Cervical Myelopathy: The Silent but Devastating Condition

Cervical Myelopathy: The Silent but Devastating Condition - Dr. Colum Nolan Speaks Out

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Жыл бұрын

Dr. Colum Nolan, a senior consultant neurosurgeon of Oxford Spine and Neurosurgery Centre, is an expert in the field of cervical myelopathy. He has extensive experience in diagnosing and treating patients with this condition, and has been instrumental in advancing treatment options for those suffering from spinal cord compression.
According to Dr. Nolan, cervical myelopathy can have a significant impact on a person's quality of life, and it is essential to seek medical attention as soon as symptoms arise. Early diagnosis and treatment can help to prevent further damage to the spinal cord and improve outcomes for patients.
Dr. Nolan emphasizes the importance of a thorough diagnostic evaluation, which may include a physical exam, imaging tests, and neurological assessments. Based on the results of these tests, he works with patients to develop a personalized treatment plan that may include conservative treatments, such as physical therapy or medication, or more aggressive options, such as surgery.
One surgical option that Dr. Nolan often recommends for patients with cervical myelopathy is the anterior cervical discectomy and fusion (ACDF) procedure. This involves removing the damaged disc and fusing the adjacent vertebrae to stabilize the spine and prevent further compression of the spinal cord. Dr. Nolan notes that this procedure has a high success rate and can provide significant relief for patients.
In addition to surgical interventions, Dr. Nolan also emphasizes the importance of lifestyle modifications, such as weight loss and avoiding activities that exacerbate symptoms. He notes that these changes can help to prevent further damage to the spine and improve overall health and mobility.
Overall, Dr. Nolan's expertise and commitment to patient care make him an invaluable resource for those suffering from cervical myelopathy. With his guidance and expertise, patients can achieve improved outcomes and regain their quality of life.
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Пікірлер: 33

@dijanam8986 9 ай бұрын

This video is pretty spot on with regards to this condition. I had all of the severe symptoms before surgery. Don't wait for things to get worse. Mine was a narrow spinal cord and impingement not wear and tear so much. Surgery has helped enormously.

@PrimeMagazineSg 9 ай бұрын

Thank you ...

@LoLoRose777 2 ай бұрын

Thank you so much for commenting this here, I really needed to hear your encouraging words...my injuries are mostly related to a gnarly car accident 7 years ago, and for the past 4 years have been experiencing progressively worsening symptoms...in the past year, things have taken an alarming quick downward slide. I'm now scheduled with a neurosurgeon for surgery consult and I'm a bit terrified of having my spine operated on...but seems to be the only fix for this particular major issue. Thank you again, it's so encouraging to hear of an actual human being's successful surgerical outcome!! I wish you continued healing, good health, and mobility!!

@matchpoint14 Ай бұрын

@@LoLoRose777 Are you having head aches? My problem also has gotten worse in the past year, I need surgery, I dread it

@LoLoRose777 Ай бұрын

@@matchpoint14 Yes, frequent migraines...I'm sorry you're also suffering - I understand, and encourage you to hang on to hope! I'm currently in the phase of trying not to aggravate things too much, and also shudder at the thought of spine surgery...but the alternative of just allowing things to progress on their own isn't the best thought either, so it doesn't leave us with many options it seems. I'm trying to find the happy fine line of enough activity vs too much activity - it's a tough one, as you probably also know, as we can't find the line until crossing after doing too much lol. I wish you well, and here's to finding the structural help we need!!

@mravismunusamy308 7 күн бұрын

I just underwent surgery which was performed by Prof Dr Dharmendra at UMSC, Malaysia on 12/3/2024. I had weird symptoms. That was burning sensation at whole body. Everything was came to end after the surgery

@bhagabanswain8742 Ай бұрын

Hi Doctor, My 17-year-old nephew has been diagnosed with a cord infarct, as indicated by a T2/STIR hyperintense signal involving the cervical cord from the C2 mid border to the C5 mid border, with associated cord swelling and diffusion restriction on DWI. Neurosurgeons have advised that no surgery is needed, and neurologists have mentioned that there is no specific medication for this condition. They have recommended physiotherapy but are uncertain about the extent of recovery it can provide. Could you please provide your opinion or any additional advice on this matter?

@Spectre2434 5 ай бұрын

So once MRI confirmed stenosis is severe but not causing upper motor neuron lesion what then ?

@matchpoint14 Ай бұрын

Can this cause frequent head aches?

@JimRedland Ай бұрын

Side effects after surgery?

@coffeehead68 10 ай бұрын

I am intrigued to know what part auto-immune diseases can play with cervical myelopathy. My Dad has been suffering for over 4 years, his thyroid levels were swinging all over the place and his health gradually got worse and worse. He was completely exhausted and could hardly walk, it took over 2 years before an MRI was done and the diagnosis was cervical myelopathy. He had spinal fusion in the neck, anterior in October, 22 but it collapsed so a cage was put in from the front this time. He has had very little improvement and is still struggling with extreme exhaustion. His thyroid levels are off again and the increase in medication seems to make no difference. We are desperate for any advice. He was told that he was expected to have improvement but we are not seeing any, he still has carers and can do very little for himself. Any advice would be greatly appreciated.

@PrimeMagazineSg 10 ай бұрын

We are sorry to hear about your Dad's complex health situation. If you would like to have another opinion on your Dad’s case please feel free to consult directly with Dr. Colum. His clinic can be reached at +65 6333 3013 to book an appointment or visit oxfordspineneuro.sg/ for more information.

@coffeehead68 10 ай бұрын

Thank you for your reply, sadly I thought you were based in Oxford, England@@PrimeMagazineSg

@matchpoint14 Ай бұрын

coffeehead68, I am age 55 male and had the surgery in 2018 and things collapsed so I have to have it again pretty soon. I also have severe fatigue. Very severe fatigue so bad I can't do anything. I did have a thyroid test and it was positive for mile hypothyroidism but meds only made me have head aches and kept me awake so I got off of them. I have fybromyalgia and always been fatigue but it is worse now with this disc pushing on my spinal cord. Did your dad have any fatigue before all this? He may have fybromyalgia and chronic fatigue is part of it. Maybe he is deficient in some B vitamins or D vitamins, both of those can cause fatigue if low. Maybe he has low Testostorne? He also could have Lyme disease or Epstein Barr Virus. I list these things because I have been trying to figure out my fatigue thing for years.

@MacchiatoSwirlGirl 5 күн бұрын

I had C3-C7 ACDF big mistake I am sorry I used the surgeon I did. The surgeon makes all the difference. When they see older patients a lot of time they do not take care, or make it tricky...so there's a Doc called Amid Abassi, he has a KZfaq page and deals with much older patients

@BayAreaBikeLife 5 ай бұрын

I been dealing with this for a year wish i found out earlier how serious this was one of the things im very curious of is what the success rate of someone reversing this or being able to walk/run again

@matchpoint14 Ай бұрын

BayArea, are you able to run and walk? I think if it is corrected the odds are really good to be able to walk again. To not be able to walk again it would have to be something that severs the spinal cord not just pressure.

@BayAreaBikeLife Ай бұрын

@@matchpoint14 no cant walk or run been doing a lot of physical therapy and a lot of miles on a pedal bike (i was in bed first like a year at its worst stages) but im now able to use a walker for a minute or 2 but just hoping it can get better 🤞

@alleyes9911 3 ай бұрын

Hi, i am 55yo male , over the last year or so i developed a head tremor and have noticed only my left hand that when trying to hold a small object that my thumb and index fingers move uncontrollably like a rolling motion , i have spinal cord compression and diagnosed spondylosis and osteoarthritis also noticed my timing is way off when doing certain tasks or to stop things falling my reaction speed is poor , can anyone explain this or am i just getting old 😅 my neurologist said about surgery being an option but i got bit scared thinking about this , he was thorough and said my gait was an issue but it's knowing when to actually consider surgery , I've heard prevention is the best cure but i really dont know what's the correct way to deal this , would appreciate any insightful comment.

@matchpoint14 Ай бұрын

alleyes, I too just turned 55 about 30 minutes ago actually. But anyway I have a herniated disc in my cervical area pushing on my spinal cord and sometimes my thumb does that same thing it will twitch and sometimes does a 'rolling type motion" I do not have any other symptoms that you have but this can vary from person to person. I do have bladder problems and lots of head aches and lots of fatigue and like a dull ache or burning sensations in both arms and legs. Do you have any of these symptoms? It is a touch decision about the surgery I have been putting it off for 4 years but the head aches are occurring almost daily and I am severely hindered from this, so I have to do go in for the surgery. If you are not having trouble working or functioning you might want to try rehab for a couple months. But also if you wait things could get worse and surgery when we are older is harder on our body but we are not quite that old yet, I think over 70 would be an issue.

@alleyes9911 Ай бұрын

@@matchpoint14 Hi , thank you for the reply and happy birthday, I to have headaches but not as often as you maybe only twice a week but becoming more frequent, I do know it is cervical & lumbar stenosis , had ringing Tinnitus in left ear for about 10 years constant and just last week a non-rhythmic pulsating in my right ear , pain in my neck C5 C6 with head tremor not sure if this is related or not , I can't comment on shoulder pain as I've had surgery on both but mostly noticed my walk has changed , like an unbalanced walk and just fatigued all day no matter how much sleep I get , legs feel like lead weights most days. My issue is not doing anything about it .....the longer it's left the more irreversible damage is caused and that's the dilemma, it sounds really negative yeah but think it is difficult to find a positive with this condition, all the best to all the people on here .

@user-om3zp9kn5m Жыл бұрын

Doctor please l have disc herniated in c 5 c4 compressed spinal cord l have symptoms tingling and numbness in hand and legs some time little and some time more abd little heavy in my feets what can I do making surgery's i have this symptoms for 5 months

@user-cf1tt1tg6l 4 ай бұрын

Plz consult spine surgeon...

@ronnierush9379 10 ай бұрын

This is missing out loads of important information and some of his advice could be dangerous or will make it worse for certain stages of this condition. Remember everyone is different and your symptoms can be very different from the medical textbook. Good luck I hope you find some relief for this disease.

@JE-wf1xp 10 ай бұрын

Why are you slandering this man? It's just an overview of the condition.

@franm.8343 10 ай бұрын

I have this condition, and everything this doctor said is correct and is relevant to this condition. Also, he is basing his diagnosis on an MRI scan.

@PrimeMagazineSg 10 ай бұрын

Absolutely, thank you for your input. You're completely right that medical conditions can vary significantly from person to person, and it's essential to approach each situation with personalized care. We appreciate your reminder that seeking professional advice from qualified medical experts is crucial when dealing with conditions like herniated discs and compressed spinal cords. The information provided here is intended to be general and not a substitute for personalized medical guidance. Every individual's journey with such conditions is unique, and we encourage anyone facing them to consult a knowledgeable medical professional who can provide tailored advice based on their specific circumstances. Your well-being is of utmost importance, and we wish you all the best in finding relief and effective solutions for your condition. If you have any concerns or questions, don't hesitate to reach out to a qualified healthcare provider.

@PrimeMagazineSg 10 ай бұрын

Thank you and hope all is well with you. @@franm.8343

@tommccormick9290 10 ай бұрын

At 66, still active, do strength training and work security. 4 months ago I was diagnosed with moderate myelopathy. Hands & arms seem unaffected but feels like I'm on a trampoline when walking and running feels so awkward that I avoid it. Surgeon and I agreed holding off on surgery unless symptoms worsen. I not for needing to keep my job, I'd go for surgery now.