Cervical osteochondrosis, recorded concentrations, as can be determined from the name, in the neck, is a fairly common pathology.Cervical osteochondrosis, the symptoms are not always considered clearly exclusively as this disease, taking into account the localization features and local processes, often leading to the treatment of other regions, these symptoms are very contrary.
General description
Most of the development of cervical osteochondrosis occurs because of a permanent lifestyle, which is specifically contributed to significant changes from physical work, although to the previous level to work intellectuals, which, once again, accompanied by sitting work.
In general, before we switch to consideration of symptoms inherent in cervical osteochondrosis, I want to pay attention that it can be seen in certain differences of symptoms that accompany osteochondrosis as a whole, which may, may not be extraordinary, given the specific anatomy features, which are owned by ourselves).
Vertebrae is concentrated in the neck adjacent to each other close enough.Meanwhile, the frame located in the cervical area is not well developed, which contributes to the vertebral transfer factor.This, in turn, causes compression of nerves and blood vessels, which in the cervix area are more than abundant.So, for example, this is where the vertebral artery runs, which helps the supply of blood to the brain is confirmed (or rather, the back is served in the form of an oval brain and cerebellum).
Compression (ie, compression) vertebral arteries due to decreased blood circulation can trigger spinal cord ischemia and brain, and if we consider acute variants of such courses, it even causes spinal stroke.By the way, such arterial lesions can be judged by the appearance of symptoms in the form of violations of movement coordination, often dizzy, and disorders related to vision and hearing.
The overall cohesiveness of the cervical department can cause that even a little muscle tension or vertebral displacement will cause squeezing nerve endings, which implies a flip -flops in the cervical nerve, which can also experience vascular structure.Osteofit, which is formed against the background of such conditions, only leads to a setback in the situation, given the characteristics of the cohesiveness of the cervical area.Remember our reader that the growth of small sizes formed directly in the bone is determined as an osteofit, the substances formed in the pathological process are basically from the hypertrophic process (ie, in general understanding of hypertrophy - this is a process in which an increase in the part separately from the body/organ) acts.
Cervical osteochondrosis causes the development of protrusions and hernias in the spine, the effects, in addition to features such as vertebral displacement, vertebral stress and osteofit formation, also squeezed nerve roots, and thus lead to the development of edema and inflammation in it.As a result, returning, once again, to the compact size owned by the spinal canal of the Department of Interest to us, it remains to highlight that the spine covers the volume completely, as a result of additional compression that occurs - this time directly on the spinal canal.As a real manifestation of such a disease, pain syndrome is observed.
Furthermore, osteochondrosis can also cause to blackmail the brain, and, given the narrow characteristics of the department's spinal canal concerned, it occurs far more often than when considering the process in the lumbar and thoracic.It should be noted, the damage zone is reduced by cervical osteochondrosis not only for the defeat of the neck and head itself, but also for the defeat of the limbs (according to the top, such results are diagnosed more often).Given the features of this cervical osteochondrosis, he is one of the causes of frequent patient defects.
So, let's try to summarize where, in particular, I want to touch the factors that lead to the compression of the structure of nerve and blood vessels in the osteochondrosis in the cervical area.
- Slip (or displacement) from the backbone disk.This situation implies specific definitions - Spondylolistz.Most, this type of movement is minimal in terms of events in practice, moreover, it is important that even a little transfer triggers the development of paralysis, not to mention a more serious change, which leads to other things as a fatal result.
- Osteofit.Cervical osteochondrosis, as we have noted, triggers the development of appropriate growth, namely osteofit.They, in turn, lies from the vertebral body side, causing the irritation of the muscles that directly appropriate to them, which ensures an increase in their tone.The load that affects the vertebra thus increases, this has triggered an increase in pressure on the intervertebral disc at the same height.In the background of such a process, the risk of bulge increases.Osteofit directed at the vertebral artery journey can provoke narrowing.
- Bulge formation, spinal hernia.All of this is one of the options for the results of the development of relevant processes for cervical osteochondrosis.
- Changing the height of the backbone disk (ie, the administration).In frequent cases, height reduction occurs due to a decrease in the size of the intervertebral hole.In addition, it is important to note that even failed neck rotation can cause cervical vertebral subluxation, as a result additional compression is confirmed (ie, compression).
Cervical osteochondrosis: symptoms
Changes that occur with the spine with cervical osteochondrosis occur in combination with many clinical manifestations.It should be noted that their list can be allocated about three dozen choices, while the most interesting and unexpected for patients themselves can turn into the fact that besides the pain of "traditional" in the neck, we must face symptoms that do not fall under the first view under the disease being considered.So, for example, not everyone will introduce pain in the elbow joints, leg weaknesses or visual disorders, as well as several other manifestations that we will also try to cover in the considerations below.
To represent the basic symptoms that can accompany cervical osteochondrosis, we conventionally distinguish for those three main groups determined in accordance with the dominant involvement of the central nervous system in the pathological process.
- I group.This includes neurological symptoms of the disease, considered as its complications, which arise due to the influence of the process directly on the discs and nerve roots, as well as on the nerves and plexus (in other words, the process involves the peripheral part of the nervous system).
- Group II.In this case, we talk about relevant symptoms for cervical osteochondrosis, which manifests itself with a direct effect of the pathological process of the spinal cord.
- Group III.Symptoms directly related to the process that occurs in the brain with cervical osteochondrosis, and, therefore, in the cranial nerve, in the structure and shells of the hemisphere, in the stem and in the brain vessels.
In short, for each group it can be noted that the symptoms of cervical osteochondrosis from the first group mainly experience pain, the second symptom is in motor disorders, and the third symptoms are in phenomena associated with the pathological effects given to vascular phenomena.Of course, in frequent cases, there are manifestations of these symptoms not only in their pure form, but also in a form combined with each other, which, however, does not exclude the possibility of determining the leading groups of registered options based on symptoms.
Cervical osteochondrosis: the symptoms of the first group
As we noted before, the first group contains symptoms in the form of painful manifestations, which occur due to damage to the nervous system of the peripheral department.This includes constant pain in the neck (defined by "cervical cerebral") and neck radiculite, cervical shutter.In addition, muscles, joint pain (wrist joints, elbows or shoulder joints), pain in the chest area can also appear (which may imply pain in the heart, liver).
It should be noted that pain in the neck is the first symptom of cervical osteochondrosis, and observed in almost all patients with this diagnosis.Such pain appears in the morning after the resurrection, intensifying when efforts to roll in a lying position, as well as with laughter, coughing, unsuccessful head rotation or when sneezing, which is possible in other body positions.The nature of pain can be defined as drilling and stupid, in some cases the pain can shoot, however, regardless of certain choices, the localization of this pain is focused on the depth of the neck.As for the duration of pain, it can be periodic and constant.
Pain, which arises with a resurrection, experiences a reduction in its own intensity, which occurs during the day, their total loss is possible.Iradia pain (distribution) to the shoulder area and to the surface of the neck is not excluded.
The tension of the neck muscles (medium), difficulty breathing in the cervical area can also be recorded.The acute period of the manifestation of this disease is marked by adoption of a rather strange pose by patients, where they try to keep their heads slightly below the slopes forward and at the same time to the side.In the case of a shift, restrictions are often observed in rotation movements made by the head.
Symptoms of cervical osteochondrosis characteristics that are often distinguished by the presence of noise phenomena that occur during head rotation in the form of crunch and cod, which allows you to carry analogy with stone friction on the sand.Often in cases like that it is possible to diagnose the law on the journey of cervical osteochondrosis, excluded in parts of the symptoms of patients registered from attention.
In addition to cervical pain and rana, osteochondrosis cervical areas can occur in complexes with cervical and cervical radiculitis, this condition is manifested in the form of pain concentrated in the upper cervical department and in the neck.Strengthening pain is recorded when turning the head in one direction or another, at a lower level, manifestations of such pain are relevant in other actions.Often the spread of pain with cervical osteochondrosis occurs in the shoulder girdle and into the hands (for one or both).In particular, this occurs during muscle tension, directly related to certain nerve roots, compression that occurs by vertebrae.
Tentative, it can be noted that cervical radiculitis contributes around 90% of cases of extortion roots in 6 and 7 departments, in 5% - in 5 and 8 departments.So, the defeat of the sixth department leads to the appearance of an unpleasant sensation or pain, concentrated in the outer surface frame of the forearm area with the thumb;The involvement of the seventh neck spine causes an unpleasant sensation and pain in the middle finger;The involvement of the eighth roots leads to the appearance of sensation and unpleasant pain in the pinky finger.
If the lesion affects the upper vertebrae and cervical discs, then this can cause the involvement of the occipital nerve infects the skin in the occipital process.This is manifested, each, with pain in the nape of the neck, they are constant, marked by periodic strengthening.Also, the neck area loses sensitivity, specific pain points can be detected in the form of seals and painful stress.
Cervical osteochondrosis often leads to bent development, which is caused by neck muscle spasms with head background and the curvature of the neck characteristics of this situation.In this case, in patients, the head shifts slightly to the side/forward or to the side/backwards.Practically there is no possibility of moving the neck, efforts to turn toward the head accompanied by the appearance of certain pain in the neck, shoulders or behind the head.
Compression of vessels for osteochondrosis due to insufficiency for reasons of blood supply causes the weakening of the pulse in the radial arteries and with a pale simultaneous pain from the fingers.
Another manifestation of cervical osteochondrosis is a complication in which pain concentration occurs in the shoulder joint, which is defined asShoulder PeriArthritis -Soulder.This developed because of violations in the area of the shoulder of the shoulder, due to changes in distribution in a gradual manner, the value of growing.This disorder arises with the beginning of a painful process that accompanies cervical osteochondrosis, but for a long time they are not visible.
The main symptom of this pathology is pain in the joints, as a rule, which occurs without visible causes, manifestations of this pain in an upgraded form are recorded at night.Furthermore, kidnapping towards the hand causes pain (especially from the outside of the joint), the investigation determines painful zones.Because of the patient's desire to ensure painful limbs, the joints become stiff against the background of the contraction of the reflex muscles in it ("frozen shoulders").Furthermore, in the absence of treatment, raising hands more than above the horizontal level becomes impossible.
Cervical osteochondrosis: symptoms of the second group
Symptoms of the second group consist of syndrome that occurs against the background of damage to the cervical level of the spinal cord.Two mechanisms can cause it, it is compression, which is produced from the disk with the core of the porridge due to the softness of its consistency, or injury to the spinal cord from the side of the solid disc (length -Tetap) or the growth of the posterior neck vertebrae.In women, the first is more often observed, in men - the second mechanism.
Symptoms of this course are often accompanied by weakness of the arms and legs, and in the feet there is an increase in tone without muscle weight loss, in the hand, on the contrary, the tone is reduced, the volume is reduced.Sensitive muscles twitching in their hands can also develop, without pain.Most often, complications like that are diagnosed at the age of 40 to 55 years, somewhat less frequently - at senile age, and even less frequently - at a young age.The relevance of such complications can be discussed by the presence of patients who commit violations related to heart activity (arrhythmia) or by atherosclerosis.
Changes that arise in the spinal cord are defined asMyelopathy, this develops against the background of pathological changes in the disk located in the area between the 5th and 6th cervical vertebrae.Its development can trigger the development of its spine, excessive overstrain, affect the muscles of the shoulder corset, as well as negative emotions and alcohol poisoning.
One variety of myelopathy manifestations is the loss of temperature and pain sensitivity due to the registered clinical manifestation features.Thus, the patient loses the possibility of a sensation of irritating effects in one or another method on the skin in the cervical area, the upper part of the chest and arm (on one side).Thus, the plot that loses sensitivity has a fence.Along with the listed symptoms, spontaneous pain (broken, pain) appears, in terms of defeat it is weakened.
Another type of manifestation of cervical osteochondrosis is the "semiconductor disorder syndrome" that occurs with an inadequate side pillar supply of the spinal cord (department) with blood.This causes an increase in lower limb fatigue that is marked when walking/standing, as well as intermittent chromium.Hand nuns, as well as unpleasant sensations in it (which are relevant for daytime time), in some cases, the manifestation is recorded on the feet not excluded.When closing your eyes, coordination violations occur.The listed phenomenon, regardless of their own determination, does not limit the ability to work.
Cervical osteochondrosis: third group symptoms
The third group of symptoms contain the manifestation of the brain of the disease that is being considered, which occurs due to lack of blood flow in the system that is responsible for supplying the brain stem with blood.The vertebral artery acts as the main ship that forms such a system.We highlighted the main types of relevant syndrome in this case.
- Hypothalamus syndrome.This is diagnosed most often, manifested in symptoms that indicate hypothalamic disorders, or more precisely, in the form of neurotic disorders.This is the nature of irritability and the increase in fatigue, anxiety and pain, instability of mood and sleep disorders (its pouring, sleep is characterized by ease of rising without a sense of rest, difficulty falling asleep).Also, the possibility of concentration in something is lost, the ability to remember is reduced, unpleasant sensations often appear in various organs.Severe cases are accompanied by the appearance of fear without cause, anger, longing, anxiety.Patients are pale, they have cooling limbs, increased sweat, increased pressure and pulse.Appetite, such as sex drive, reduced, urinating accelerated.
- Dropped syndrome.This consists of a falling attack without cause because of fainting patients with simultaneous loss of consciousness (maybe without losing it), which also occurs due to blood vessel spasms.Recovery of consciousness occurs quite fast when the patient is placed in a horizontal position (head is lowered).After the attack, the patient has stated weaknesses in the legs and damage, headaches are possible.
- Vestibular-barrel syndrome.The only manifestation of syndrome in the early stages of the disease is dizziness that occurs due to the sensitivity of vestibular equipment to lack of blood supply.Nausea and vomiting are possible in combination with some fluctuations in eyeball movements, instability when walking.
- Kochlear-Barrel syndrome.It manifests itself in the form of ringing and noise in the ear, especially on the one hand.Listening can be reduced, ear congestion occurs, especially syndrome associated with the previous one, however, the independent course is not excluded.By the way, it is not always easy to determine the relationship with cervical osteochondrosis with such symptoms.
- Sydrome Gworight-Board.The main manifestation consists of the appearance of the presence of foreign objects in the throat that causes difficulty swallowing, also the feeling of dry throat is possible with itching.The sound lost his sonority, survival appeared in the larynx and in the throat, the pain in this area.Fatigue is noted during the conversation, requires a break, difficulty swallowing thick food together with the esophagus spasms is possible, and reducing such manifestations occurs after rest.
- Visual disorders.Various types of visual disorders: "fog" in sight, a drop of visual sharpness, etc., changes in various violations during the day.
Treatment
Total recovery with the disease that we consider is not possible, because the treatment is generally focused on slowing down the current process, and in particular, certain periods of the course of the disease.Exacerbation requires hospitalization and semi -water regime.
As for drug therapy, this consists of the appointment of various types of analgesics, the possibility of using the Novocaine muscle blockade is not excluded.In line with treatment, the main emphasis is on vitamin therapy, muscle relaxation can be prescribed.The effectiveness of the results in the treatment of cervical osteochondrosis is achieved in the use of physiotherapy methods (electrophoresis using anesthesia, ultrasonic procedures, etc.).The cervical osteochondrosis treatment also implies the need to use the shants called SO, the massage procedure is prescribed for the remission period.
The diagnosis of cervical osteochondrosis is carried out by neurologists, and the direction of this specialist can be obtained with the wrong assumption in the need to visit Laura, therapist, cardiologist, and other specialists.
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