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Cervical Spinal Stenosis with Myelopathy

ICD-10 Code
M48.02

Narrowing of the cervical spinal canal, leading to compression of the spinal cord (myelopathy).

Clinical Presentation & Protocol

Patient Usually Complains Of

Neck pain radiating to the shoulder, scapula, and down the arm into the hand. Reports numbness and 'pins and needles' in the fingers. Worsened by neck extension and rotation. Denies gait instability, drop attacks, or bowel/bladder dysfunction (Myelopathy negative).

Clinical Examination Findings

Uncomfortable holding the neck rigidly.

Treatment Protocol

1. Pregabalin 75mg + NSAIDs. 2. Soft cervical collar for comfort (short-term only). 3. PT: Cervical traction and postural correction. 4. Ordered MRI Cervical Spine (non-contrast). 5. Ergonomic advice for computer use.

Detailed clinical guide coming soon.