Where an individual seeks treatment for cervical myelopathy depends on the severity of the condition and the treatment needed. Nonsurgical treatments may be obtained from a primary physician, while surgical treatment is best sought at treatment centers such as Columbia Neurosurgery, Johns Hopkins Medicine or Mt. Sinai Hospital, according to their official websites. The best treatment for cervical myelopathy is considered to be surgery that decompresses the spinal canal.
Columbia Neurosurgery uses a surgical approach from the front of the neck, the back of the neck or even combined approaches. The approach is generally determined by the location of the stenosis and overall alignment of the cervical spine, states Columbia Neurosurgery.
The surgery may have one or more techniques, including diskectomy, which removes a portion of the disk to relieve pressure on nearby nerves; laminotomy, which removes a portion of the bony arch of the spinal canal to relieve pressure; foraminotomy, which expands the opening for the nerve roots to exit the spinal cord by removing bone and tissue; osteophyte removal, which removes bone spurs; and corpectomy, which removes part of the vertebrae as well as the disks, explains Johns Hopkins Medicine.
A more conservative approach involves treating cervical myelopathy with nonsteroidal anti-inflammatory drugs such as aspirin, Celebrex, Motrin, Advil, Aleve and Feldene, states Spine-health. These may be accompanied by modifying or minimizing strenuous activities such as working out and doing physical therapy for cervical stenosis. These are usually prescribed for patients with radiculopathy, or weakness, numbness or difficulty controlling one or more muscles due to nerve damage.