Cervical spinal stenosis
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| Cervical spinal stenosis | |
|---|---|
| Synonyms | N/A |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Neck pain, numbness, weakness in arms or legs, balance problems |
| Complications | Myelopathy, paralysis |
| Onset | Typically in adults over 50 |
| Duration | Chronic |
| Types | N/A |
| Causes | Degenerative disc disease, osteoarthritis, herniated disc, congenital factors |
| Risks | Age, genetics, trauma, rheumatoid arthritis |
| Diagnosis | Physical examination, MRI, CT scan, X-ray |
| Differential diagnosis | Multiple sclerosis, amyotrophic lateral sclerosis, peripheral neuropathy |
| Prevention | N/A |
| Treatment | Physical therapy, medications, surgery |
| Medication | NSAIDs, muscle relaxants, corticosteroid injections |
| Prognosis | Varies; can lead to disability if untreated |
| Frequency | Common in older adults |
| Deaths | N/A |
Cervical spinal stenosis is a medical condition characterized by the narrowing of the spinal canal in the cervical spine, which is the portion of the spine that runs through the neck. This narrowing can compress the spinal cord and nerve roots, leading to a variety of symptoms.
Causes
Cervical spinal stenosis can be caused by several factors, including:
- Degenerative disc disease
- Osteoarthritis
- Herniated disc
- Bone spurs
- Rheumatoid arthritis
- Congenital spinal stenosis
Symptoms
The symptoms of cervical spinal stenosis can vary depending on the severity of the condition and the specific nerves affected. Common symptoms include:
- Neck pain
- Radiculopathy, which is pain that radiates from the neck into the shoulders and arms
- Myelopathy, which is a condition that affects the spinal cord and can cause weakness, numbness, and difficulty with coordination and balance
- Tingling or numbness in the arms, hands, legs, or feet
- Muscle weakness
- Loss of fine motor skills
Diagnosis
The diagnosis of cervical spinal stenosis typically involves a combination of:
- Medical history and physical examination
- Imaging studies such as X-ray, MRI, or CT scan
- Electromyography (EMG) and nerve conduction studies to assess nerve function
Treatment
Treatment options for cervical spinal stenosis depend on the severity of the condition and the symptoms experienced by the patient. They may include:
- Physical therapy to strengthen muscles and improve flexibility
- Medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) and muscle relaxants
- Epidural steroid injections to reduce inflammation and pain
- Surgery in severe cases, such as laminectomy, foraminotomy, or spinal fusion
Prognosis
The prognosis for individuals with cervical spinal stenosis varies. Some people may experience significant relief from symptoms with conservative treatments, while others may require surgical intervention. Early diagnosis and treatment are important to prevent permanent damage to the spinal cord and nerves.
See also
References
External links
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Contributors: Prab R. Tumpati, MD