Condition · Thoracic spine
Thoracic Myelopathy
Compression of the spinal cord in the mid-back can disrupt signals to the legs and lower body, with walking changes that may progress.
Symptoms
Patients may notice leg stiffness, weakness, altered sensation, balance difficulty, or a declining ability to walk. Bowel or bladder dysfunction can occur and should be evaluated urgently.
Diagnosis
A neurologic examination assesses tone, reflexes, sensation, strength, and gait. Thoracic MRI identifies compression and cord changes; CT and standing radiographs can further define bone and alignment.
Treatment options
Observation may be appropriate only for selected mild, stable findings. Therapy can preserve conditioning and safety, but medication and exercises do not remove meaningful cord compression.
When surgery is considered
Progressive myelopathy or significant cord compression generally prompts a discussion about decompression, with stabilization when required by the anatomy, alignment, or extent of bone removal.
When to seek care promptly
Progressive walking difficulty, new leg weakness, or bowel or bladder changes require urgent evaluation.
Initial consultation or second opinion?
Meet Dr. Jihoon Choi for an initial consultation — or bring your imaging for an independent second opinion before your next step. Call (972) 817-7450 or request a visit online.