Cervical Myelopathy Treatment Options

Conservative management for cervical myelopathy or herniated cervical discs focuses on relieving symptoms without surgery. This approach includes:

• Rest: Allowing the neck to recover by avoiding strenuous activities.
• Anti-inflammatory Medications: Over-the-counter or prescribed medications to reduce pain and inflammation.
• Physical Therapy: Strengthening neck muscles and improving flexibility through targeted exercises.
• Ice and Heat Applications: Alternating between cold and warm treatments to manage pain and stiffness.
• Cervical Traction: Gentle stretching to reduce pressure on the spinal cord or nerves.

Most patients experience significant relief within a few weeks to a few months using these methods. If symptoms persist, steroid injections may be offered to reduce inflammation further. In severe cases where nerve function is compromised, decompression surgery may be necessary to relieve pressure on the spinal cord or nerve roots and to prevent permanent damage.

When nonsurgical methods are not effective, or if symptoms are severe and progressive, surgery may be recommended. Surgery focuses on relieving pressure on the spinal cord or nerves, stabilizing the spine, and restoring proper function. Dr. Lauren Boden offers several advanced surgical options tailored to the patient’s condition.

Anterior Cervical Discectomy and Fusion (ACDF)

In this procedure, the damaged herniated disc is removed through an incision in the front of the neck. The space left by the disc is filled with a bone graft or implant, and the vertebrae are fused together to stabilize the spine.

Cervical Disc Replacement

Instead of fusing the vertebrae, the damaged disc is replaced with an artificial disc. This option preserves natural neck movement and is often suitable for herniated discs.

Posterior Cervical Laminectomy and Fusion

This surgery removes part of the vertebra (the lamina) from the back of the neck to relieve pressure on the spinal cord (myelopathy). The spine is then stabilized with a fusion procedure.

Cervical Laminoplasty

This procedure reshapes or repositions the lamina to create more space for the spinal cord. Unlike a laminectomy, laminoplasty preserves spinal motion while relieving compression.

Foraminotomy

This surgery enlarges the openings where nerve roots exit the spinal column (foramina), reducing pressure caused by herniated discs or bone spurs.

Corpectomy

For severe or multi-level compression, part of one or more vertebrae is removed, and the spine is reconstructed using a fusion or cage implant.

Minimally invasive techniques are often used for appropriate cases. These methods involve smaller incisions, less tissue disruption, and shorter recovery times compared to traditional open surgery. Dr. Lauren Boden specializes in these advanced techniques, which are designed to minimize pain, facilitate faster healing and improve outcomes.

Whether treated surgically or nonsurgically, recovery involves a combination of physical therapy, lifestyle modifications, and follow-up care to ensure long-term success.

Physical Therapy

After surgery, a tailored rehabilitation program helps restore strength, flexibility, and function. This step is essential to a full recovery.

Pain Management

Post-treatment pain can be managed with medications, hot or cold therapy, and alternative treatments like acupuncture or massage.

Regular Follow-Up

Monitoring progress through follow-up appointments ensures proper healing and allows adjustments to the recovery plan as needed.

If you experience persistent or worsening symptoms such as neck pain, weakness, unsteady walking, or difficulty using your hands, it is important to seek medical care. Cervical myelopathy and herniated cervical discs can lead to permanent damage if left untreated. Dr. Lauren Boden provides comprehensive evaluations and personalized treatment plans to help patients find relief and regain function.