Cervical osteochondrosis is some dystrophic changes in the intervertebral discs on the neck.
Not only the discs themselves, but also vertebrae, soft fabric and cartilage are exposed to negative effects.The main feature of the cervical region is the fact that its vertebrae do not have the most reliable structure compared to other departments, which makes this area very vulnerable.The vertebrae here are located in the vicinity of each other, as well as the arteries that are fed by the human brain.
If the vertebrae is shifted, the likelihood of squeezing the beams and nerve arteries is high, which inevitably goes to the occurrence of a hernia between the vertebrae and the protrusion, that is, changes in the spinal disc structure.
What is it?
Cervical spine osteochondrosis (osteohondoz) is a degenerative-distribution lesions of intervertebral discs, which damage the wheels, vertebrae and joints of the cervical region, observes a decrease in the height of the intervertebral disc.The disease progresses if it is not treated and can lead to headaches, circulatory disorders and even hernias.As osteoporosis, the disease occurs due to a violation of mineral metabolism as a result of which bones and joints become less durable.
Osteochondrosis can cause cervical spine instability (symptoms and treatment are similar to chondrosis, but have several characteristics), which are usually accompanied by a displacement of the vertebrae.In turn, this accelerates the development of osteochondrosis, destroying the vertebrate.
Stages
The assistant doctor should determine the degree of development of cervical osteochondrosis, based on an anamnesis, as well as the patient's examination.There are only four degrees:
- The first degree.The disease is in the rudition itself, the patient has a slight pain in the neck, which can be more intense if a person begins to turn his head.
- The second degree.The patient may complain about the very intense pain in the cervical region, which can be located in the upper limbs.The clinical picture shows that at this stage of the development of the disease, there is a pinch of nerve beams, which causes intense pain.Headache, weakness and evil -overall are also observed.
- The third degree.The pain becomes almost incessant, also giving to the shoulder or arm.In some patients, a hernia of intervertebral discs is diagnosed, which leads to a loss of sensitivity of the upper extremities.When examining a doctor, a noticeable decrease in the mobility of the cervical spine is observed as well as pain in palpation.
- The fourth degree.At this stage of the disease, the intervertebral disc is almost completely destroyed.In its place, the connective tissue appears, which leads to a deterioration in the patient's condition.He begins to feel pain, noise in his head, as well as low orientation in space.This suggests that the artery is compressed, which interferes with the natural nutrition of the brain.
Symptoms of cervical spine osteochondrosis
The important symptoms of cervical spine osteochondrosis are dizziness, headaches and blood pressure.
The diagnosis of the disease is difficult, the pain sometimes does not manifest itself and the symptoms are erased in the nature, and the untt controlled use of strong painkillers masks signs of the disease.A patient who does not feel pain considers herself healthy and continues to develop irreversible processes in neck joint tissues.
Headache for cervical osteochondrosis
This is one of the most common non -specific signs of many human diseases.Headaches are especially widespread in the female population.It can be difficult to determine the cause of headaches and especially connect it to spinal lesions.About 14 different causes of headache were detected in humans.
The most common causes of headaches in the pathology we describe:
- Brain spasms;
- Pinching nerve roots;
- Increased reflex in intracranial pressure.
Headache for cervical osteochondrosis can look like sensations with hypertension, angina pectoral or stroke.In addition, in medium and older people, as a rule, there is the risk of developing strokes or heart attacks.
It seems that pain can be paroxysmal, constant, pulsating and stupid.
With heart pathologies, patients complain of unpleasant sensations in the chest area, accompanied by the impaired rhythm of cardiac activity.Only a qualified doctor can determine the cause.In the case of headaches, combined with nausea, dizziness and loading pain, an ECG is necessarily done.
Dizziness for cervical osteochondrosis
This condition does not always clearly indicate cervical spine osteochondrosis.
Dizziness can be a consequence:
- Inflammation in the middle or inner ear;
- Brain spasms;
- Violations of nerve impulses transmission;
- Problems with the vestibular device;
- Cardiovascular system diseases.
There are no clear dizziness criteria for osteochondrosis.However, there are systemic and non -systemic dizziness, they have clear differences.
It is recommended to know the differences in systemic and non -systemic dizziness, this will help to determine independently the causes of an unusual state:
- Systemic dizziness is a sense of circular movement of surrounding objects or body, which is a consequence of a violation of the vestibular apparatus, visual analyzers and receptors in the joints, muscles and epidermis (osteochondrosis of various etiologies);
- The dizziness that does not touch is a sense of censorship, a deafening sense, an uncertain state in an upright position.With non -systematic dizziness, there is no sense of circular rotation, and this is an important difference between the comparative signs.
A person who feels that the dizziness of one of the specified types should be examined by an experienced doctor, first and foremost, a neuropathologist or (if he is suspected of ear and nasopharynx disease) otolaryngologist.
The reason for emergency hospitalization that is not associated with cervical spine osteochondrosis is to detect the resources in the patient (except dizziness) such as:
- Facial muscles paralysis and numbness of part of the shoulder waist;
- Severe headache on the backdrop of a deterioration in the good -to -be;
- Violations of the Movement Coordination;
- Loss or extinction of consciousness.
Blood pressure with cervical osteochondrosis
The connection of cervical osteochondrosis with heels in blood pressure has long been established.Cervical vertebrae have important nerve endings and blood vessels.
Pressure outbreaks are characteristic during the day.Hypertension for a long time is not characteristic of this disease.Irritation of the reflex of nerve endings and short -term cramps of blood vessels abruptly cause the daily dynamics of arterial hypertension.
A distinct feature of increased pressure in cervical osteochondrosis is a combination with the following symptoms:
- Headache;
- Limb and chest pain;
- Decreased sensitivity in the collar area;
- Pressure occurs after stress, muscle tension, long -term stay in an uncomfortable position and other similar situations.
These signs should be taken into consideration with differentiation independent of hypertension of various genesis.
Stronged blood pressure jumps and rapidly deterioration in the well -the basis for the search for emergency medical help.
Osteochondrosis syndromes
The clinical image of cervical osteochondrosis is presented in several syndromes.The syndrome are several symptoms that occur together.
Osteochondrosis consists of the following syndromes:
- Vertebral.It is also called vertebrae, which indicates that cartilage bones and tissues are involved in the pathological process.This leads to the formation of such symptoms: restriction of motor activity of the neck, pain in its shifts, radiological changes in the image of the cervical spine.It is the simultaneous appearance of these signs which is a vertebral syndrome.A similar set of clinical signs is observed with myositis (muscle tissue pathology) and painful movements of many other pathologies.
- Vertebral Artery Syndrome.It appears when vascular beams are involved in the process, responsible for the blood supply to the central nervous system tissues.Symptoms suggest that brain tissue has no longer receive a proper amount of nutrients.How to recognize this syndrome?The first signs are dizziness, a sense of noise in the ears, the differences in blood pressure, the appearance of a "veil" before the eyes.This suggests that one of the vertebrates is in a strangled state.Each vessel has its own nervous endings.If you squeeze those who innervate the vertebral artery, migraine, numbness and short -term decrease, on the one hand, appear.As a result, changes in the vase lead to the fact that the brain needs oxygen.At this point, a person feels drowsiness, short -term violations of consciousness, loses attention and control, work worse and remember information.With a clinical image, it is necessary to differentiate cervical osteochondrosis with atherosclerosis of the vertebral arteries and tighten the tumor or inflammation.
- Cardial syndrome.It is manifested by the burning in the chest area, the appearance of shortness of breath.One person feels his frequent heartbeat, becomes tired and annoyed.This image is also characteristic of cardiological pathology, for example, for angina pectoris, coronary syndrome, heart attack.The exact conclusion about the causes of such symptoms can be done after the patient passes through the ECG.
- Rook syndrome.The cervical department innervates 8 pairs of nerves, each of which has roots of the nervous outlet of the vertebra.When they are involved in osteochondrosis, the patient feels a decrease in sensitivity or vice versa of intense pain.There may be numbness to know if your pain, a decrease in tongue sensitivity, in the freezing area, pain in the supraculant region can be observed.Sometimes there are swallowing disorders, upper limb strap movements, fingertips.
First aid at home with exacerbation of osteochondrosis
With severe pain syndrome, painkillers can be used, such as analgin, tempalgin or baralgin.If the drugs above do not bring relief, you can take the Nise (Nise or Diclofenac).
Frequently, “distracting” means is used, for example, a pepper patch that does not heal, but only listens to an inflamed area and distracts pain.In the case of edema in the inflammation zone, the patient may drink herbs or diuretic infusion for 3-4 days.Is it possible to cure osteochondrosis with these methods?These measures are only temporary;For the treatment of causes, you should consult a doctor.
It should be noted that the doctor treats osteochondrosis.If the causes of pain in the cervical spine arise are the occurrence of osteochondrosis, you should resort to a neuropathologist.It is this expert who is involved in such diseases.In some medical institutions, there are narrow experts involved in diseases precisely from the spine.If your clinic has a vertebrologist, you should address the issue of how to cure this disease immediately.
How to treat cervical spine osteochondrosis?
At the early stage of development, osteochondrosis can be cured without medications, it is sufficient to review the diet, the daily regime and regularly perform a special exercise complex.With advanced forms of the disease, effective treatment is possible only if the use of various medications that help suspend degenerative changes in the vertebrae.
The therapeutic measures complex necessarily includes physical therapy - electrophoresis with medications, ultrasound, magnetotherapy, laser therapy.These methods help deal with pain, inflammation, swelling of tissues, improve metabolic processes and blood circulation.
Drug treatment
The main methods of treatment of cervical spine osteochondrosis are drug treatment, physiotherapy, cervical vibration zone massage, therapeutic gymnastics for cervical osteochondrosis is especially effective.The main drug groups used for this disease include:
Name | The Principle of Action |
Non -steroid anti -inflammatory drugs (NSAIDs).This is Voltaren, Nise, Movalis, ketonal, Ketanov, Diclofenac, Nimesulide and others | Reduce pain syndrome, help relieve aseptic inflammation and damaged nerve root edema. |
Drugs that improve the rheological properties of blood and blood flow.This is Eufilina, tental. | Improve the nutrition of damaged nerve roots and improve blood flow to the brain. |
Group V Vitamins are Kombilipen, Unigma, Milgamma, Neurobion. | Improve metabolic processes in nervous tissue. |
Muslaxantes.This is Milokalm, Sirdalud, Tizalud, Tizanidine, etc. | These are medications that relieve muscle spasm. |
Condropoprotectors.This (glucosamine and chondroitin) is Arthra, Theflex, Doppelgerz, Zhabius Stone, Condronov, Structure, Alflutop. | These are medications that restore cartilage fabric, including the damaged intervertebral disc. |
By accepting osteochondrosis tablets, it should be remembered that the significant effect of drug treatment with tablets will only be if combined with other methods, including exercises.It should also be noted that the assistant doctor should prescribe than treating the disease based on his internship and other signs.