Pre-Treatment Plan

At your first appointment, your doctor will have reviewed your comprehensive health questionnaire. Your answers give the doctor detailed information about your pain and ability to function. This will help determine how serious your symptoms are  and what treatments will be most helpful.

Conservative (non-surgical) treatment

If you have mild or moderate symptoms or are not healthy enough for surgery, you might benefit from non-surgical treatments such as:

  • Non-steroidal anti-inflammatory medications (NSAIDS) such as ibuprofen
  • Changes in activities
  • Exercises for cervical stenosis

Radiculopathy treatment

For radiculopathy, the goal is to treat the cause of the pinched nerves and help the nerve roots function normally again. Treatment options include physical therapy, medication and relaxation. Exercise and training may include:

  • Treatment to decrease leg symptoms
  • Back strengthening and other muscle strengthening
  • Training to cope with painful episodes
  • Training to help nerves move freely
  • Training to avoid positions that strain the sciatic nerve
  • Spinal mobility exercises
  • Training in how to walk, climb stairs and move to avoid stress to the nerves
  • Exercises to do while the nerve root is healing

Myelopathy treatment

If your spinal cord is not severely pinched, you might have conservative (non-surgical) treatment. Options include physical therapy and medication. Exercise and training may include:

  • Training to avoid positions that place the spinal cord at risk
  • Training to avoid injury and falls
  • Wearing a soft cervical collar
  • Training in how to walk, climb stairs and move to avoid stress to the spinal cord
  • Using a cane or walker
  • Occupational therapy to help with activities like showering, opening jars and turning keys

If your myelopathy is moderate to severe, you might need surgery to relieve pressure on the spinal cord.