Arm and leg reflexes in degenerative cervical myelopathy

Author’s reply to Williams and Rowe

“…We agree with Rowe that patients with neck complaints should have a full neurological examination and that exaggerated leg reflexes should prompt cervical magnetic resonance imaging to look for cord compression before any forms of physical treatment to the neck are considered 3. As we discuss,2 examination findings are variable, but the high incidence of arm hyperreflexia is supported in published work.…”