A brief inspired thread (@adamdobson123 / @ClementsCharl96 ) following chats about degenerative myelopathy (the most common type we see in primary/ intermediate care services) and Hoffman’s sign 1/ Degenerative cervical myelopathy (DCM) is an umbrella term for compression of the cx spinal cord secondary to degenerative processes i.e. osteophyte formation, disc protrusions, ligament hypertrophy or ossification (Hilton et.al, 2018).