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marycdickens01 avatar

Cervical myelopathy and cognitive dysfunction

Spine Health | Last Active: Jun 2 11:36pm | Replies (22)

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Profile picture for Ray Kemble @ray666

Good morning, Mary (and thank you, Colleen, for inviting me to the table). Let me see if I can condense my myelopathy experience:

Going back years––decades––I'd been telling my primary doctors (two, because I had to change insurers) about my "wobbliness," gait difficulties that seemed to be getting worse, inch by inch, over the years. At every turn, my doctors pointed to structural issues as the likely cause of my trouble. (I'd been a long-distance runner, so I knew my joints––at 76––were Super Fund sites of arthritis. In 2008, I received one knee replacement.) I tried changing orthotics (my feet are laughably flat). I've done countless hours of PT. Finally, last fall, I asked my current primary if she would refer me to a neurologist.

The neurologist ordered up some imaging (CTs, MRIs), and in turn, sent me to see a neurosurgeon. (That was last October.) The neurosurgeon diagnosed "borderline" cervical myelopathy. He did not advise revision surgery (not yet). I'll go back to see him next in March. In the meantime, I'm doing lots of heavy-duty cervical PT.

I'm sure you're waiting to hear if I have pain. Or fogginess. No, I don't, neither one. Some of my doctors have had a difficult time believing that. I tell them, though (over and over): No, it's just my wobbly gait. (Luckily I've not fallen, although I've had to teach myself to be a Master of Proprioception.)

It's possible, Mary, that my situation may be so different from yours that my experience with myelopathy will be of limited value. If, though, I can help by answering any questions about issues that appear similar, please just ask. I'll be happy to help in any way I can.

Cheers!
Ray (@ray666)

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Replies to "Good morning, Mary (and thank you, Colleen, for inviting me to the table). Let me see..."

@ray666
I am 69 and had C5-C6 fusion surgery in March 2026. Since 2020 I complained to various physicians that I had very weak legs, wobbly "drunken" gait and easily lost my balance. No serious falls, no serious pain (intemittent over these years) and was directed to have surgery on my neck related to weakness / numbness in my upper torso.

Only in my first week of PT (focused on my cervical area recovery) and continue to have weak legs, lack of balance, and tire within 20 minutes of walking on my own, with a cane or with a walker.

I am told patience yet they only ask me how my neck and arm / hand numbness feels. I fear that the surgery has done nothing for my walking.

Now I am suffering vertigo in the morning and less so throughout the day. I am not on medication, drink electolyte enriched liquids, but nothing has improved over the past 5-6 days.

Will see what else my physician pool has to offer.