant say whats going on with all the spur growths , 2021 tendonitis right achilles which still bothers me always swollen and painful and developed binocular diplopia , as you can imagine i was getting rather pissed off , so pushed for MRI and neurologist confirmed spondylosis 2022 with cord compression , i was in shock and didnt ask enough or correct questions, he knocked me for six when he mentioned surgery , i said no and stood up , thanked him and left , havent spoken to him since but i am getting gradually worse and cant or wont bring myself to call him for an appointment , YES i am terrified and negative, i havent spoken to my family about this but now my son has back problems .
Any advice please ?
Very informative and excellent video! We need more of these kinds of video in other diseases . Great and clear explanation
Thank you so much
After seeing several videos, it seems for surgical options, the new ultrasonic technology has the best chance of helping those who are diagnosed early. This is essentially using a “Dremel tool” bit of sorts, designed to be safe around soft tissue, to remove bone and calcification and make the spinal canal larger. This is best when diagnosed early and done early enough before loss of function. Considered better than fusion for most, since fusion creates more problems later on. And, I have also learned that there are some non surgical approaches that appear to slow the progression, at least in some patients. I am just stating this based on the many other literature and videos I have watched.
Laminoplasty is a motion preserving surgery that can treat this condition. Thank you for your comments.
Very nice and easy explanation to understand.....hats off sir....
So nice of you
Nobody explained to me this step change. This helps me so so so so much to understand I am not crazy! I couldn't understand why I'd have one set of symptoms for a month, and then they'd go away and I'd get another set, and then the old ones would come back and it just keeps getting worse. I feel bad I waited so long :(
I waited 7 years. I’m 31 and had this myelopathy at 25. I regret for waiting this long. I’m going for surgery soon hopefully within this year.
Glad it was helpful!
@@yes619I'm expiriensing the worst symptoms and I'm only 26 😢😢😢 GP has no idea and in hospital they outright refused to diagnose me because I'm having burning pain in between my shoulder blades whilst I'm walking. And tinnitus, vertigo, sycnope, shortness of breath from time to time, problems with vision, right eye sees less, numbness in head, right elbow, pins and needles sensation in back. I became very depressed and hopeless, even suicidal at times. I don't understand why it's so bad here in Ireland 😢😢😢 Will try to go to another hospital in a day to try to convince them to look it up.
@@ArmaghaniSpine I started dry fasting. Have been doing it for 1 year now, 3 days a week. I feel much relieved. Pins and needles have reduced, I can feel what I touch now a little bit better. I believe the body can heal itself if given a chance!
@@yes619 I agree with this. Intermittent fasting relieves some of my symptoms as well.
i have this from an auto wreck. got hit at a red light by a dumb B driver. as i sat in traffic. i have been under pain management care for 12 years. i was disabled by this. but fortunately my symptoms did not worsen a lot over these ears. until almost a year ago. i got hit again. now my hands go numb, pain down my legs. i never had. falling down. and memory, vision, where is this dr. i really feel he knows his business??? .
What an amazing and insightful video.
I am having many of those symptoms but it is not diagnosed. My trust has been compromised with my current provider for a variety of reasons.. I am seeking out another. Regardless, my MRI shows spurring through C2-C7 with moderate thecal sac effacement c5-c7 and severe foraminal narrowing. I have struggled with neck and back issues since I was a child due to a neck injury. My arm and hand tingles and goes numb and has been doing this for several months. This video has helped me understand the anatomy of and resulting functions of the spine. I feel like I can now make informed decisions. Thank you so much!
Brilliant description!
Very well explained..thank you so much sir..
You are most welcome
Thanks Dr for your message ❤❤❤
I'm 72,my spine surgery HX began in 1994.. multiple C and L fusions.. I am now having surgery next week for Myeloradiculopathy C-7 T 1-2
Shout out to Dr Steven Ludwig @ the University of Md Orthopedics
رجعت لحياتك لطبيعة بعد عمليه
Many thanks on the video.I hv diagnoised myleopathy and advised for ACDF.
Me 2. I am in my 40s
Very thorough and helpful. Thanks
thank you!
Can you please make a video on how to analyse a cervical CT scans specifically discussing ADR complications including osteolysis and facet joint problems
This has been so incredibly helpful. Thank you.
Glad it was helpful!
Thank I'm new to this my symptoms began a month ago and it's been hell.
most patients get better non operatively especially with short duration of symptoms.
How are you today
Best explanation I have found. Thank you.
Glad it was helpful!
I’m 58 and have very little feeling in my arms and hands. The pain is terrible and I want to give up. My hands are either hot or freezing cold and very painful. I have numbness in my chest and when I walk I look like I’m drunk. I live in an area where there’s no good neurosurgeons, what do I do? I’m at the end of my rapidly fraying rope
Thank you very much indeed Dr. Armaghani. It's so clear your presentation.
You're most welcome
Thank you so very much for this excellent video. Very informative. I am just off the operating table so to speak and I got more information out of this than my own surgeon😂🇳🇴.
Thank you sir. I’m in a critical condition on my c3 pinching my spinal cord.
Hi
R u available for consultation on zoom or does it need to be in person and in usa ?
I need some further consultation as my current Nhs consultant thinks it’s best not to do surgery due to age and diabetes and he thinks it may not work after surgery. So what was the website or email to contact you ? The video seems informative and you know what you are talking about and professional explanations given. Thank you so much. 🙏
I will be looking forward to you’re future videos
Thank you!
I had a ACDF surgery done on C4-C5, i had all the symptoms described, only my surgery did not work, it did not fuse, now my pain is worse than before.
My recent MRI says I have cord impingement at c5-c6.. it’s very obvious on the scan.. but my only symptoms are bad neck pain on the right side that goes behind my ear and above my ear.
Is this MRI done laying on your back? On your side? And what about movement? MRI is a snapshot in time... Many abnormalities show up with movement
One other treatment other than surgery that can be considered is Cox Flexion Distraction of the cervical spine. This of course with be co-managed with either a neurosurgeon or orthopedic spine surgeon.
This is very professional. Thanks!
You're very welcome!
35 at last stages of cervical spondylitic myelopathy found out when I was 31 years old started trying to get help at 26 took 5 years to get my first MRI the worst are the migraines started back of your neck worked away to the front of your head back your eye they it's fucked up in the last for 72 plus hours you feel coming on your fever sweating cold 48 hour mark u start puking 72-hour Mark starts to die down it goes away and it always happens when I sleep the wrong way for too long and then the tingling numbness in the fingers and arm electric sharp stabbing pain from your neck find shoulder blade then tricep the burning feeling between shoulder blades and the back of the neck the electric jolts pain shooting from back of the neck all the way down to feet
I have this problem, had the fusion and it didn't work, my Spinal canal is nearly cut off 3 through 7 , because of time off work, lost job and insurance, because of my original insurance wouldn't cover the a newer procedure. I have permanent numbness in my right pinky and palm, make sure you do your research on who does your surgery and get many opinions. I really don't know what to do now . I'm 48 years old
how are you now?
Thanks for this lucid video Doctor.
What may be the reasons for cervical myelopathy in a 23 year old unmarried woman?
I'm also 23 yr old and same problem
Did you guys got healed ?
How are you now?
Had large extrusion at c6-c7, with severe canal stenosis and severe cord deformity. Edema and cord signal abnormality at and below level of extrusion.
It was probably there for a while and symptoms gradually worsen. 5 months from complaint til first MRI, C6-C7 ACDF a month later, 9 months after 1st surgery, Anterior C6 Corpectomy with C5-C7 fusion. Ortho who did first surgery was considering a 2nd surgery from posterior, neurosurgeon wanted to do a 2nd anterior surgery.
Neither surgery helped symptoms, plus have severe DDD at L5-S1 with large extrusion.
It sucks because I can’t tell if symptoms are coming from the cervical myelopathy, L5-S1 extrusion, or the 2cm x 2cm x1cm cyst at the T12-L1.
I’m only 40 and so many issues and told that symptoms will persist and hopefully surgery stopped the progression of the myelopathy
how are you now?
I had a c2 - c6 posterior fusion and laminectdy your video makes me feel better that I got it done thank you
Great video. I've been suffering from shortness of breath and leg and arm circulation issues, weakness and carpal tunnel symptoms. Also have swelling in right supraclavicular area, but not lymph nodes. only diagnosis so far after numerous doctor visits, was several disc bulges from Cervical to Lumbar spine. the C5 disc appears to be impinging on spinal cord, thus one Neurosurgeion recommended Antierior disc fusion of c5 ......Seems like this may not be the true cause of the shortness of breath, perhaps the hand weakness and tingling but would hate to get this C5 fusion and find it was not the cause of my legs and breathing issues. Thoughts? a way to confirm the MRI showing C5 myelopathy is causing the Tinnitus, breathing shortness and leg and arm tingling?
I had the same thing and just got surgery. Breathing issues can definitely be a result of spinal stenosis. I had shortness of breath as well.
Yes I had shortness of breath and now since surgery my breathing has really improved. I had c-2 thru 7 with infusion. Wish I hadn't waited so long.
@@faith769 I am going through all this and I don’t have insurance 😭😭😭😭
Diaphragm. Not lungs. Cervical segment impingement of diaphragm nerve.
@@ThePriscillaKaridis how did the surgery go. I am really afraid to have this surgery
Excellent video!!
I'm 34 and had an emergency ACDF on c5c6 2.5months ago after a PT broke my neck. Stood with symptoms for 1.5 week.
Myleopathie due to stenosis. Operation was successful (spine is freed up after checking 7weeks after) and see improvement in fingers... light residual myleopathie showed on latest scan (small white points on the MRI).
Can this heal with time? Or does it mean that it' s permanently damaged?
I am having spasms through my right leg and tightness across all right side of the back and leg. Can this improve over time?
Thank you so much ❤
how did the PT break your neck??
Acuma vad ca esti romanca. Si eu am primit un diagnostic de polidiscopatie cervicala. Partea ciudata e ca nu m-a durut nimic la gat, pur si simplu au aparut la un moment dat niste furnicaturi in bratul stang( care s-au ameliorat intre timp ). Este total inexplicabil pentru mine din ce cauza s-a dezvoltat chestia asta la mine(32 de ani). Nu am practicat vreun sport care sa solicite zona cervicala. Ti-a dat kinetoterapeutul niste exercitii gresite sau din ce cauza ai facut ACDF?
Mi a rupt gatul efectiv. Printr un "crack"... sunt deja mult mai bine acum
@@roxanamatei3309 rupt inseamna ca ti-a fracturat vertebra ceea ce ma indoiesc, probabil ti-a lezat vreun disc sau o articulatie ceva soft tissue dar e in general o idee buna sa eviti operatia ptr ca tesuturile se pot vindeca daca le lasi in pace( fara posturi vicioase sau miscari excesive ). Presupun ca aveai simptome progresive grave. Kinetoterapeutul ce a avut de zis dupa grozavia asta? Si de ce a fost nevoie sa-ti manipuleze cervicala??( niciodata nu e o idee buna sa o manipulezi)
Why did you guys answer her in another language?
What are the dangers of the surgery for cervical Stenosos. IS there a good ooutcome
My stenosis is moderate to severe. What is recovery and a good doctor in DFW.. names please
R
I think surgery is too dangerous.
Can muscle cramps such as hand cramps be a symptom of myelopathy? Or radiculopathy? I noticed holding my iPhone for an extended period of time or using a screwdriver cramping started on my affected side.
Very clear and helpful, thank you.
You're very welcome.
Why doctor operate on someone without any assessment or explanation and told them afterward that their NECK was too long?
Excellent presentation
I’m 35 and I’m going through this 😢
How are you now
My father is been confirmed by doctors that he is having CSM and he is having trouble with breathing and mentally instability,
but you didn't mention that as part of the symptoms or could it be a separate disease?
Please reply me if my comment is noticed.
Good description of mri scan.
Thank you!
Hello, first, thank you for the video. It was very informative and easy to understand everything.
After a rear ended accident I was diagnosed with a cervical myelopathy, the MRI shows that my spinal cord suffered an injury where is swollen, two of my discs are herniated and are slightly compressing the spinal cord. Both of the neurosurgeons I consulted are in the opinion that I should go to surgery. The first neurologist suggested two level disc replacement which will help me to keep my neck mobility and will remove the pressure from the spinal cord. The other neurologist suggested a fusion on two levels which will also remove the pressure from the spinal cord but the neck mobility will be slightly affected. After all my research on this matter I’m more in favor of the disc replacement, my question is does the disc replacement will hold overtime ? Or is the fusion a better option? I know that without looking at the MRI is difficult to have an option, specific to my condition.
At this point I have no pain, tingling, numbness or any of the symptoms described in your video.
Thank you for your attention : )
I was recently diagnosed, at age 50 and physically fit and otherwise quite healthy and very active, with cervicular myelopathy and radiculopathy. Started as a pinched nerve that has caused radiating pain and numbness down the right arm. Over time the pain mostly went away. First surgeon recommended a hybrid fusion, then disc replacement, then skip a level, and then disc replacement. Second surgeon's opinion was for a 4 level fusion (anterior) with rods and screws (posterior)! Third surgeon, the most experienced of them all, insists that I should not get surgery at all since, aside from numbness in the right index finger and thumb that I've had for ~10 years now, I'm asymptomatic. Reassess every 3 months and after a year get another MRI and compare to see any changes. So basically my choices are major surgery that will almost assuredly result in a drastically reduced quality of life and limited neck mobility for the rest of my life, or take my chances. No one seems to be able to say with any certainty whether this will get worse or not - even this excellent video said "20% to 60% of patients" with this will get worse. Well that's an awfully imprecise percentage! At this point I'm going to take my chances and hold off and just keep monitoring, as the last surgeon strongly advised me to do. Bottom line: I urge anyone to get multiple opinions before committing to surgery. You just may find, as I have, that they all differ in their opinions and some are WAY too aggressive.
@@LearnAtMyExpense yeah prob best to monitor and if does get any worse than you can get the surgery. Hopefully it doesn’t and you don’t need to get it.
@@larrytate1657 Unfortunately a lot has changed for me since I commented. Turns out, that 3rd surgeon was a complete buffoon who, in the words of the neurosurgeons I've since seen for additional opinions, "Doesn't know what he's doing." Long story short - I do need surgery and need to get it quickly. I'm scheduled for early August - ACDF C5-7 along with a posterior C3/4 laminoplasty and supporting posterior hardware for C5-7 to guarantee fusion (since the surgeon has to go in posteriorly for the laminoplasty anyway). Told it will be the most painful 2 weeks of my life afterwards but the pain should diminish quickly after the second week. The benefit is no loss of neck mobility, which is much better than what the 4 level ACDF would result in.
how are you now? @@LearnAtMyExpense
@@natlove2099 I am excellent. I have recorded a number of videos about my surgery/recovery on my channel.
Thanks so much for this information
You're most welcome!
Thank you for your very informative video; would you have any information regarding Parsonage Turner Syndrome that you can possibly share, as well?
Not in video for unfortunately. PTS does mimic spine issues but it is something that gets better with time albeit slowly.
Hello, I was diagnosed with herniated disc with spinal cord compression(car accident) I have balance issues and feel spacey.
My spine is 7.7
Hi Thank You for this video I saw a Surgen and he said do you have pain going down you’re arm? I said not yet but I have pinching in my neck and it gets worse when I turn my head to the left my MRI shows a bulging disc he said he didn’t recommend surgery instead get shots by pain management then they burn the nerve …After watching this video I feel like I should get surgery sooner than later. Like you said to stop symptoms from getting worse. Very frustrated. What do you think about this?
Can i send you my MRI pic to tell me whether is physiotherapy is enough or shall I go for surgery
Thank you so much for this explanation 😊
Glad it was helpful!
is hitting me like a ton of bricks literally. im suffering. not giving up!
hang in there!
Did you improve
Lateral view of the cervical spine revealed a posticus ponticus with a general anterior protrusion. This was in my chiropractor report. I have a functional left short leg. Can you explain this medical terminology. Currently going for chiropractic treatment. This was in an earlier report. C1 C2 affected. I think this is the cause of undiagnosed learning disability. Pelvis is coming back into alignment.
ponticulus posticus is a normal variant seen in people. it is not pathologic or causing symptoms.
Thx still nervous about dye in my spine. Need multilevel cervical fusion c3-6😢. ER RN 4ever. Just got any to hurry and get back to life
wishing you the best of luck
My dad is 68 years ..he has done angioplasty last year ...now he is suffering from cervical myleopathy .is that safe to do surgery