Cervical osteochondrosis

Cervical osteochondrosis, whose concentration is observed, as can be determined by the name, in the neck, is a very common pathology.Cervical osteochondrosis, whose symptoms cannot always be considered unclear exclusively as this disease, taking into account the features of its localization and local processes, often leads to the treatment of other areas, this symptom is so contradictory.

The general description

Mostly the development of cervical osteochondrosis occurs due to a sedentary lifestyle, which contributes particularly to a significant transition from physical work, though on a previously widespread moderate scale to work intellectual, which, again, is associated with sedentary work.

Overall, before we pass on the consideration of natural symptoms in cervical osteochondrosis, I would like to notice that it can be seen in it with some differences from the symptoms that accompany osteochondrosis as a whole, which, perhaps, should not be particularly amazing, given the anatomical features that we are interested in.

The vertebrae concentrated in the neck adjacent to one -another quite tightly.Meanwhile, the frame located in the cervical region has not been well developed, which is contributing to the factor to the relocation of the vertebrae.It, in turn, causes compression of the nerves and blood vessels, which in the cervical region is more than abundant.Thus, for example, it is here that the vertebral artery goes, with the help of which the blood supply to the brain (or more precisely, its posterior parts, presented in the form of an extended brain and cerebellum).

Compression (ie, compression) of the vertebral artery due to a decrease in blood circulation can provoke spinal cord and brain ischemia, and if we consider acute variants of such a course, then even cause a spinal stroke.By the way, such an artery lesion can be judged by the appearance of symptoms in the form of a violation of coordination of movements, frequent dizziness, and vision -related disorders.

The general compactness of the cervical department can cause even a slight muscle tension or vertebral displacement will lead to squeezing nerve endings, which means the tip in the cervical nerve, which may also undergo vascular structures.Osteophytes, which are formed against the backdrop of such conditions, only lead to a deterioration of the situation, given the characteristic compactness of the cervical region.Remind our readers that the growth of small sizes that form directly in the bones are defined as osteophytes, those substances that are formed in the pathology process at the core of the hypertrophic process (that is, in the overall understanding of hypertrophy - this is a process in which a particular part of the body/organ acts).

Cervical osteochondrosis causes the development of extensions and hernias in the spine, the effects of which, in addition to features such as vertebral displacement, stress of vertebrae and formation of osteophytes, also squeeze the nerve root, and thus leads to the development of edema and inflammation in it.As a result, returning, again, to the compact size of the Department of Interest for us, it remains to be noted that the spine completely covers its volume, as a result of which additional compression occurs - this time directly in the spinal canal.As a pronounced manifestation of such a course of the disease, the pain syndrome is observed.

Further, osteochondrosis can also lead to squeezing the brain, and, given the characteristic of the narrowing of the spinal canal of the department in question, occurs much more often than when considering processes in the lumbar and thoracic parts.It is worth noting, the damage area decreases with osteochondrosis of the cervix not only for the loss of the neck and the head itself, but also for the loss of the limbs (according to the upper, such a result is much more often diagnosed).Given these traits of cervical osteochondrosis, it is one of the frequent causes of patient disability.

So let's try to summarize in which, in particular, I would like to touch again those factors that lead to the compression of the nerve and vascular structures in the osteochondrosis of the cervical region.

• Sliding (or shift) of the spinal disc.This condition implies a specific definition - spondylolistz.For the most part, this type of shift is minimal in terms of their appearance in practice, moreover, it is important that even a slight shift to provoke the development of paralysis, not to mention the most serious change, which leads to anything else as a fatal outcome.
• Osteophytes.Cervical osteochondrosis, as we have already noticed, provokes the development of relevant growth, that is, osteophytes.They, in turn, are located from the sides of the vertebral bodies, lead to the irritation of those muscles that adapt directly to them, which ensures an increase in their tone.The load that affects the beads increases this way, this already provokes an increase in pressure on the intervertebral disc at the same height.Against the backdrop of such a process, the risk of extension increases.The osteophytes directed at the passage of the vertebral artery can provoke a narrowing.
• Elongation formation, spinal hernia.All this is one of the options for the result of the development of processes that are important for cervical osteochondrosis.
• Change the height of the spinal disc (ie, flattening it).In frequent cases, a decrease in height occurs due to a decrease in the size of the intervertebral hole.Moreover, it is important to note that even an unsuccessful neck rotation can lead to a subluxation of cervical beads, as a result of which additional compression is provided (ie, compression).

Cervical osteochondrosis: symptoms

Changes that occur with the spine with cervical osteochondrosis occur in combination with many clinical manifestations.It is worth noting that their ranking can be divided about three dozen options, while the most interesting and unexpected for patients themselves may be the fact that in addition to the "traditional" pain in the neck, you must face symptoms that do not fully fall under the first vision under the disease.Thus, for example, not everyone will present the pain in the elbow joint, leg weakness or visual disorders, as well as some other manifestations that we will also try to cover below.

To represent those basic symptoms that may accompany cervical osteochondrosis, we conventional to them three main groups determined in accordance with the predominant involvement of the central nervous system in the pathological process.

• I group.This includes the neurological symptoms of the disease, regarded as its complications, which arose due to the impact of the process directly on the discs and nerve roots, as well as on the nerves and plexus (in other words, the process is about the peripheral section of the nervous system).
• II group.In this case, we are talking about the symptoms that are important for cervical osteochondrosis, which manifests itself with the direct effect of the pathological process on the spinal cord.
• Group III.Symptoms are associated directly with the processes that occur in the brain with cervical osteochondrosis, and, consequently, in the cranial nerves, in the structures and shells of its hemispheres, in the luggage and in the brain vessels.

In short, for each group it can be noted that the symptoms of the first group's cervical osteochondrosis are mainly in pain, the symptoms of the second are in motor disorders, and the third symptoms are in phenomena associated with the pathological effects exerted on the vessel in vascular phenomena.Of course, in frequent cases, there is a manifestation of these symptoms not only in their pure form but also in the form combined with each other, which, however, does not exclude the possibility of determining the main set of options based on symptoms.

Cervical osteochondrosis: the symptoms of the first group

As we have previously noticed, the first group contains symptoms in the form of painful manifestations, which occurs due to damage to the nervous system of the peripheral department.This includes both persistent neck pain (determined by both "cervical cerebrals") and cervical radiculitis, cervical onion.In addition, the muscles, joint pain (wrist, elbow or shoulder) can also appear, pain may appear in the chest area (which may mean heart pain, liver).

It should be noted that neck pain is the first symptom of cervical osteochondrosis, and is observed in almost all patients with this diagnosis.Such pains appear in the morning after waking, intensifying at the time of efforts to roll in a lie position, as well as with laughter, cough, unsuccessful head twist or when sneezing, which is already possible in any other body position.The nature of the pain can be defined as a drilling and stupid, in some cases the pain may be shooting, despite a specific possibility, the localization of these pains is concentrated in the depths of the neck.As for the duration of the pain, it can be either periodic and constant.

The pain, which occurs with awakening, is subject to reduce its own intensity, which occurs during the day, their complete disappearance becomes possible.Iradia of pain (its distribution) in the shoulder region and on the neck surface is not excluded.

The (moderate) muscle tension, difficulty of breathing in the cervical region can also be marked.The acute period of manifestation of the disease is characterized by the approval of a somewhat special poem by patients, in which they try to keep their heads slightly under the slope forward and at the same time on the side.In the case of a change, the limitation is often observed in the rotating movements made by the head.

Frequent characteristic symptoms of cervical osteochondrosis are distinguished by the presence of noise phenomena that occur at the time of rotation of the head in the form of a crunch and cod, which allows you to bring an analogy with the friction of the stone in the sand.Often in such cases it is possible to diagnose the statute of the cervical osteochondrosis flow, excluded in the part of the listed symptoms of patients with attention.

In addition to the pain and cervical eyelid, osteochondrosis of the cervical region can occur in a complex with cervical and cervical radiculus, these states manifest in the form of pain concentrated in the upper cervical departments and in Nape.Strengthening of pain is observed at the time of turning the head in one direction or another, to a lesser extent, such a manifestation of pain is important in other actions.Often the spread of pain with cervical osteochondrosis occurs in the shoulder band and in the hands (in one or for both).In particular, this occurs at the moment of muscle tension, directly related to the specific nerve roots, the compression of which occurs from the beads.

Provversely, it can be noted that cervical radiculitis accounts for about 90% of cases of squeezing roots in 6 and 7 departments, in 5% - in 5 and 8 departments.So the loss of the sixth department leads to the appearance of unpleasant sensations or pain, concentrated within the frame of the outer side surface of the forearm region with a large finger;Including the seventh pillar of the cervix leads to unpleasant sensations and pain in the middle finger;The inclusion of the eight root leads to the appearance of unpleasant sensations and pain in the little finger.

If the lesion affects the upper vertebrae and cervical discs, then this can lead to the involvement of the occipital nerve by innovating the skin in the occipital process.This is manifested, namely, with pain in the naps, they are continuous, characterized by periodic reinforcement.Also, the Nape area loses sensitivity, a specific point of pain can be detected in the form of seal and painful stress.

Cervical osteochondrosis often leads to crooked development, which is due to a spasms of the neck muscles against the background of the head and the bending of the characteristic neck of this condition.In this case, in patients, the head is moved slightly to the side/forward or to the side/back.Practically there is no possibility to move the neck, an attempt to turn to the head is associated with the appearance of certain pain in the neck, shoulder shoulder or back of the head.

Compression of vessels for osteochondrosis due to insufficiency therefore of blood supply leads to the weakening of the pulse in the radial arteries and with pain attacks with the simultaneous fingertips.

Another manifestation of cervical osteochondrosis is a complication in which the concentration of pain in the shoulder joint occurs, which is determined asshoulder -periodicalritis.It develops due to violations in the area of shoulder intrigue, due to which dystrophic changes gradually increase grades.These concerns appear with the onset of a painful process that accompanies cervical osteochondrosis, but for a long time they are simply invisible.

The main symptoms of this pathology are joint pain, as a rule, which occurs without obvious causes, the manifestations of this pain in an enlarged form are marked at night.Subsequently, abduction towards the hand leads to pain (mainly from the outside of the joint), the test determines painful areas.Due to the patient's desire to provide the rest of the painful limbs, the joint becomes stofferal against the backdrop of reflex muscle contraction ("frozen shoulder").Then, in the absence of treatment, raising the hand more than above the horizontal level becomes impossible.

Cervical osteochondrosis: Symptoms of the second group

Symptoms of the second group consist of syndromes that occur against the backdrop of damage at the cervical level of the spinal cord.Two mechanisms can lead to it, it is either compression, which is produced by the disc with a pulp nucleus due to the softness of its durability, or damage to the spinal cord by solid (long) discs or outflows from the back of the neck.In women, the first is most often observed, in men - the second mechanism.

Symptoms of this course are often associated with weakness of the arms and legs, and there is an increase in tone without loss of muscle weight, in contrast, the tone decreases, the volume decreases.Sensitive muscle twitching in their hands can also develop, painless.Most often, such a complication is diagnosed at the age of 40 to 55 years, somewhat less often - in the elderly age, and even less frequently - at a young age.The importance of such complication can be discussed in the presence of a patient in violations related to cardiac activity (arrhythmias) or atherosclerosis.

Changes that arise in the spinal cord are determined asMyelopathy, it develops against the backdrop of pathological changes in the disc located in the area between the 5th and 6th vertebrae of the cervix.Its development can provoke its development of the spine, excessive overload, affecting the muscles of the shoulder band, as well as negative emotions and intoxication from alcohol.

One of the types of myelopathy manifestation is the disappearance of temperature and pain sensitivity due to the features of the listed clinical manifestations.Accordingly, patients lose the possibility of feeling the irritating effects that in one way or another on the skin in the cervical region, the upper parts in the chest and the arms (on one side).Thus, the plot that has lost its sensitivity has the form of a siege.Along with the symptoms listed, spontaneous pain (fracture, pain) arises, in the side of loss, the hand weakens.

Another type of manifestations of cervical osteochondrosis is the "semiconductor disorders syndrome" that occurs with insufficient supply of the spinal cord (its departments) with blood.This leads to increased fatigue of the lower extremities marked when walking/standing as well as on permanent chrome.The nun of the hands, as well as unpleasant sensations in them (which is important for daytime), in some cases, such manifestations are not excluded.When you close your eyes, a violation of coordination occurs.The phenomena listed, despite their durability, do not limit the ability to work capacity.

Cervical osteochondrosis: Symptoms of the third group

The third group of symptoms contains the manifestations of the brain of the disease under the examination, which occurs due to the lack of blood flow to the system responsible for the supply of blood flow with blood.Vertebral arteries act as the main ships that form such a system.We single out the main types of syndromes that are important in this case.

• Hypothalamic syndrome.Most often diagnosed, it manifests itself in symptoms that indicate damaged hypothalamus, or more precisely, in the form of neurotic disorders.It is nervousness and increased fatigue, anxiety and touch, mood instability and sleep disorders (its surface, sleep is characterized by the ease of raising without feeling resting, difficulties with falling asleep).Also, the possibility of concentration on something is lost, the ability to remember is reduced, unpleasant sensations often appear in different organs.Severe cases are associated with the appearance of shameless fear, anger, desire, anxiety.Patients are pale, they have a cooling of the limbs, increased sweating, increased pressure and pulse.Appetite, like sex, is reduced, urination is quickly.
• Points Syndrome.It consists of attacks of a decrease without cause a pallor of the patient with simultaneous loss of consciousness (perhaps without his loss), which also occurs due to vascular spasm.Restoring consciousness occurs quite quickly when the patient is thrown in a horizontal position (the head is lowered).After an attack, patients have pronounced weakness in the legs and breakdowns, headaches are possible.
• Barrel syndrome.The only manifestation of the syndrome in the initial stage of the disease is the dizziness that occurs due to the sensitivity of the vestibular apparatus to the lack of blood supply.Nausea and vomiting are possible in combination with some fluctuations in eye movements, instability while walking.
• Cochlear.It manifests itself in the form of bell and noise in the ears, mainly on one side.Hearing can decrease, ear blockage occurs, mainly the syndrome is associated with the previous one, however, its independent course is not excluded.By the way, it is not always easy to determine the association with cervical osteochondrosis with such symptoms.
• Sydrome Gworight-Board.The main manifestations consist in the appearance of the presence of a foreign object in the throat that causes difficulties in swallowing, also this feeling of dry throat is possible with itching.Voice loses his voice, survival appears in the larynx and in the throat, pain in these areas.Fatigue is noticed during the conversation, which require rest, difficulty in swallowing thick foods along with esophagus spasm are possible, and the reduction of such manifestations occurs after rest.
• Visual.Different types of visual disorders: "fog" in front of the eyes, a decrease in visual acuity, etc., alternating different violations during the day.

Treatment

A complete recovery with the disease we are considering is not possible because its treatment is generally focused on slowing the current process, and in particular, a specific period of the disease.The irritations require hospitalization and half -water regime.

As for medication therapy, it consists of appointing different types of analgesics, the possibility of using the Novokain muscle blockade is not excluded.In parallel with treatment, the main emphasis is on vitamin therapy, muscle relaxants can be prescribed.The effectiveness of the results in the treatment of cervical osteochondrosis is achieved in the use of physiotherapy methods (electrophoresis using anesthetics, ultrasound procedures, etc.).Treatment of cervical osteochondrosis also implies the need to wear the so -called chant collar, massage procedures are prescribed for periods of forgiveness.

The diagnosis of cervical osteochondrosis is performed by a neurologist, and the direction for this specialist can deal with a wrong assumption in the need to visit Laura, therapist, cardiologists and other specialists.

Migraine is a very common neurological disease, accompanied by a pronounced paroxysmal headache.Migraines, whose symptoms are actually in pain, concentrated by half of the head mainly in the eyes, temples and foreheads, in vomiting, and in some cases in vomiting, occurs without referring to brain tumor formations, strokes and serious head damage, although it may indicate the importance of certain pathologies.

Chronic fatigue syndrome (sokr. Cu) is a condition in which mental and physical weakness arises, due to unknown factors and lasting from six months or more.Chronic fatigue syndrome, the symptoms of which are supposed to be associated with infectious diseases, in addition, is closely linked to an accelerated rhythm of life and an increased flow of information that literally collapses on a person for their subsequent perception.

Ischemic shock is an acute type of cerebrovascular cerebral circulation due to insufficient calculation in a particular area of the blood brain or in complete cessation of this process, in addition, it is damaged by brain tissue in combination with its functions.Ischemic stroke, the symptoms of which, as well as the disease itself, have been most often observed among the most common types of cerebrovascular diseases, is the cause of later disability and often the fatal outcome.

Avitaminosis is a painful condition of a person who occurs as a result of acute lack of vitamins in the human body.Distinguish between spring and winter vitamin deficiency.In this case there are no restrictions on the floor and the age group.

Asthenovegetative syndrome (ABC) is a pathological process in which a functional violation of the autonomous system is occurring, which is responsible for the functioning of the internal organs.Most often, such a violation arises as a result of a person's inability to respond adequately to stressful situations.

With the help of physical exercises and abstention, most people can do without medicine.