Thank you for your question.
The treatment of cervical stenosis and myelopathy (spinal cord
involvement) depends on signs and symptoms in addition to MRI
. It would have been helpful to know the current symptoms. However it is difficult to imagine having no symptoms with such an advanced stenosis picture.
For the findings you have described unfortunately medicines won't help. When symptoms are progressive surgery is the only solution. Moreover, earlier the surgery better would be the outcome. The problem of cervical myelopathy
is always progressive. Finding of myelomalacia
indicates some damage to spinal cord has already occurred and the cord must be decompressed surgically as early as possible to prevent further worsening. Also risk of getting weakness in arms and legs is high even with a trivial fall or trauma to neck.
Hope this is helpful. I would be happy to answer any questions you may have. Wishing the best outcome.