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Neurosurgery is the surgical specialty concerned with the prevention, diagnosis, treatment and rehabilitation of disorders that affect the entire nervous system including the brain, spinal column, spinal cord, and peripheral nerves. is dedicated to advancing neurosurgery in Barbados and the Caribbean through the use of best evidence practices, innovation, continuing education and excellence. Please see our guidelines for use of this page at http://tinyurl.com/NSxBimguidelines

Diagnosing myelopathy, especially early, is not straightforward. It requires medical practitioners being aware of DCM an...
16/08/2022

Diagnosing myelopathy, especially early, is not straightforward.

It requires medical practitioners being aware of DCM and then pulling three (3) key sources of information together.

These are:
โ€ข a personโ€™s symptoms
โ€ข a physical examination and
โ€ข MRI (Magnetic Resonance Imaging) of the cervical spine

Wear & tear as we age along with its corresponding symptoms cause many doctors to misdiagnosis patients leaving DCM to p...
09/08/2022

Wear & tear as we age along with its corresponding symptoms cause many doctors to misdiagnosis patients leaving DCM to progress, worsening over time.

Most people wait years for a diagnosis as this condition is still very misunderstood leading to a poorer prognosis once discovered.

You may also want to speak with your doctor if you have ๐š ๐Ÿ๐š๐ฆ๐ข๐ฅ๐ฒ ๐ก๐ข๐ฌ๐ญ๐จ๐ซ๐ฒ ๐จ๐Ÿ ๐ฌ๐ฉ๐ข๐ง๐š๐ฅ ๐ฌ๐ญ๐ž๐ง๐จ๐ฌ๐ข๐ฌ ๐จ๐ซ ๐œ๐ž๐ซ๐ฏ๐ข๐œ๐š๐ฅ ๐ฆ๐ฒ๐ž๐ฅ๐จ๐ฉ๐š๐ญ๐ก๐ฒ. Some...
04/08/2022

You may also want to speak with your doctor if you have ๐š ๐Ÿ๐š๐ฆ๐ข๐ฅ๐ฒ ๐ก๐ข๐ฌ๐ญ๐จ๐ซ๐ฒ ๐จ๐Ÿ ๐ฌ๐ฉ๐ข๐ง๐š๐ฅ ๐ฌ๐ญ๐ž๐ง๐จ๐ฌ๐ข๐ฌ ๐จ๐ซ ๐œ๐ž๐ซ๐ฏ๐ข๐œ๐š๐ฅ ๐ฆ๐ฒ๐ž๐ฅ๐จ๐ฉ๐š๐ญ๐ก๐ฒ.

Some people are genetically more likely to have a narrowed spinal column.

Cervical myelopathy can affect the brain as was confirmed in a study done in 2020.The messages through your spinal cord ...
29/07/2022

Cervical myelopathy can affect the brain as was confirmed in a study done in 2020.

The messages through your spinal cord go both ways โ€” from your brain to your body & vice versa. When cervical myelopathy starts to progress, it limits the ability of your brain to interpret what your body is saying.

This can feel like numbness & tingling, cognition issues (โ€œbrain fogโ€œ), and a lack of spatial awareness.

Source: Healthline

26/07/2022

Cervical myelopathy is a progressive condition. This means that symptoms grow worse over time.

After the initial stage, which consists mostly of neck pain and stiffness, other, more severe symptoms may begin to appear.

These ๐ฌ๐ฒ๐ฆ๐ฉ๐ญ๐จ๐ฆ๐ฌ ๐ฆ๐š๐ฒ ๐ข๐ง๐œ๐ฅ๐ฎ๐๐ž:

โ€ข difficulty walking or keeping your balance
โ€ข confusion or cognitive difficulty
โ€ข loss of bladder control
โ€ข tingling or numbness in your extremities

Many of these symptoms are disregarded as common side effects of ageing.

Source: Apple Podcast Complex Brain re: Cervical Myelopathy

21/07/2022

No, we are not referring to the euphemism for an annoying person.

Along with the symptom noted above, some of the early signs of Cervical Myelopathy might include:

๐Ÿ”น neck stiffness
๐Ÿ”น limited range of motion
๐Ÿ”น fine motor clumsiness, such as difficulty holding a pen or counting out change
๐Ÿ”น headache that stems from nerves in your neck (occipital neuralgia)

As a person ages, the disks in their spine start to lose height & begin to bulge. They also lose water content, dry out ...
19/07/2022

As a person ages, the disks in their spine start to lose height & begin to bulge. They also lose water content, dry out & become stiff. The result is collapse of disk space & loss of space height.

When this happens, the vertebrae move closer together & the body responds to a collapsed disk by forming bone spurs in an attempt to strengthen the disk.

Bone spurs cause stiffness & narrowing of the spinal canal and start to compress the spinal cord.

15/07/2022

It is caused by any condition that puts pressure on the spinal cord and can occur anywhere in the spine, including in the neck (cervical spine) & the torso (thoracic spine).

Symptoms of spinal cord compression may develop suddenly or gradually.

Potential causes of spinal cord compression include:
โ€ข Degenerative conditions
โ€ข Rheumatoid arthritis
โ€ข Disk Herniation
โ€ข Injuries
โ€ข Bone Spurs
โ€ข Tumors

No referrals are not needed but we do like when patients have a referral letterโ˜บ๏ธ.
25/06/2022

No referrals are not needed but we do like when patients have a referral letterโ˜บ๏ธ.

21/06/2022

๐Ÿ‘‰This is why we want to bring awareness to this condition as it is becoming more prevalent.


Refer patients with suspected DCM promptly to a specialist for consideration of spinal surgery, as delayed diagnosis can...
16/06/2022

Refer patients with suspected DCM promptly to a specialist for consideration of spinal surgery, as delayed diagnosis can lead to residual symptoms and functional disability

https://www.bmj.com/content/360/bmj.k186





Adapted from cervical myelopathy IG

14/06/2022

Reposted from So what is DCM or Degenerative Cervical Myelopathy

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Rosewood Medical Centre, 17A Pine Road
Bridgetown

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Monday 08:00 - 16:00
Tuesday 08:00 - 16:00
Wednesday 08:00 - 16:00
Thursday 08:00 - 16:00
Friday 08:00 - 16:00

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