Our spine team sees patients at these locations:
Mass General - Boston
55 Fruit Street
Yawkey Center for Outpatient Care, Suite 3A
Boston, MA 02114
Orthopaedics at Mass General Waltham
52 Second Avenue
Building 52, 1st Floor, Suite 1150
Waltham, MA 02451
Newton-Wellesley Spine Center
159 Wells Avenue
Newton, MA 02459
Mass General/North Shore Center for Outpatient Care
102-104 Endicott Street
Danvers, MA 01923
BW / Mass General Health Care Center
20 Patriot Place
Foxborough, MA 01923
Explore Cervical Spondylotic Myelopathy
Also known as Spinal Cord Compression, Cervical Spondylotic Myelopathy (CSM) is one of the most common neck problems that can occur with age. As a person ages, the normal wear-and-tear that affects their spine can narrow the spinal canal, which compresses the spinal cord, causing pain and discomfort. Herniated disks and bone spurs are two causes of CSM.
Who does CSM affect?
CSM typically affects people over the age of 50, but CSM can occur in younger patients if there was a spinal cord injury earlier in life.
Symptoms of CSM include:
- Weakness in the arms and legs
- Difficulty walking or keeping your balance
- Pain that radiates down your arms, possibly to your fingers
- A stiff, painful neck
To diagnose CSM, your doctor will take your medical history and perform a thorough physical evaluation. During the evaluation, your doctor is looking for numbness, weakness, atrophy and abnormal reflexes. Your doctor may also have you get an x-ray, MRI scan or myelogram (a specialized type of CT scan).
There are a few nonsurgical treatment options for CSM, including:
- Soft collars: These help the neck muscles rest and can decrease the pinching of nerve roots. But soft collars should not be worn for long periods of time because they can decrease muscle strength.
- Physical therapy: By improving neck strength and flexibility, can decrease pain and discomfort.
- Anti-inflammatory medications: Taking a medication like aspirin or ibuprofen can reduce swelling and discomfort.
Surgery to treat CSM is used to open the space for the spinal cord. There are different surgical options depending on factors like the severity of your CSM and its location on your spinal cord.