Cervical osteochondrosis

Cervical osteochondosis, whose concentration is noted, as can be determined from the name, in the neck, is a fairly common pathology.Cervical osteochondosis, whose symptoms cannot always be considered exclusively as this disease, taking into account the characteristics of its location and local processes, often leads to the treatment of other areas, these symptoms are so contradictory.

General description

Most of the time, the development of cervical osteochondosis occurs due to a sedentary lifestyle, which is particularly contributed to a significant change in physical work, although a moderate degree previously widespread to work intellectual, which, once again, is accompanied by a living room.

In general, before taking into account the symptoms inherent in cervical osteochondosis, I would like to notice that it can be seen in certain differences compared to the symptoms which accompanies osteochondosis as a whole, which, perhaps, should not be particularly surprising, taking into account the anatomical characteristics which are specific, which interests us (itself).

The vertebrae concentrated in the neck adjacent to each other.Meanwhile, the setting located in the cervical region is not too well developed, which contributes to the factor to the displacement of the vertebrae.In turn, it causes a compression of the nerves and blood vessels which, in the cervical region, is more than abuse.Thus, for example, it is here that the vertebral artery takes place, with the help of blood supply to the brain (or rather its posterior parts, presented in the form of an oblong brain and a cerebellum).

The compression (that is to say the compression) of the vertebral artery due to a decrease in blood circulation can cause the ischemia of the spinal cord and the brain, and if we consider the acute variants of such a course, then even causes a stroke.By the way, such a lesion of the artery can be judged by the appearance of symptoms in the form of a violation of the coordination of movements, frequent dizzy, as well as disorders associated with vision and hearing.

The overall compactness of the cervical service can cause that even a slight muscle tension or a vertebral displacement will result in the compression of nerve endings, which implies pinching in the cervical nerve, which can also be subject to vascular structures.The osteophytes, which are formed in the context of these conditions, only lead to a deterioration of the situation, given the characteristic compactness of the cervical region.Remember our readers that the growth of small sizes that are formed directly on bones are determined like osteophytes, the substances that form in the process of pathological essence of the hypertrophic process (that is to say in the general understanding of hypertrophy-it is a process in which an increase in a distinct part of the body / organ).

Cervical osteochondosis causes the development of protuberances and hernias in the spine, whose effects, in addition to characteristics such as vertebral displacement, stress of the vertebrae and the formation of osteophites, also tightens the nerve root, and thus leads to the development of edema and inflammation.Consequently, the return, once again, to the compact size that the vertebral canal of the ministry of interest for us has, it remains to accentuate that the spine completely covers its volume, as a result of which additional compression occurs - this time directly in the vertebral canal.As a pronounced manifestation of such a course in the disease, pain syndrome is observed.

In addition, osteochondrosis can also lead to brain pressing and, given the characteristic of the narrowness of the vertebral canal of the department in question, occurs much more often than when examining the processes in lumbar and thoracic parts.It should be noted that the damage zone is reduced with cervical osteochondosis not only to the defeat of the neck and the head itself, but also to the defeat of the members (according to the higher, such a result is diagnosed much more often).Given these characteristics of cervical osteochondosis, it is he which becomes one of the frequent causes of the invalidity of patients.

Let us therefore try to summarize in which, in particular, I would like to touch again the factors which lead to the compression of the nerve and vascular structures in osteochondrosis of the cervical region.

The structure of the cervical region

  • Sliding (or displacement) of the vertebral disc.This state implies a specific definition - Spondylolistz.For the most part, this type of displacement is minimal in terms of occurrence in practice, in addition, it is important that even a slight displacement causes the development of paralysis, not to mention the most serious change, which leads to anything else as a deadly result.
  • Osteophytes.Cervical osteochondosis, as we have already noted, causes the development of corresponding growth, that is to say osteophytes.They, in turn, are located on the sides of the vertebral bodies, lead to the irritation of these muscles which correspond to them directly, which ensures an increase in their tone.The load that affects the vertebrae thus increases, which already causes an increase in pressure on the intervertebral disc at the same height.In the context of such a process, the risk of protrusion increases.The osteophytes directed towards the passage of the vertebral artery can cause a narrowing.
  • Professful formation, vertebral hernia.All this is one of the options for the result of process development that is relevant to cervical osteochondosis.
  • Change the height of the vertebral disc (that is, its flattening).In frequent cases, a reduction in height occurs due to a decrease in the size of the intervertebral hole.In addition, it is important to note that even an unsuccessful rotation of the neck can lead to a subluxation of the cervical vertebrae, following which additional compression is ensured (that is to say compression).

Cervical osteochondosis: symptoms

Changes occurring with the spine with cervical osteochondosis occur in combination with many clinical manifestations.It should be noted that their list can be allocated about three dozen options, while the most interesting and unexpected for the patients themselves can be the fact that in addition to the "traditional" pain in the neck, it is necessary to face symptoms which do not fall completely under the first glance under the disease under study.Thus, for example, not everyone will introduce pain in the elbow joint, legs or visual disorders, as well as other manifestations that we will also try to cover in consideration below.

To represent the basic symptoms which can accompany cervical osteochondosis, we distinguish conventionally for them three main groups determined in accordance with the predominant involvement of the central nervous system in the pathological process.

  • I gather.This includes the neurological symptoms of the disease, considered to be its complication, which was born due to the influence of the process directly on the discs and nerve roots, as well as on nerves and plexus (in other words, the process concerns the peripheral section of the nervous system).
  • Group II.In this case, we are talking about relevant symptoms for cervical osteochondosis, which manifests itself with the direct effect of the pathological process on the spinal cord.
  • Group III.Symptoms associated directly with the processes that occur in the brain with cervical osteochondosis, and, therefore, in the cranial nerves, in the structures and shells of its hemispheres, in the trunk and in the vessels of the brain.

In short, for each of the groups, we can note that the symptoms of cervical osteochondosis of the first group are mainly in pain, the symptoms of the second are in motor disorders and the symptoms of the third are in the phenomena associated with the pathological effects exerted on the vessels of 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 of handsets with each other, which, however, does not exclude the possibility of determining the main group of the options listed according to the symptoms.

Cervical osteochondrosis: symptoms of the first group

As we have noted previously, the first group contains symptoms in the form of painful manifestations, which occur due to damage in the nervous system of the peripheral department.This includes both constant pains in the neck (defined by "cervical brains") and cervical radiculitis, the cervical shutter.In addition, muscle pain, joints (wrist joint, elbow or shoulder joint), chest pain can also appear (which can involve pain in the heart, liver).

It should be noted that pain in the neck is the first symptom of cervical osteochondosis, and it is observed in almost all patients with this diagnosis.Such pains appear in the morning after awakening, intensifying at the time of rolling attempts in a lie position, as well as with laughter, a cough, an unsuccessful reversal of the head or in sneeze, which is already possible in any other position of the body.The nature of the pain can be defined as a drilling and stupid, in some cases, the pain can be drawn, however, whatever a specific option, the location of these pain is concentrated in the depths of the neck.As for the duration of the pain, it can be periodic and constant.

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

The tension of the (moderate) neck muscles, the difficulty of breathing in the cervical region can also be noted.The acute period of the manifestation of the disease is characterized by the adoption of a somewhat particular pose by patients, in which they strive to keep their head slightly under the slope forward and at the same time on the side.In the case of a change, the limit is often observed in the rotation movements made by the head.

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

In addition to the cervical pain and the shutter, osteochondrosis in the cervical region can occur in a complex with a cervical and cervical radicult, these states manifest themselves in the form of concentrated pain in the upper cervical departments and in the nape.Strengthening pain is noted when turning your head in one direction or another, to a lesser extent, such a manifestation of pain is relevant in other actions.Often, the spread of pain with cervical osteochondosis occurs on the shoulder belt and in the hands (one or both).In particular, this occurs at the time of muscle tension, directly linked to specific roots of the nerves, whose compression occurs by the vertebrae.

In tiing, it can be noted that cervical radiculitis represents approximately 90% of root cases in 6 and 7 departments, in 5% - in 5 and 8 departments.Thus, the defeat of the sixth department leads to the appearance of unpleasant sensations or to pain, concentrated in the context of the anterior external surface of the forearm region with a thumb;The involvement of the seventh cervical vertebral column leads to unpleasant sensations and an adult pain;The involvement of the eighth root leads to the appearance of unpleasant sensations and pain in the little finger.

If the lesion affects the upper vertebrae and the cervical discs, this can lead to the involvement of the occipital nerve innervating the skin in the process of the occipital.This manifests, respectively, with pain in the neck, they are constant, characterized by periodic strengthening.In addition, the neck area loses sensitivity, a specific point of pain can be detected in the form of painful seal and stress.

Cervical osteochondosis often leads to the development of tortains, which is due to a spasm of the neck muscles on the bottom of the head of the head and the curvature of the neck characteristic of this state.In this case, in patients, the head is slightly offset towards the side / forward or towards the side / backwards.There is practically no possibility of moving the neck, an attempt to turn to the head is accompanied by the appearance of a certain pain in the neck, shoulder or shoulder or at the back of the head.

The compression of the vessels for osteochondrosis due to the insufficiency for this reason for the blood supply leads to the weakening of the impulse in the radial artery and to attacks of pain with the pale simultaneous of the fingers.

Another manifestation of cervical osteochondosis is a complication in which pain concentration occurs in the shoulder joint, which is defined asSpeed periarthritis.It is developing due to violations in the innervation shoulder shoulder area, due to the dystrophic changes in the progressive way, the notes are developing.These disturbances appear with the start of a painful process that accompanies cervical osteochondosis, but for a long time, they are simply invisible.

The main symptoms of this pathology are pain in the joint, as a rule, which occurs without visible causes, manifestations of this pain in an improved form are noted at night.Subsequently, the abduction to the hand leads to pain (mainly from the outer part of the joint), the survey determines the painful areas.Due to the patient's desire to ensure the rest of the painful limb, the joint becomes Steffereal in the bottom of the reflex muscle contraction ("frozen shoulder").Thereafter, in the absence of treatment, lifting the hand more than above the horizontal level becomes impossible.

Cervical osteochondrosis: symptoms of the second group

The symptoms of the second group are made up of syndromes which occur in the bottom of damage at the cervical level of the spinal cord.Two mechanisms can drive there, it is either compression, which is produced from the disc with a pulpose nucleus due to the softness of its consistency, or a spinal cord injury on the side of solid disks (long exceptional) or the growth of the vertebrae of the posterior collar.In women, the first is more often observed in men - the second mechanism.

The symptoms of this course are often accompanied by weaknesses of the arms and legs, and in the legs, there is an increase in tone without loss of muscle weight, in the hands, on the contrary, the tone is reduced, the volume is reduced.Sensitive muscle contractions in their hands can also develop, painless.Most often, such a complication is diagnosed at the age of 40 to 55, a little less often - at the age of the senile and even less often - at the age of young people.The relevance of such a complication can be discussed in the presence of a patient in violation associated with cardiac activity (arrhythmias) or atherosclerosis.

Changes resulting from the spinal cord are defined asMyelopathy, it develops in the context of the pathological changes of the disc located in the area between the 5th and 6th cervical vertebrae.Its development can cause its development of the spine, an excessive one, affecting the muscles of the shoulder belt, as well as negative emotions and alcohol poisoning.

One of the varieties of manhelopathy manifestation is the disappearance of temperature and pain sensitivity due to the characteristics of the manifestations listed.Consequently, patients lose the possibility of feeling of irritating effects which, in one way or another, on the skin in the cervical region, the upper parts of the chest and the arms (on one side).Thus, the intrigue that has lost sensitivity has the shape of a fence.In addition to the listed symptoms, spontaneous pain (rupture, painful) occur on the side of the defeat that the hand weakens.

Another type of manifestations of cervical osteochondosis is the "syndrome of semiconductor disorders" which occurs with an insufficient supply of lateral pillars of the spinal cord (its departments) with blood.This leads to increased fatigue of the lower limbs marked during the standing position, as well as an intermittent chrome.The nun of the hands, as well as unpleasant sensations (which is relevant for the day), in some cases, such demonstrations are noted in the feet are not excluded.When closing the eyes, a violation of coordination occurs.The phenomena listed, despite their own constancy, do not limit the capacity for work.

Cervical osteochondrosis: symptoms of the third group

The third group of symptoms contains brain manifestations of the disease considered, which occurs due to the lack of blood flow in the system responsible for the supply of brainstem with blood.The vertebral arteries act as the main ships forming such a system.We highlight the main types of relevant syndromes in this case.

  • Hypotalamic syndrome.It is most often diagnosed, manifested in symptoms indicating an impairment of the hypothalamus, or rather, in the form of neurotic disorders.It is irritability and the increase in fatigue, anxiety and touch, the instability of moods and sleep disorders (its superficiality, sleep is characterized by the ease of rise without a feeling of rest, difficulty falling asleep).In addition, the possibility of concentration on something is lost, the ability to remember is a reduction in unpleasant sensations often appear in various organs.Serious cases are accompanied by the appearance of without cause, anger, desire, anxiety.Patients are pale, they have a cooling of the limbs, increased perspiration, increasing pressure and a pulse.Appétit, like libido, is reduced, the urination is accelerated.
  • Drops syndrome.It consists of the attacks of a without cause in a fainting of the patient with a simultaneous loss of consciousness (perhaps without its loss), which also occurs because of the vascular spasm.The restoration of consciousness occurs fairly quickly when the patient is placed in a horizontal position (the head is lowered).After an attack, the patients pronounced a weakness of the legs and a breakdown, the headaches are possible.
  • Vestibular syndrome.The only manifestation of syndrome at the initial stage of the disease is stunning that occurs due to the sensitivity of the vestibular apparatus to the lack of blood supply.Nausea and vomiting are possible in combination with certain fluctuations in the movements of eyelashes, instability by walking.
  • Kochlear-Barrel syndrome.It manifests in the form of ringtone and noise in the ears, mainly on one side.The hearing may decrease, the congestion of the ear occurs, mainly 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 osteochondosis with such symptoms.
  • Sydrome Gwraight-Board.The main manifestations consist of the appearance of the presence of a foreign object in the throat which causes difficulties in swallowing, also this sensation of dry throat is possible with itching.The voice loses its sound, survival appears in the larynx and in the throat, the pain in these areas.Fatigue is noted during the conversation, requiring a break, difficulties swallowing thick foods as well as esophagus spasms are possible, and a reduction in such manifestations occurs after rest.
  • Visual disturbances.Various types of visual disorders: "fog" before the eyes, a decrease in visual acuity, etc., alternating various violations during the day.

Treatment

Complete recovery with the disease that we consider is not possible, because its treatment is generally focused on the slowdown in the current process, and in particular, a specific period of the price of the disease.The exacerbations require hospitalization and the semi-water regime.

As for pharmacotherapy, it consists of noting various types of pain relievers, the possibility of using the muscle blocking of novocaine is not excluded.In addition to the treatment, the emphasis is placed on the treatment of vitamins, muscle relaxants can be prescribed.The effectiveness of the results of treatment of cervical osteochondosis is obtained in the use of physiotherapy methods (electrophoresis using anesthetics, ultrasound procedures, etc.).The treatment of cervical osteochondosis also involves the need to wear the Shants So Called collar, massage procedures are prescribed for periods of remission.

The diagnosis of cervical osteochondosis is carried out by a neurologist, and the management of this specialist can be obtained with an erroneous hypothesis in the need to visit Laura, therapist, cardiologist and other specialists.

Migraine is a fairly common neurological disease, accompanied by a pronounced paroxysmal headache.Migraine, whose symptoms really suffer, concentrated by half the head mainly in the eyes, temples and fronts, in nausea and, in certain cases, occur without reference to tumor formations of the brain, lines and serious head injuries, although this can indicate the relevance of certain pathologies.

Chronic fatigue syndrome (Sokr. CU) is a state in which mental and physical weakness arises, due to unknown and lasts factors at six months or more.Chronic fatigue syndrome, the symptoms of which are supposed to be associated with infectious diseases, moreover, is closely associated with an accelerated pace of life and an increased flow of information which literally collapses on a person for their subsequent perception.

Ischemic stroke is an acute type of cerebrocular cerebral circulation due to insufficient calculation in a certain area of the blood brain or to the complete cessation of this process, moreover, it is damaged by the brain fabric in combination with its functions.Ischemic stroke, whose symptoms, as well as the disease itself, are most often observed among the most common types of cerebrovascular diseases, is the cause of subsequent disability and often fatal results.

Avitaminosis is a painful state of a person who occurs following an acute shortage of vitamins in the human body.Distinguish between the deficiency of spring and winter vitamins.There is no restriction on the ground and the age group, in this case.

Asthenovegetative syndrome (ABC) is a pathological process in which a functional violation of the autonomous system takes place, which is responsible for the operation of the internal organs.Most often, such a violation stems from the inability of a person to adequately respond to stressful situations.

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