A patient with diffuse cervical pain and bilateral numbness is likely suffering from which condition?

• A. Cervical Radiculopathy
• B. Cervical Myelopathy
• C. Thoracic Outlet Syndrome
• D. Cervical Spondylosis

Answer: (B)

A patient presenting with diffuse cervical pain and bilateral numbness is likely experiencing cervical myelopathy due to the nature of their symptoms. Cervical myelopathy results from compression of the spinal cord in the cervical region, leading to a variety of neurological symptoms. The bilateral numbness indicates that both sides of the body are affected, which is characteristic of spinal cord involvement rather than isolated nerve root issues typically seen in cervical radiculopathy.

Cervical myelopathy often presents with other signs such as weakness in the hands or legs, difficulty with coordination, and potential changes in bladder or bowel function, which can also accompany bilateral numbness. The diffuse cervical pain adds to the picture, as the compression can create a broad area of discomfort throughout the neck.

Understanding this condition highlights the importance of recognizing the bilateral nature of symptoms when assessing cervical spine issues, as it points towards central nervous system involvement rather than peripheral nerve dysfunction.