Cervical osteochondrosis, whose concentration is observed, as can be determined from the name, in the neck, is a very frequent pathology.Cervical osteochondrosis, whose symptoms cannot always be considered without ambiguity exclusively as this disease, taking into account the characteristics of its location and local processes, usually leads to treatment from other areas, these symptoms are so contradictory.
General description
Especially the development of cervical osteochondrosis occurs due to a sedentary lifestyle, which contributed especially to a significant change in physical work, although to a moderate degree previously spread to intellectual work, which is again accompanied by sitting work.
In general, before we move on to the consideration of the symptoms inherent to cervical osteochondrosis, I would like to realize that this can be seen from certain differences in symptoms that accompany osteochondrosis as a whole, which may not be particularly surprising, given the anatomical characteristics that specific, that interest rates have ().
The vertebrae focused on the adjacent neck with great strength.Meanwhile, the frame located in the cervical region is not developed very well, which is contributing to the factor for the displacement of the vertebrae.In turn, it causes compression of nerves and blood vessels, which in the cervical region is more than abundant.Thus, for example, this is where the vertebral artery runs, with whose helps the blood supply to the brain is guaranteed (or rather its posterior parts, presented in the form of an oblong and cerebellum brain).
Compression (ie compression) of the vertebral artery due to a decrease in blood circulation can cause the ischemia of the spinal cord and brain, and if we consider acute variants of such a course, it will even cause a blow to the spine.By the way, this artery injury can be judged by the appearance of symptoms in the form of a violation of the coordination of movements, frequent dizziness and disorders associated with vision and hearing.
The general compaction that the cervical department has may cause even slight muscle tension or vertebral displacement to squeeze nerve endings, which implies pinching in the cervical nerve, which can also be subjected to vascular structures.Osteophytes, which are formed at the bottom of such conditions, lead only to a deterioration of the situation, given the characteristic of compaction of the cervical region.Remember our readers that the growth of small sizes that form directly on bones are determined as osteophytes, the substances formed in the pathological process in the essence of the hypertrophic process (that is, in the general understanding of hypertrophy - this is a process in which an increase of separate part of the body/organ).
Cervical osteochondrosis causes the development of protrusions and hernias in the spine, whose effects, as well as characteristics such as vertebral displacement, vertebra stress and osteophyte formation, also tightens the nerve root and thus leads to the development of edema and inflammation.As a result, returning again to the compact size that the vertebral column channel of the department of interest to us has, it remains to be emphasized that the spine completely covers its volume, as a result of which additional compaction occurs - this time directly on the spinal canal.As a pronounced manifestation of such a course of the disease, pain syndrome is observed.
In addition, osteochondrosis can also lead to squeezing the brain and, given the narrowing characteristic of the department's spinal canal, occurs much more often than when considering processes in the lumbar and thoracic parts.It is noteworthy that the damage zone is reduced with cervical osteochondrosis not only for the defeat of the neck and head itself, but also for the defeat of the members (according to the top, this result is diagnosed much more often).Given these characteristics of cervical osteochondrosis, it is he who becomes one of the frequent causes of patients' disability.
So let's try to summarize that, in particular, I would like to play the factors that lead to compression of nerve and vascular structures in osteochondrosis of the cervical region.
- Slip (or displacement) of the spinal disc.This state implies a specific definition - Spondylolistz.Most of the time, this type of displacement is minimal in terms of occurrence in practice, and it is important that even a slight displacement provokes the development of paralysis, not to mention the most serious change, which leads to anything like a fatal result.
- Osteophytes.Cervical osteochondrosis, as we have already observed, causes the development of corresponding growths, ie osteophytes.They, in turn, are located on the sides of the vertebral bodies, lead to the irritation of the muscles that fit them directly, which ensures an increase in their tone.The load that affects the vertebrae is like this increases, this already causes an increase in intervertebral disc pressure at the same height.In the context of such a process, the risk of protrusion increases.Osteophytes directed to the passage of the vertebral artery can cause narrowing.
- Protrusion formation, spinal hernia.All of this is one of the options for the result of the development of relevant processes for cervical osteochondrosis.
- Changing the height of the spinal disc (ie your flattening).In frequent cases, a reduction in height occurs due to a decrease in the size of the intervertebral orifice.In addition, it is important to note that even unsuccessful neck rotation can lead to a subluxation of cervical vertebrae, as a result of which additional compression is guaranteed (ie compression).
Cervical osteochondrosis: Symptoms
Changes that occur with the spine with cervical osteochondrosis occur in combination with many clinical manifestations.It is noteworthy that their listing can be allocated about three dozen options, while the most interesting and unexpected for the patients themselves may be the fact that, besides the "traditional" pain, it is necessary to face symptoms that do not fit the first look under the disease.Thus, for example, not everyone will introduce elbow joint pain, leg weakness or visual disorders, as well as some other manifestations that we will also try to cover in the consideration below.
To represent the basic symptoms that can accompany cervical osteochondrosis, we conventionally distinguished for them three main groups determined according to the predominant involvement of the central nervous system in the pathological process.
- Me group.This includes the neurological symptoms of the disease, considered as complications, which emerged due to the influence of the process directly on nerve discs and roots, as well as nerves and plexus (in other words, the process concerns the peripheral section of the nervous system).
- II Group.In this case, we are talking about the relevant symptoms for cervical osteochondrosis, which manifests itself with the direct effect of the pathological process on the spinal cord.
- III Group.Symptoms directly associated with processes that occur in the brain with cervical osteochondrosis and therefore in the cranial nerves, the structures and shells of their hemispheres, the trunk and the brain vessels.
In short, for each of the groups, it can be noted that the symptoms of cervical osteochondrosis of the first group are mainly of pain, the symptoms of the second are in motor disorders and the symptoms of the third are in phenomena associated with the pathological effects exerted on vessels in vascular phenomena.Obviously, in frequent cases, there is a manifestation of these symptoms not only in their pure form, but also in the form of combined with each other, which, however, does not exclude the possibility of determining the leading group of the options listed based on symptoms.
Cervical osteochondrosis: symptoms of the first group
As we observed earlier, the first group contains symptoms in the form of painful manifestations, which occurs due to damage to the peripheral department's nervous system.This includes constant pain in the neck (defined by “cervical brain”) and cervical radiculites, cervical shutter.In addition, muscle, joint pain (wrist joint, elbow or shoulder joint), pain in the chest area can also appear (which may imply 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 awakening, intensifying at the time of attempts to roll in a lying position, as well as laughs, cough, spin the unsuccessful head of the head or when it sneezes, which is already possible in any other position in the body.The nature of pain can be defined as a stupid drilling;In some cases, pain may be throwing, however, regardless of a specific option, the location of these pain is focused on the depths of the neck.Regarding the duration of pain, it can be periodic and constant.
Pain, appearing with awakening, is subject to reduction in its own intensity, which occurs during the day, its complete disappearance becomes possible.Irradia of pain (its distribution) to the shoulder region and the neck surface is not excluded.
The tension of the neck muscles (moderate), the difficulty of breathing in the cervical region can also be observed.The acute period of the disease manifestation is characterized by the adoption of a somewhat peculiar pose by patients, in which they strive to keep their heads slightly under the slope and at the same time to the side.In the case of a change, it is often observed limited in rotational 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 head rotation in the form of a crisis and cod, which allows to bring an analogy with the friction of the stone in the sand.Frequently, in such cases, it is possible to diagnose the status of the course of cervical osteochondrosis, excluded in the listed symptoms of patients of attention.
In addition to cervical pain and shutter, cervical osteochondrosis can occur in a complex with cervical and cervical radiculitis, these states manifest themselves in the form of concentrated pain in upper cervical departments and NAPE.Strengthening pain is observed at the time of rotating the head in one direction or another to a lesser extent this pain manifestation is relevant in other actions.Often the spread of pain with cervical osteochondrosis occurs at the shoulder waist and hands (for one or both).In particular, this happens at the time of muscle tension, directly related to specific nerve roots, whose compression occurs through vertebrae.
Attempt, it can be noted that cervical radiculitis represents about 90% of root tightening cases in 6 and 7 departments at 5% - in 5 and 8 departments.Thus, the defeat of the sixth department leads to the appearance of unpleasant sensations or pain, concentrated within the structure of the anterior external surface of the forearm region with a thumb;The involvement of the seventh cervical spine leads to unpleasant sensations and pain in the middle finger;Eighth root involvement leads to the appearance of unpleasant sensations and pain in the little finger.
If the lesion affects the upper vertebrae and cervical discs, this can lead to the involvement of the occipital nerve that innervate the skin in the occipital process.This manifests itself, respectively, with background pain, they are constant, characterized by periodic reinforcement.In addition, the Nape area loses sensitivity, a specific pain point can be detected in the form of sealing and painful stress.
Cervical osteochondrosis usually leads to the development of crooked due to a spasm of the neck muscles against the bottom of the head of the head and curvature of the neck characteristic of this state.In this case, in patients, the head is slightly moved to the side/forward or back/back.There is virtually no possibility of moving the neck, an attempt to turn to the head is accompanied by the appearance of some pain in the neck, shoulder or back of the head.
Compression of the vessels for osteochondrosis due to insufficiency for this reason for blood supply leads to weakening of the pulse in the radial artery and with pain attacks with the simultaneous pale of the fingers.
Another manifestation of cervical osteochondrosis is a complication in which the concentration of pain occurs in the shoulder joint, which is defined asShoulder -Irba Periartrite.It develops due to violations in the area of innervation by shoulder, due to which dystrophic changes gradually in the growth of notes.These disorders appear with the beginning 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 visible causes, manifestations of this pain in an improved form are observed at night.Subsequently, the sequestration in hand leads to pain (especially from the outside of the joint), the survey determines the painful zones.Due to the patient's desire to guarantee the rest of the painful limb, the joint becomes stifled against the bottom of the reflex muscle contraction in it ("frozen shoulder").Subsequently, in the absence of treatment, raising a hand more than above the horizontal level becomes impossible.
Cervical osteochondrosis: symptoms of the second group
The symptoms of the second group consist of syndromes that occur against the damage to the cervical level of the spinal cord.Two mechanisms can lead to it, it is compression, which is produced from the disc with a spray nucleus due to the softness of its consistency, or lesion in the spinal cord on the sides of discs or solid (long) or growing consequences of the posterior vertebrae of the neck.In women, the first is most often observed in men - the second mechanism.
Symptoms of this course are often accompanied by weak and leg weakness, and in the legs there is an increase in tone without muscle weight loss, in the hands, on the contrary, the tone is reduced, the volume is reduced.The sensitive muscle writhing in the hands can also develop without pain.Most of the time, this complication is diagnosed at 40 to 55 years, a little less frequently - at the age of the senil and even less frequently - at the age of young people.The relevance of such a complication can be discussed in the presence of a patient in violations associated with cardiac activity (arrhythmias) or atherosclerosis.
Changes emerged in the spinal cord are defined asMyelopathy, it develops in the background of pathological changes on the disc located in the area between the cervical vertebrae 5 and 6. Its development can cause its development of the spine, excessive excess, affecting the shoulder waist muscles as well as negative emotions and alcohol intoxication.
One of the varieties of myelopathy manifestation is the disappearance of temperature and pain sensitivity due to the characteristics of the listed clinical manifestations.Consequently, patients lose the possibility of feeling annoying effects that, one way or another, on the skin in the cervical region, the upper parts in the chest and arms (on one side).Thus, the plot that has lost sensitivity is the form of fencing.Along with the listed symptoms, spontaneous pain appears (breaking, painful), on the side of defeat, the hand weakens.
Another type of manifestations of cervical osteochondrosis is "semiconducting disorders" that occurs with the insufficient supply of the side pillars of the spinal cord (their departments) with blood.This leads to increased fatigue from the lower ends marked when walking/standing as well as intermittent chromium.Hand nun, as well as unpleasant sensations in them (which is relevant to the day), in some cases these manifestations are observed on the feet are not excluded.When closing your eyes, there is a violation of coordination.The phenomena listed, despite their own constancy, do not limit the ability to work capacity.
Cervical osteochondrosis: symptoms of the third group
The third group of symptoms contains the brain manifestations of the disease into consideration, which occurs due to lack of blood flow in the system responsible for providing the brain trunk with blood.Vertebral arteries act as the main ships that form this system.We highlight the main types of relevant syndromes in this case.
- Hypothalamic syndrome.It is most often diagnosed, manifested in symptoms indicating harmed hypothalamus, or rather in the form of neurotic disorders.This is irritability and increased fatigue, anxiety and sensitivity, mood instability and sleep disorders (its superficiality, sleep is characterized by the ease of ascension without a sense of rest, difficulties in falling asleep).In addition, the possibility of concentration on something is lost, the ability to remember is reduced and unpleasant sensations usually appear in various organs.Severe cases are accompanied by the appearance of fears without cause, anger, longing, anxiety.Patients are pale, have limbs cooling, increased perspiration, increased pressure and pulse.Appetite, such as sexual desire, is reduced, urination is accelerated.
- Drop syndrome.It consists of the attacks of a fall without cause in a fainting of the patient with simultaneous loss of consciousness (possibly without their loss), which also occurs due to vascular spasm.Consciousness restoration occurs sufficiently quickly when the patient is placed in a horizontal position (the head is reduced).After an attack, the patients pronounced weakness in the legs and break, the headache is possible.
- Vestibular Barrel Syndrome.The only manifestation of the syndrome at the early 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 during walking.
- Kochlear-Barrel syndrome.It manifests itself in the form of touch and noise in the ears, especially on one side.The audience may decrease, ear congestion occurs, especially 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 connection with cervical osteochondrosis with these symptoms.
- Gworight-Board Sydom.The main manifestations consist of the appearance of the presence of a foreign object in the throat that causes difficulties in swallowing, this feeling of dry throat with itching is also possible.The voice loses its sound, survival appears in the larynx and throat, pain in these areas.Fatigue is observed during conversation, requiring a break, it is possible difficulties in swallowing thick foods, along with the spasm of the esophagus, and the reduction of such manifestations occurs after rest.
- Visual disorders.Various types of visual disorders: “fog” in front of the eyes, a drop in visual acuity, etc., alternating various violations during the day.
Treatment
A complete recovery with the disease we are considering is not possible, because its treatment is usually focused on slowing down the current process and, in particular, a specific period of the course of the disease.Exacerbations require hospitalization and semi -water regime.
Regarding drug therapy, it consists of the appointment of various types of painkillers, the possibility of using the novocaine muscle block is not excluded.Parallel to treatment, the main emphasis is on vitamin therapy, muscle relaxants can be prescribed.The efficacy of results in the treatment of cervical osteochondrosis is achieved in the use of physiotherapy methods (electrophoresis using anesthetic, ultrasound procedures, etc.).The treatment of cervical osteochondrosis also implies the need to use SO -S -Chalt collar, massage procedures are prescribed for periods of remission.
The diagnosis of cervical osteochondrosis is performed by a neurologist, and the direction to this expert can be obtained with an erroneous assumption in the need to visit Laura, therapist, cardiologist and other experts.
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Chronic fatigue syndrome (SOKR. Cu) is a state in which mental and physical weakness arises due to unknown factors and lasting six months or more.Chronic fatigue syndrome, whose symptoms should be associated with infectious diseases, and are closely associated with a rapid pace of life and an increase in the flow of information that literally collapses a person for their subsequent perception.
Ischemic stroke is an acute type of cerebrovascular brain circulation due to the insufficiency of reckoning to a certain area of the blood brain or the complete cessation of this process, and is damaged by brain tissue in combination with its functions.Ischemic stroke whose symptoms, like the disease itself, are most often observed among the most common types of cerebrovascular diseases, is the cause of subsequent disability and generally fatal result.
Avitaminosis is a painful state of a person who occurs as a result of acute vitamin scarcity in the human body.Distinguish between vitamin deficiency in spring and winter.There are no restrictions on the floor and age group in this case.
AstoNovectative Syndrome (ABC) is a pathological process in which a functional violation of the autonomic system is occurring, responsible for the functioning of the internal organs.Most of the time, this violation arises as a result of a person's inability to respond properly to stressful situations.
With the help of exercise and abstinence, most people can do without medicine.