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The most common cause of cervical myelopathy is cervical stenosis and undue pressure on the spinal cord. Cervical stenosis can be caused by a variety of factors, such as disc bulges or disc herniations in the neck. It can also be caused by degenerative arthritic processes in the neck that cause a tightness in the canal where the spinal cord sits. This pressure and tightness around the spinal cord can cause the spinal cord to malfunction, essentially, which can then cause the symptoms that are associated with cervical myelopathy, such as hand numbness, clumsiness, gait imbalance, and in very severe cases, incontinence of bowel or bladder.