ShawssParticipantDecember 5, 2018 at 10:02 amPost count: 1
I had c5-c7 Anterior Cervical Discectomy with Fusion because of herniated discs and severe spinal compression, with cervical myelopathy. I was diagnosed after having an MRI.
I had all the classic symptoms
In addition, I also had Thenar eminence atrophy which still remains today after the surgery.
I have searched and asked if Thenar eminence atrophy is a common symptom of Cervical myelopathy and have never received a clear answer. I was happy to see your article.
“This is a picture of atrophy of some hand muscles (the thenar eminence) that commonly accompanies cervical myelopathy.”
Can you please elaborate on how common this is with cervical myelopathy?
Is the atrophy permanent?
what can be done to rebuild the thenar eminence muscle?
Thank You for your time.Donald Corenman, MD, DCModeratorDecember 7, 2018 at 7:37 amPost count: 6503
Thenar atrophy is not too uncommon a sign of myelopathy. I would say about 10-20% of patients with myelopathy display thenar atrophy. The exact cause (what tracts are dysfunctional) is not very well defined. Once the cause (spinal cord compression) is eliminated, the return of thenar muscle bulk is not common. I cannot remember a patient with muscle mass return but I do confess that I have not looked for it so I may be mistaken. You can use grip strengthener devices to try and restore bulk.
Dr. CorenmanPLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
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