[Rivervadas]

#34412

Hi, I am a 44 year old male, 5’7”.
I have no neck pain but severe arm pain from the elbows down that started 4 months ago and has gotten worse.
I do not have all the symptoms of myelopathy but my MRI shows severe flattening of the spinal cord with AP cord measuring 7mm at c6-7, which seems to match the nerves involved.
The spinal cord has completely lost its kidney been shape and is flat looking.
I have not lost any strength, no gait problems, but my hands go numb and tingle when I put my head back while paddling for surf.
The neurosurgeon is a very good one, and very conservative. He has expedited my surgery date ahead of others because he believes it’s prudent.
He says it may not relieve my arm pain but necessary to stop further damage. He says my condition is dangerous.

Is it possible for central stenosis/myelopathy to affect the nerve roots as well?

Does surgery sound like the right thing to do?

[Donald Corenman, MD, DC]

#34420

If you have cord flattening with symptoms increased by neck extension, more likely you do have myelopathy and need cervical surgery. However, since you are a paddler, you could have nerve entrapment also in the elbows and wrists (cubital and carpel tunnel syndrome). The physical examination can help to confirm this and an upper extremity EMG/NCV can help to confirm the diagnosis. Nonetheless, your neck most likely needs to be addressed soon.

See:
https://neckandback.com/conditions/carpal-tunnel-syndrome/
https://neckandback.com/conditions/cubital-tunnel-syndrome/

Dr. Corenman

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