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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Cervical Spinal Stnosis With Mylopathy. Have Broad Based Disc Bulges. Advised Fusing Three Vertebrae Toghether. Suggest

I was recently diagnosed with Cervical Spinal Stenosis with Mylopathy. I have a moderate broad-based disc bulge with herniation at C4-C5 and a moderate broad-based disc bulge at C5-C6 with no herniation. I went to see a neurosurgeon. He wants to fuse three vertebrae together. I was hoping for something less dramatic. Can you help me? Thanks. Richard
male aged 55
Tue, 3 Sep 2013
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hi, thanks for writing to HCM.

Generally, conservative management for cervical stenosis with myelopathy is only effective in acute presentation and not in chronic cases. Nonoperative treatment for cervical stenosis includes immobilization, traction, physical therapy (exercises, strength training, massage, mobilization) and physical modalities (ultrasound, electrical stimulation, heat), medications (analgesics, NSAIDs, muscle relaxants, corticosteroids).

If symptomatic improvement is not achieved with an aggressive nonoperative treatment program within 6 to 8 weeks, surgical treatment may be needed.

Hope this information is helpful. Good day

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Diagnosed With Cervical Spinal Stnosis With Mylopathy. Have Broad Based Disc Bulges. Advised Fusing Three Vertebrae Toghether. Suggest

Hi, thanks for writing to HCM. Generally, conservative management for cervical stenosis with myelopathy is only effective in acute presentation and not in chronic cases. Nonoperative treatment for cervical stenosis includes immobilization, traction, physical therapy (exercises, strength training, massage, mobilization) and physical modalities (ultrasound, electrical stimulation, heat), medications (analgesics, NSAIDs, muscle relaxants, corticosteroids). If symptomatic improvement is not achieved with an aggressive nonoperative treatment program within 6 to 8 weeks, surgical treatment may be needed. Hope this information is helpful. Good day