Thoracic myelopathy is a spinal cord disorder that occurs when there is compression in the middle portion of the spine (the thoracic region), leading to a range of symptoms that can significantly affect mobility and quality of life.
As one of the lesser-known forms of myelopathy, thoracic myelopathy can be challenging to diagnose and treat. However, advancements in both diagnosis and treatment options have provided new hope for individuals suffering from this condition. At Excel Health, we are at the forefront of these innovations, offering cutting-edge care for patients with thoracic myelopathy.
What is Thoracic Myelopathy?
Thoracic myelopathy occurs when the spinal cord in the thoracic region (mid-back) is compressed. This compression may be due to several factors, including degenerative disc disease, herniated discs, spinal stenosis, or the development of bone spurs. The condition can lead to a wide range of symptoms, from mild discomfort to severe neurological deficits, depending on the extent of the compression.
Common symptoms include:
- Pain or stiffness in the middle of the back
- Numbness or tingling in the legs, feet, or lower back
- Difficulty walking or maintaining balance
- Weakness in the legs
- Loss of bowel or bladder control (in severe cases)
Advances in Diagnosis
Early and accurate diagnosis is key to effectively managing thoracic myelopathy. In the past, this condition was often misdiagnosed due to its vague and overlapping symptoms with other spinal disorders. However, advancements in imaging technology and diagnostic techniques have made it easier for healthcare providers to identify thoracic myelopathy.
High-resolution MRI
MRI (Magnetic Resonance Imaging) has become the gold standard for diagnosing thoracic myelopathy. High-resolution MRI scans provide detailed images of the spinal cord and surrounding structures, allowing specialists to pinpoint the exact location and cause of compression. This non-invasive test is critical for detecting early-stage myelopathy and guiding treatment decisions.
CT Myelography
For patients who cannot undergo an MRI (due to metal implants or other contraindications), CT myelography is an alternative imaging test that combines a CT scan with the injection of a contrast dye into the spinal canal. This test helps visualize the spinal cord and nerves and can provide important information about the extent of compression.
Electromyography (EMG)
In some cases, an EMG test may be used to assess nerve function and determine the severity of spinal cord damage. This test measures the electrical activity of muscles and helps distinguish between myelopathy and other nerve-related conditions.
Advances in Treatment
Thanks to ongoing advances in medical technology and surgical techniques, treatment options for thoracic myelopathy have improved significantly. At Excel Health, we provide both non-surgical and surgical solutions depending on the severity of the condition.
Conservative Treatments
In mild cases of thoracic myelopathy, conservative treatments may be effective in managing symptoms and preventing further damage. These options include:
- Physical Therapy: Tailored exercises can help improve mobility, strengthen muscles, and reduce the strain on the spine. Your provider may recommend you to a physical therapist who specializes in creating personalized programs to help patients manage their symptoms.
- Medications: Anti-inflammatory medications and pain relievers may be prescribed to reduce inflammation and manage discomfort.
- Lifestyle Modifications: Maintaining a healthy weight, practicing good posture, and avoiding activities that put excessive strain on the spine can all help slow the progression of thoracic myelopathy.
Minimally Invasive Surgical Techniques
For patients with more severe or progressive thoracic myelopathy, surgery may be necessary to relieve spinal cord compression. Advances in minimally invasive surgical techniques have made it possible to perform these procedures with smaller incisions, less tissue damage, and faster recovery times.
Laminectomy
A minimally invasive laminectomy involves the removal of part of the vertebra (lamina) to create more space for the spinal cord. This technique relieves pressure on the spinal cord and nerves, reducing symptoms and preventing further damage.
Spinal Fusion
In cases where spinal instability is a contributing factor, spinal fusion may be performed to stabilize the spine and prevent further compression. Minimally invasive techniques have made spinal fusion less invasive, allowing for quicker recovery.
Decompression Surgery
This procedure involves removing the material (such as bone spurs or herniated disc material) causing the compression. Decompression surgery can be highly effective in restoring normal function and reducing symptoms.
Advanced Postoperative Care
At Excel Health, we believe that recovery doesn’t end with surgery. Our comprehensive postoperative care includes physical therapy referrals, pain management, and regular follow-up appointments to ensure that patients achieve the best possible outcomes. With the latest advancements in postoperative care, patients can expect shorter recovery times and a quicker return to normal activities.
Excel Health’s Approach to Thoracic Myelopathy
At Excel Health, we take a patient-centered approach to the diagnosis and treatment of thoracic myelopathy. Our providers specialize in minimally invasive surgical techniques, which reduce recovery time and minimize postoperative discomfort. From the initial consultation to post-surgical rehabilitation, we are dedicated to providing the highest level of care tailored to each patient’s unique needs.
When to Seek Treatment
If you are experiencing symptoms such as back pain, difficulty walking, or unexplained weakness in your legs, it’s important to seek medical attention promptly. Early diagnosis and treatment of thoracic myelopathy can prevent further damage and improve long-term outcomes. At Excel Health, we are here to help you regain your mobility and improve your quality of life.
Contact Us Today
Thoracic myelopathy doesn’t have to hold you back. Contact Excel Health today to schedule a consultation and learn more about the latest advances in the diagnosis and treatment of this condition. Our expert team is ready to provide personalized care and guide you on your journey to better spinal health.