Cervical Myelopathy Podcast

  Рет қаралды 28,628

Princeton Spine & Joint Center

Princeton Spine & Joint Center

Күн бұрын

0:00 Introduction
0:56 What is a Cerivical Myelopathy?
2:56 What is Happening in the Spinal Cord with Cervical Myelopathy?
5:23 Can a Myelopathy Happen Anywhere in the Body?
6:22 What Are the Symptoms of Cervical Myelopathy?
8:12 When is Surgery Appropriate?
12:26 What Type of Surgery is Involved with Cervical Myelopathy?
16:33 Recovery Time from Surgery
17:53 Physical Therapy and Activity
21:32 Complicating Factors
25:09 Neurologic Dysfunction
27:00 Like & Subscribe
In episode #8 of the Princeton Spine & Joint Center Podcast, Dr. Marco Funiciello, Co-Director of the Interventional Spine Program spoke with Dr. Sandro LaRocca , Board Certified Orthopaedic Surgeon and Director of the New Jersey Neck and Back Institute . They discussed Cervical Spondylotic Myelopathy, the symptoms, the causes, and the surgical approach to treatment.
Dr. Sandro LaRocca is director and founder of the New Jersey Neck and Back Institute njnbi.com/ and is a fellowship trained orthopaedic spinal surgeon who is board certified by American Board of Orthopaedic Surgery. He is a member of the American Academy of Orthopaedic Surgeons, the North American Spine Society, the New Jersey Spine Society, the Society for Minimally Invasive Spine Surgery, The Orthopaedic Surgeons of New Jersey, and the American Medical Association. Dr. LaRocca has been in private practice since 2001. He has extensive experience in minimally invasive and open techniques of spinal reconstructions, stabilization, and nerve (spinal cord) decompression of the cervical (neck), thoracic (mid-back), and lumbar (low back) spine.
Dr. Marco Funiciello, DO, is a board certified physician specializing in the non-operative care of spine, joint, muscle and nerve pain. Dr. Funiciello is the Co-Director of the Interventional Spine Program at Princeton Spine and Joint Center. princetonsjc.com/ After graduating from the University of Scranton, Dr. Funiciello received his medical degree from UMDNJ-School of Osteopathic Medicine. Dr. Funiciello then received his specialty training in Physical Medicine and Rehabilitation from Saint Vincent’s Hospital in Manhattan where he was honored to serve as Chief Resident. Dr. Funiciello has extensive additional training in Osteopathic Manual Medicine and often utilizes this skill set to complement his conservative and holistic approach to his patients. Dr. Funiciello has authored numerous chapters and papers and lectures widely. He is consistently rated as one of the best doctors in the country by his peers and by his patients.

Пікірлер: 59
@kaylal-skii9162
@kaylal-skii9162 2 жыл бұрын
I just received two cervical spinal fusions and I am in recovery after 3 weeks I can now walk and my hand grip and motor skills are back to normal, I didn’t know why I was numb and then kept falling and couldn’t walk anymore. I am an artist, and my hands stopped working. I had a bad fall and the doctors in the ER told me that there were dead vertebrates in my neck which were crushing my spine. They said if I do not get these surgeries I will certainly be paralyzed in no time. I am only 31 yrs old, an active person. I thought I’d never walk again and spend the rest of my life bed bound. I am home and cleared by the PT and OT and making a miraculous recovery according to the surgeons. They said I am very lucky and that most patients do not recover or heal this well, this soon . May I please tell my story on the podcast? I want to spread the word and thank the doctors especially neuro surgeons out there and give back to people who have been in my shoes.
@BayAreaBikeLife
@BayAreaBikeLife 4 ай бұрын
Wow you give me hope it took me a year and 2 months just to find out i had this but im fearing the worst cause it feels like its been so long im just hoping its not too late to reverse this!!
@Pauly_______
@Pauly_______ 2 жыл бұрын
Sounded like you were talking about me. Went for my lower back and ended up being my c5c6 disc replacement. All the symptoms at 45yrs old
@tczuma72
@tczuma72 2 жыл бұрын
This is who I need to talk to. My Mom went to Princeton!!
@gregmacdonald3559
@gregmacdonald3559 3 жыл бұрын
Hello all I have been suffering with cervical myelopathy for 3 years. I am also having some nasty spasm burning pain in the under side of my feet. Does anyone else have this with Cervical Myelopathy? Great content gentleman. 🇨🇦❤️
@gregmacdonald3559
@gregmacdonald3559 3 жыл бұрын
@@johnrayeocto5987 Thank you so very much! ❤️
@NotSoFast100
@NotSoFast100 3 жыл бұрын
Well done. Good coverage of the symptoms and treatment options. Dr. LaRocca is an excellent explainer.
@bart2923
@bart2923 Жыл бұрын
Thank you DOCTOR. Well done. Broke a complicated subject into simple components.
@nancyellenbridgetallen
@nancyellenbridgetallen Жыл бұрын
I'm actively working with my current job and working with the team
@nancyellenbridgetallen
@nancyellenbridgetallen Жыл бұрын
How serious is that? You guys are good!!
@BeachLife61
@BeachLife61 6 ай бұрын
Great podcast , I wish I could talk to this Dr., although this video is 4 years old !im willing to travel for help .i am in also in NJ ( South )
@catherinemurray2211
@catherinemurray2211 6 ай бұрын
To both of these guys sorry but I had a bad accident and have fifteen disks problems I had incontinence but with training I don’t have this anymore So sorry ……. You can train back your body it will heal I do not agree with any surgery on the spine The doctors couldn’t give a damn if it goes wrong ❤
@StarHarvestOfficial
@StarHarvestOfficial Ай бұрын
Did you have worsening weakness in the arms and legs? That's my main issue right now.
@areguapiri
@areguapiri Ай бұрын
Good point! Spinal surgery is too risky.
@alleyes9911
@alleyes9911 2 ай бұрын
Exceptional from these 2 gentlemen, pity about not being able to Q.& A. though .
@dohc22h
@dohc22h 2 жыл бұрын
I can feel it in the back of my neck when I try and walk up stairs. I have lost about a Third of my mobility on the left side of my body. My Left Index Finger and Thumb are completely numb and my nerve going all the way up my left arm is swollen.. Very High effort to move. I have lost the "bounce" in my step and cannot run anymore. My balance and complete control of my Bladder have been Compromised.. I know exactly where it is in my neck... i can feel the "electric shock" coming from that point in my neck every time I try and walk at a faster pace or like going up stairs, etc. The VA diagnosed me with a Cervical Spine Myelopathy and I'm just checking out what the Internet says about it. I have an appt. with the Neurosurgeon next month to discuss my options.
@PrincetonSpineJointCenter
@PrincetonSpineJointCenter 2 жыл бұрын
Hello Joseph, thank you for your note. I hate to be alarmist, but those symptoms you are describing are very serious. If someone called our office with those same set of symptoms, I would want them seen today or tomorrow, not next month. In, fact, I would not even want to wait until tomorrow. I would highly encourage you to talk to your doctor about being seen more urgently, ideally today. This isn't a forum for direct medical advice, and I'm not giving you any, but what you're saying is too concerning to ignore. The sooner a myelopathy is addressed, the less likelihood there is for there to be permanent nerve injury or paralysis. And the flipside is also true that the longer it is not addressed, the greater the chance for these bad outcomes. So, talk to your doctor about getting seen immediately. Perhaps your doctor can call the neurosurgeon's office. Or perhaps you could call the neurosurgeon's office again and describe your symptoms and situation . And, finally, if you can't get anyone's attention and your symptoms are worsening, you could go to the emergency room.
@luketimber4679
@luketimber4679 11 ай бұрын
Dohc22h -Did you have treatment? Was it helpful? How are you doing now?
@dohc22h
@dohc22h 11 ай бұрын
@@luketimber4679 I had surgery a year ago. I had disk replacement surgery that stopped the progression. The damage that was already done before the surgery is still there but as far as that everything else is fixed.
@barbarakirsch2538
@barbarakirsch2538 5 ай бұрын
Severe pain with cervical myelopathy just for you to know up front.
@gaylecheung3087
@gaylecheung3087 3 жыл бұрын
C4, C5 and C6 degeneration, 58 2021... “slight” Left side neck shoulders throughout arm hand or fingers tingling pins and needles sleeping no pain on shoulder ultra posterior and some new paint upper arm rest is either muscular pain otherwise his hands tingling pins and needle’s extreme still can do a full fist heart attack survivor 2019 70% blockage medical stent - excellent presentation thank you for sharing ♥️🇨🇦🌏
@annanicole1717
@annanicole1717 2 жыл бұрын
What?
@ahmadabras2846
@ahmadabras2846 Жыл бұрын
Thank you doctor, can the symptoms of a spinal cord contusion return and get worse after it has improved well..?
@trudyboschert4472
@trudyboschert4472 2 ай бұрын
After a neurologist reviewed my cervical MRI I was told I would become paralyzed from my neck down without surgery.How exactly does she know this for sure?
@nancyellenbridgetallen
@nancyellenbridgetallen Жыл бұрын
I do drop things sometimes and a slight rubbery feeling in my hands sometimes with slight difficulty in tying shoes
@donaldwilbur2479
@donaldwilbur2479 3 жыл бұрын
I was dx with cervicolumbar radiculomyelopathy in the UK 5 years ago with multiple neuro signs and symptoms. Surgery never mentioned, only prescribed pain relief...is this normal?
@thaidomain
@thaidomain 2 жыл бұрын
You just mentioned in passing that also inflammation is involved in the process of cervical myelopathy. Therefore it seems to me that some non-surgical treatments may have benefit. Also what about myelin regeneration ?
@nancyellenbridgetallen
@nancyellenbridgetallen Жыл бұрын
I have this in vertebrae c3 mainly
@microsteadinguk
@microsteadinguk 3 жыл бұрын
I have cervical myelopathy and myelomalacia. Mine is caused by degenerative disc disease and spinal stenosis.
@ahmadabras2846
@ahmadabras2846 2 жыл бұрын
I m so sorry , What is the difference between myelopathy and myelomalacia please ...
@jeyan65
@jeyan65 2 жыл бұрын
Same . C4/5,C5/6 with myelomalacia. Just underwent anterior microdiscectomy with motion preserving implants two days ago . One night stay and back to work tmw. Amazing how much advancement being made in addressing these problems . However , as once neurological damage as occurred , surgery cannot guarantee return of those functions but rather to preserve what we have , it makes sense to fix the stenosis early esp when there’s already myelomalacia . In addition the thought that one day a sudden hyperextension of the neck trying to see a plane flying above can lead to paralysis , was scary enough to undergo surgery . Of course in consultation with your neurosurgeon/ spinal surgeon
@nancyellenbridgetallen
@nancyellenbridgetallen Жыл бұрын
I've been trying icy hot cream and heat with stabilization of the vertebrae
@vaibhavtomar4732
@vaibhavtomar4732 2 жыл бұрын
I am 31 years old and suffer from myelopathy at C4-5 levels. I have partially lost sensation of pain and temperature from left abdomen till feet. Also there's some coordination issue in my right hand because of which my handwriting has changed. Other than this I don't face any issue in living a normal life. I am careful with my neck movement, safeguarding it from any jerk. I am in a dilemma whether I should go for surgery or not.
@mylovleybabe
@mylovleybabe Жыл бұрын
Hello. I have similar problem. Do we survive whiteout surgery? I’m very scared. How are you feeling today?
@trudyboschert4472
@trudyboschert4472 3 ай бұрын
My neurosurgeon suggested laminotomy c3-c6 with fusion.Im not a candidate for surgery due to osteoporosis.I started experiencing tingling and numbness radiating down my right arm.. I'm having neurologic deficit in my hands.. What is your advice?
@KyDairyGoats
@KyDairyGoats Жыл бұрын
I hate it when a doctor asks if I want surgery. My question is do I need surgery or is there an alternate treatment that will stop progression and of the problem once a person has the symptoms in hands and legs.
@sallyannelong6707
@sallyannelong6707 Ай бұрын
I have numbness pain spams even top legs
@garydunn3037
@garydunn3037 3 жыл бұрын
My mother had a revision knee surgery 2 years ago, and a week later she developed infection in the wound. She had to go for a "Washout" of the wound, which has since healed. However, after that "Washout" she began to develop stiffness in her left arm, and began to lose control of her left hand. She had an MRI scan, and was told she had Cervical Myelopathy, but due to her age, in her 80's, they refused to operate. Now a couple of years later, she has just about completely lost the use of her left arm and hand. They have put her on Gabapentin 100mg 4 times a day, but these are making her worse, affecting her speech, and making her very unstable. Is there any other medication available that would help her? She was offerred Pregabalon but declined using it, because it can cause pressure in the eyes, which she has had surgery for.
@garydunn3037
@garydunn3037 2 ай бұрын
My Mother "Passed Away" 5 weeks ago in a Nursing Home. She was to me, Just a "Living Corpse" in the end. She lost all her Motor Functions, even her speech. She told me a while ago, while she was still able to speak, that she wished she had the surgery to correct her trapped spinal cord in her neck. Maybe she would have still been alive if she had it done.
@dixi1951
@dixi1951 3 жыл бұрын
What is solution they say ???
@nancyellenbridgetallen
@nancyellenbridgetallen Жыл бұрын
I have to go to you!
@djelliott4524
@djelliott4524 4 ай бұрын
I have the leg numbness. Surgeon sees something in T spine he would like a stronger image of..but also wants a brain scan? He was reluctant to explain why he wanted to see brain when he told me openly he sees an abnormality in the t spine? Not the cervical spine...the thoracic spine.
@mariatheresalaborada8420
@mariatheresalaborada8420 3 жыл бұрын
What are the causes?
@mariatheresalaborada8420
@mariatheresalaborada8420 3 жыл бұрын
Thank you so much
@nancyellenbridgetallen
@nancyellenbridgetallen Жыл бұрын
I'm doing pretty good right now but nights are eh
@mariatheresalaborada8420
@mariatheresalaborada8420 3 жыл бұрын
I have s good friend of mine, she has been suffering for almost three years, pls help her
@albanymountainhomestead
@albanymountainhomestead 3 жыл бұрын
She needs to see a neurosurgeon and have an MRI
@nancyellenbridgetallen
@nancyellenbridgetallen Жыл бұрын
I would surgery
@nancyellenbridgetallen
@nancyellenbridgetallen Жыл бұрын
Physical therapy
@nancyellenbridgetallen
@nancyellenbridgetallen Жыл бұрын
Can play the pianos
@nancyellenbridgetallen
@nancyellenbridgetallen Жыл бұрын
Hmmm
@trudyboschert4472
@trudyboschert4472 3 ай бұрын
I have been diagnosed with cervical sponlitic Myelopathy.Everything that's happening to my body is the same as ALS progression.. My PC and two Nero surgeons have told me it isn't ALS.Can a cervical MRI rule out ALS?
@user-xh6ox9if8p
@user-xh6ox9if8p 3 ай бұрын
I truly don't think anyone wants to help ME cause of MY age! I saw my NRI RESULTS, AND THEY ARE NOT good. Everyone has turned their backs on me! I have no family or friends either! What is people like on earth now? Hi 7 c
@trudyboschert4472
@trudyboschert4472 3 ай бұрын
I hope you have someone to help you. I wouldn't be able to live in my home without my husband.
@user-xh6ox9if8p
@user-xh6ox9if8p 3 ай бұрын
God Bless you for that!
@mariatheresalaborada8420
@mariatheresalaborada8420 3 жыл бұрын
I feel pity on her
@synovium
@synovium Жыл бұрын
Do you consider a laminoplasty for degenerative cervical myelopathy?
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