When Degenerative Cervical Myelopathy Is Whispering

Degenerative cervical myelopathy (DCM) is the clinical equivalent of that patient who “just feels off.” They’re clumsy. Their handwriting is deteriorating. They’re tripping over nothing. Maybe they’ve got some vague hand numbness. Maybe their gait is “a little weird.” Their MRI? Meh. Mild stenosis. Nothing dramatic. Certainly nothing screaming cord catastrophe.