Cervical Spinal Stenosis
What is Cervical Spinal Stenosis?
Spine, which is named as vertebra, is a bone window in which the spinal cord passes. The channel in vertebra is named as spinal channel or spinal cord channel, and this channel surrounds the spinal cord like a cage and protects it. The pads besides the bone window of spinal channel, which are named as discs, are consisted of the joints which bond the vertebras and ligaments. As a result of deteriorations of this structure, a narrowing occurs in this channel. As a result, the nerve tissue in the channel is pressurized and this situation is named as cervical canal stenosis.
What are the symptoms of cervical spinal stenosis?
If the spinal cord is pressurized, it is named as myelopathy and if the nerve roots are under pressure it is known as radiculopathy. In the myelopathy of cervical spinal stenosis, there are pains which reflect on arms and neck, which may be accompanied by weakness and numbness. If myelopathy is not treated in time, it causes clinical disorders. Some slight disorders may happen in doing delicate jobs with hands, and in the following times, clinical situations like decrease in manual dexterity, weakness in hands and arms and being unable to do daily activities may occur. Some balance disorders may happen while walking. Radiculopathy, which is occurred because of the pressure on nerves in cervical spinal stenosis, reveal itself in pains which start from neck and spread onto arms and fingers.
How is cervical spinal stenosis diagnosed?
The most important diagnosis method is the examination of your spine doctor. Among the supportive diagnosis methods, neck graphy and tomography are used for the assessment of bone window. MR is taken to evaluate the discs and soft tissues. EMG is another supportive method for diagnosis.
How is the treatment of cervical spinal stenosis?
The initial method is conservative treatment if the radiculopathy or myelopathy is new. In medical treatments, the planning is made for pain. Physical therapy may be recommended if these are not useful. Besides, some injection therapies may be applied to alleviate pain. If there are some prominent neurological disorders like the enormous increase of pain to damage the daily activities or weakness, surgical treatment is applied.
What should be noted after cervical spinal stenosis treatment?
First of all, it is needed to make alterations in daily life. The time in front of the computer or cell phone should not be so long. Wound cleaning is also important in the beginning. After surgical interventions, protein based diets may be useful for healing because there may be some muscular dystrophies as a result of the operations made from the back of neck. Daily exercise and regular sleep should be regarded as important as well.
Why should I have cervical spinal stenosis treatment in Memorial Health Group?
There is a spine centre in Memorial Health Group. In our spine centre, we have experienced spine surgeons who can execute the treatments for specific spinal diseases successfully. Besides, our centre involves operation rooms with high technology devices. The success of treatment is quite high in our centre where the experienced hands are accompanied with technological devices.
What are the reasons of cervical spinal stenosis?
Cervical spinal stenosis is a relatively frequent situation which may develop as a result of congenital or degenerative alterations. The discs may bulge out while losing their liquids as a result of aging and this situation narrows the spinal cord channel from the front. Besides, the decay of joints causes the narrowing of spinal cord and nerve roots from the back and sides. The calcification of bone structure also causes narrowing in the channel.
What is the target group of cervical spinal stenosis?
The frequency of the disease rises with aging and it is more frequent in men in comparison with women.
When a surgical operation may be thought for cervical spinal stenosis?
While it is generally monitored with conservative treatment if the clinical symptoms are mild or moderate, surgery is recommended in the situations of severe and progressive symptoms and weakness.
Does cervical spinal stenosis heal by itself?
Cervical spinal stenosis is a progressive situation. It should not be forgotten there are radiological findings in some cases even if there is no clinical problem, so a close monitoring by a spine surgeon is necessary.
May cervical spinal stenosis occur in various areas of the spine simultaneously?
This may happen. While the neural pressures of multiple cervical disc disorder may be experienced in men more frequently, women experience the pressures as a result of ligament thickening more. These situations may cause multiple clinics.
May cervical spinal stenosis cause pain in pelvis, hip, thigh and calf?
If myelopathy findings with a prominent spinal cord pressure are existent, walking disorders may be experienced. This does not cause isolated pains which reflect on hip, thigh or calf.