Role of the primary care practitioner in assessment and management of degenerative cervical myelopathy

This chapter examines the importance of primary care in managing degenerative cervical myelopathy (DCM). It will begin with an overview as to the importance of primary care as being essential to improving population health and an effective health system. Primary care is often the point of first contact for patients with DCM; however, the diagnosis is often delayed or missed. The barriers to diagnosing and managing DCM in primary care (awareness, knowledge, system/access) will be discussed. A practical clinical approach to diagnosing and managing DCM will be outlined that can be utilized by clinicians. Future strategies and solutions for improving primary care management of DCM will be reviewed.