Can myelopathy symptoms come and go?

Answered by Stephen Mosley

Myelopathy symptoms can come and go. In my personal experience, I have had periods where my symptoms were more severe and constant, and other times where they would fluctuate or even temporarily disappear. This can be quite frustrating and confusing, as you never know when the symptoms will flare up again.

One possible explanation for these fluctuations is the nature of the underlying condition causing the myelopathy. For example, if the compression on the spinal cord is caused by a herniated disc, the symptoms may come and go depending on the position of the disc and the amount of pressure it is exerting on the spinal cord. Certain movements or activities may exacerbate the compression, leading to an increase in symptoms, while rest or changes in posture may provide temporary relief.

Another factor that can contribute to the fluctuation of symptoms is inflammation. Inflammation can occur in response to the compression of the spinal cord and can vary in intensity over time. When the inflammation is more severe, it can result in heightened symptoms, while periods of reduced inflammation may lead to a decrease in symptoms or even their temporary absence.

Additionally, lifestyle factors and external influences can also impact the presence and severity of myelopathy symptoms. Stress, physical exertion, poor posture, and certain activities or positions can all contribute to symptom flare-ups. On the other hand, taking steps to manage stress, practicing good posture, and engaging in regular exercise and physical therapy can help alleviate symptoms and prevent them from recurring as frequently.

It is important to note that while myelopathy symptoms may come and go, it is crucial to seek medical attention and proper diagnosis. Even if the symptoms are not currently present or are mild, the underlying condition causing the myelopathy may still be progressing and potentially causing further damage to the spinal cord. Regular check-ups with a healthcare professional, along with appropriate treatment and management strategies, can help ensure the best possible outcome for individuals with myelopathy.