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Cervical Spondylotic Myelopathy And Chronic Pelvic Pain, Is There A Connection?
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Cervical spondylosis is a progressive degenerative process affecting the cervical vertebral bodies and intervertebral discs which can lead to narrowing of the central spinal canal, compressing the spinal cord and producing a syndrome of spinal cord dysfunction known as cervical spondylotic myelopathy. And myelomalacia is softening of the spinal cord, usually from a prior accident or injury.

Recent MRI results I had revealed myelomalacia between discs C5 and C6. In 2007, I had a rollover car accident that is more than likely where the injury occured. My family doctor did some research about myelomalacia and after she read an article from "Up to Date", a website written by practicing doctors, she discovered that around 20 percent of patients experience clinical bladder dysfunction and rectal sphincter dysfunction as a result of myelomalacia.

Within months of the accident I had and up until now, I have experienced those symptoms along with chronic pelvic pain, urinary retention and other bowel and pelvic problems. So my doctor decided after reading the above article from "Up to Date" that I should see a neurologist to see what his opinion would be in the connection between the myelomalacia the MRI revealed and the chronic problems I have experienced for 4 plus years. I took the article with me from "Up to Date", however, the neurologist refused to even look at the article, and was more irritated that a doctor would send me to him with these problems. He said that if I was clumsy, couldn't tie my shoes, and had neck pain that he would recommend having surgery to repair the myelomalacia. But if my main complaint was chronic pelvic pain, I should see a gynecologist.

Now I am not a doctor, but if 20 percent of people experience the symptoms that I have everyday with their myelomalacia, that percentage is a pretty large number in medical terms, don't you think? If I had a 20 percent chance of cancer returning tomorrow, I would be quite nervous and probably have a sleepless night wondering if I would that 20 percent.

It is funny how doctors have such different opinions of different things. I have been to probably over 20 different doctors and medical professionals in the last four years, and to this day in 2011 I live my life on pain pills and in pain each day. I go to every doctor appointment that is recommended to me each time a medical professional asks me to, yet I remain a medical mystery after visiting them.

I think this article could be an interesting topic for debate and it would be great to hear from different neurologists and pelvic pain specialists and see if it just the Iowa doctors that have such a hard time coming up with the right answer, and in the mean time find the answer for me personally and get back to life without pain!

The car accident that I had actually saved my life, very ironic story, so I hesitate to complain too much, but I find it very hard to believe that in this day and age that some doctor, somewhere out there has had someone experience something like what I am experiencing, and would be willing to offer information or suggestion to the article. Life is full of controversy, and everyone has an opinion about things, whether it be political, medical or anything else life throws at us. But in the end there is usually something accomplished by discussing the issue and working out a solution.

So, is there a connection between myelomalacia and chronic pelvic pain? Only time will tell, but it sure should make a great topic for debate.


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