Compressive cervical myelopathy is a condition where the spinal cord in the neck (cervical spine) becomes compressed, leading to various neurological symptoms. This compression can be due to degenerative changes, herniated discs, or other abnormalities affecting the spine.

Symptoms can include neck pain, stiffness, numbness or tingling in the arms or hands, weakness in the limbs, difficulty with fine motor skills, and problems with balance and coordination. In severe cases, it can lead to paralysis.

Diagnosis typically involves a thorough medical history and physical examination, followed by imaging studies such as MRI or CT scans to visualize the extent of spinal cord compression. Electromyography (EMG) and nerve conduction studies may also be used to assess nerve function.

Treatment options vary based on the severity of the condition. Conservative treatments include physical therapy, medications for pain and inflammation, and lifestyle modifications. In more severe cases, surgical intervention may be necessary to decompress the spinal cord and stabilize the spine.

While some risk factors, like aging and genetic predisposition, cannot be controlled, maintaining good posture, avoiding heavy lifting, engaging in regular exercise, and managing underlying conditions such as arthritis can help reduce the risk of developing cervical myelopathy. Regular check-ups with a healthcare provider can also aid in early detection and management.