Cervical Myelopathy: History and Physical Examination

Diagnosing cervical spondylotic myelopathy (CSM) requires careful attention to a patient’s history and clinical examination. Patients may report symptoms varying from subtle changes in dexterity to profound weakness and spasticity that cause disability. A careful physical exam by an educated physician will further aide in detecting myelopathic changes and discerning those findings from other neurological disorders. A complete review of the presenting complaints as well as a description of the natural history and key clinical findings of cervical spondylotic myelopathy is provided.