Myelomalacia: Let's connect

Posted by lanieg @lanieg, Feb 23, 2023

I recently had a MRI of my cervical spine and moderate to severe myelomalacia was discovered. I already have a C3 to C5 fusion. Symptoms include pain in arms, neck and shoulders, off balance, light headed, difficulty picking up small items. Has anyone else experienced this diagnosis? What has been done about it? Seeing a neurosurgeon soon but not excited about another neck surgery. However what I read about it says if left untreated could cause serious nerve issues. Any help would be greatly appreciated.

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@jenniferhunter

@sarahmargaret Welcome to Connect. I'm glad you are finding it useful for understanding your own conditions. That is what is so good about it because we all learn from each other. Have you had treatment to help your spine condition? Do you have a specialist advising your care?

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@jenniferhunter who are the doctors at mayo that have knowledge of this condition? I am looking to find someone at Mayo's rather than my hometown where it is not well known.

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@lcsw0799

@jenniferhunter who are the doctors at mayo that have knowledge of this condition? I am looking to find someone at Mayo's rather than my hometown where it is not well known.

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@lcsw0799 @sarahmargaret Spine surgeons and Neurologists should have knowledge of myelomalacia and spine disorders due to compression of nerves and/or the spinal cord. If a condition has progressed to myelomalcia, that may be a permanent condition representing permanent damage. During spine surgery, nerves and the spinal cord are decompressed by removing something. In my case, that was a bad disc that ruptured in my neck that grew bone spurs pressing into my spinal cord. I had surgery before permanent damage happened, and I had great results. Every patient is different and may also come with comorbidities that affect the outcome. Healing takes a long time.

I came to Mayo Rochester for my 6th specialist consult and had surgery there. My consultant was Jeremy Fogelson. If you have a spine issue, start with a spine surgeon. They will schedule the other specialists they need in diagnosing such as a neurologist whom they work with routinely. Dr. Fogelson is excellent and has great demand for his appointments. There are other good spine specialists there too. I picked Dr. Fogelson because other surgeons (not at Mayo) were missing my diagnosis, and I read one of his papers that referred to symptoms similar to mine, so I knew he would understand my case.
https://www.mayoclinic.org/biographies/fogelson-jeremy-l-m-d/bio-20055624

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