Cervical osteochondrosis

Cervical osteochondrosis, whose concentration is noted, as can be determined by the name of the neck, is a very common pathology.Cervical osteochondrosis, the symptoms of which may not always be unambiguously considered exclusively as this disease, taking into account the characteristics of its localization and local processes, often lead to the treatment of other areas, these symptoms are so contradictory.

Overall description

Most of all, the development of cervical osteochondrosis occurs due to a sedentary lifestyle, which particularly contributes to a significant transition from physical labor, albeit to a moderate degree, which is previously widespread for the work of an intellectual, which is again accompanied by seated work.

In general, before we move on to examining the symptoms inherent in cervical osteochondrosis, I would like to notice that it can be seen in certain differences of symptoms that accompany osteochondrosis as a whole, which may not be particularly incredible, given the anatomical characteristics that are specific, which is interesting.

The vertebrae concentrate in the neck adjacent to each other quite healthy.Meanwhile, the frame, located in the cervical region, has not been developed too well, which contributes to the factor of displacement of the vertebrae.This in turn causes compression of nerves and blood vessels, which is more than abundant in the cervical region.For example, it is here that the spinal artery is provided, with the help of which is provided with the blood supply to the brain (or more recently, its buttocks, represented in the form of a prolonged brain and cerebral brain).

Compression (ie compression) of the spinal artery due to reduction of blood circulation can cause the ischemia of the spinal cord and brain, and if we take into account the acute variants of such a course, then even cause spinal stroke.By the way, such an artery lesion can be judged by the onset of symptoms in the form of a violation of movement coordination, frequent dizziness, as well as impaired vision and hearing.

The overall compactness that has the cervical department can even cause a slight muscle tension or displacement of the vertebrae will lead to a squeeze of nerve endings, which implies a pinch in the cervical nerve, which can also be subjected to vascular structures.Osteophytes, which are formed against the background of such conditions, lead only to a deterioration in the situation, given the compactness characteristic of the cervical region.Remember our readers that the growth of the small size, which is formed directly on the bones, is defined as osteophytes, those substances that are formed in the process of pathological essential of the hypertrophic process (that is, in the overall understanding of hypertrophy - this is a process in which it increases in a separate part of the body.

Cervical osteochondrosis causes the development of protrusions and hernias in the spine, of which in addition to such characteristics as shifting of the vertebrae, the stress of the vertebrae and the formation of osteophytes also presses the nerve root and thus leads to the development of edema and inflammation in it.As a result, returning to the compact size that the ministry of interests has for us, it remains to emphasize that the spine covers its volume completely, resulting in additional compression - this time directly into the spinal canal.As a pronounced manifestation of such a course of the disease, there is a pain syndrome.

In addition, osteochondrosis can also lead to brain leakage and, given the narrowness characteristic of the spinal canal of the department in question, is much more common than when examining the processes in the lumbar and thoracic parts.It is remarkable that the damage area is reduced by cervical osteochondrosis not only to the lesion of the neck and the head itself, but also to the lesion of the limbs (according to the upper part, such a result is diagnosed much more frequently).Given these characteristics of cervical osteochondrosis, it becomes one of the common causes of patient disability.

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

• Slipping (or displacement) of the spinal diskSThis condition implies a specific definition - Spondylolistz.For its greater part, this type of displacement is minimal in terms of their occurrence in practice, and it is also important even the slight shift to provoke the development of paralysis, not to mention the more serious change, which leads to something else as a fatal result.
• OsteophytesSAs we have already noted, cervical osteochondrosis provokes the development of the relevant growths, that is, osteophytes.They, in turn, are located on the sides of the vertebrae bodies, leading to irritation of those muscles that respond directly, which guarantees an increase in their tone.Thus, the load that affects the vertebrae increases, this already provokes an increase in pressure on the intervertebral disc of the same height.Against the background of such a process, the risk of projections increases.Osteophytes aimed at the passage of the spinal artery can cause narrowing.
• The formation of convexity, spinal herniaSAll this is one of the options for the result of the development of processes that are important for cervical osteochondrosis.
• Changing the height of the spinal disc (that is, its equalization)SIn frequent cases, a decrease in height is obtained due to a decrease in the size of the intervertebral opening.In addition, it is important to note that even unsuccessful neck rotation can lead to subluxation of the cervical vertebrae, which guarantees additional compression (that is, compression).

Cervical osteochondrosis: Symptoms

Changes occurring with the spine with cervical osteochondrosis occur in combination with many clinical manifestations.It is noteworthy that the listing can be distributed about three dozen variants, while the most interesting and unexpected for the patients themselves may be the fact that, in addition to "traditional" neck pain, one must encounter symptoms that do not completely fall under the first look under the disease under consideration.For example, not everyone will introduce pain into the elbow joint, weakness of the legs or visual disorders, as well as some other manifestations that we will try to cover in viewing below.

To present those major symptoms that can accompany the osteochondrosis of the uterus, we conditionally distinguish between three major groups, determined in accordance with the predominant participation of the central nervous system in the pathological process.

• GroupSThis includes the neurological symptoms of the disease, considered to be its complication, which has arisen 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 refers to the peripheral area of the nervous system).
• Group IISIn this case, we are talking about the symptoms that are relevant for cervical osteochondrosis, which manifests itself with the direct effect of the pathological process on the spinal cord.
• Group IIISSymptoms related directly to the processes that occur in the brain with cervical osteochondrosis, 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, it can be noted for each group that the symptoms of the cervical osteochondrosis of the first group are mainly in pain, the symptoms of the second are for motor disorders, and the symptoms of the third are in phenomena related to the pathological effects exerted on vessels 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 of combined with each other, which, however, does not exclude the possibility of determining the leading group of listed options based on the symptoms.

Cervical osteochondrosis: symptoms of the first group

As we noted earlier, the first group contains symptoms in the form of painful manifestations that occur due to damage to the nervous system of the peripheral department.This includes both persistent neck pain (defined by both cervical brains) and cervical radiculitis, cervix.In addition, pain in the muscles, joints (the joint of the wrist, the joint of the elbow or shoulder) may also occur in the chest pain (which may mean pain in the heart, 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 pain occurs in the morning after waking up, intensified during attempts to roll in the lying position, as well as with laughter, cough, unsuccessful turning of the head or when sneezing, which is already possible in any other position of the body.The nature of the pain can be defined as drilling and silly, in some cases the pain can be firing, regardless of a specific option, the location of this pain is focused in the very depths of the neck.As for the duration of pain, it can be periodic and permanent.

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

The tension of the neck muscles (moderate) can also be noted the difficulty of breathing in the cervical region.The acute period of manifestation of the disease is characterized by the adoption of some special posture by the patients, in which they seek to hold their heads slightly under the slope forward and at the same time on the side.In case of change, a restriction on rotating movements made from the head is often observed.

The common characteristic symptoms of cervical osteochondrosis are distinguished by the presence of noise phenomena that occur during the rotation of the head in the form of a crunch and fever, 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 osteochondrosis, excluded in the part of the listed symptoms of patients from attention.

In addition to pain in the cervix and prison, osteochondrosis of the cervical region can occur in a complex with cervical and cervical radiculitis, these conditions occur in the form of pain concentrated in the upper cervical departments and in the nape.Strengthening the pain is noted at the time of rotation of the head in one direction or another, to a smaller extent, such a manifestation of pain is relevant in other actions.Often the spread of cervical osteochondrosis pain occurs on the shoulder girdle and to the hands (to one or both).In particular, this happens at the moment of muscle tension, directly related to specific nerve roots, whose compression arises from vertebrae.

It can be noted in advance that the radiculitis of the cervical radiculitis represents about 90% of cases of root drain 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 the pain concentrated within the anterior outer surface of the forearm area with a finger;The involvement of the seventh cervical spine leads to unpleasant sensations and pain in the middle finger;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 cervical discs, then this can lead to the involvement of the back nerve, innervating the skin during the back of the back.This is manifested respectively with pain in the nape, they are constant, characterized by periodic reinforcement.Also, the rear area loses sensitivity, a specific pain point can be detected in the form of a painful seal and stress.

Cervical osteochondrosis often leads to the development of a crooked, which is due to the spasm of the neck muscles against the background of the head of the head and the curvature of the neck characteristic of this condition.In this case, in patients, the head is slightly shifted to the side/forward or sideways/back.In practice, there is no possibility of moving the neck, the attempt to turn to the head is accompanied by the appearance of certain pain in the neck, shoulder or in the back of the head.

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

Another manifestation of cervical osteochondrosis is a complication in which the concentration of pain is found in the shoulders, which is defined asShoulder -shoulder periarthritisSIt develops due to disorders in the area of the innervation shoulder, which is why dystrophic changes in the gradual way, the assessments are increasing.These disorders occur 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 for no apparent cause, manifestations of this pain in increased form are marked at night.Subsequently, abduction to the hand leads to pain (mainly from the outer part of the joint), drilling determines the painful areas.Due to the patient's desire to provide the rest of the painful limb, the joint becomes firm against the background of reflex muscle contraction in it ("frozen arm").Subsequently, in the absence of treatment, lifting the arm more than above the horizontal level becomes impossible.

Cervical osteochondrosis: Symptoms of second group

The symptoms of the second group consist in syndromes that occur against the background of damage to the cervical level of the spinal cord.Two mechanisms can lead to it, it is either a compression that is produced from the pulpal core disk due to the softness of its consistency, or injury to the spinal cord on the side of the hard (long -standing) discs or outgrowths from the posterior vertebrae of the neck.In women, the first is more common 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 the tone without weight loss of the muscles, in the hands, on the contrary, the tone is reduced, the volume is reduced.Sensitive muscle twitching in their hands can also develop without pain.Most often, such a complication is diagnosed at the age of 40 to 55 years, a little less often -in the era of senile and even less often -at the age of the young.The appropriateness of such a complication may be discussed in the presence of a patient in disorders associated with cardiac activity (arrhythmias) or atherosclerosis.

The changes arising in the spinal cord are defined asMyelopathy, It develops against the background of pathological changes in the disk, located in the area between the 5th and 6th cervical vertebrae.Its development can cause its development of the spine, excessive surge, affecting the muscles of the shoulder girdle, as well as negative emotions and alcohol intoxication.

One of the varieties of myelopathy is the disappearance of temperature and the sensitivity to pain due to the characteristics of the listed clinical manifestations.Accordingly, patients lose the ability to feel the irritating effects that in one way or another on the skin in the cervical area, the upper parts of the chest and arms (on one side).In this way, the plot, which has lost sensitivity, takes the form of fencing.Along with the symptoms listed, spontaneous pain (fracture, pain) occurs, the hand weakens the hand.

Another type of manifestations of cervical osteochondrosis is "semiconductor disorders", which occurs with insufficient supply of the side pillars of the spinal cord (its departments) with blood.This leads to increased fatigue of the lower limbs marked when walking/standing, as well as to periodic chromium.The nun of the hands, as well as the unpleasant sensations in them (which is relevant for the day of the day), in some cases such manifestations are noted in the legs, are not excluded.When the eyes are closed, there is a violation of coordination.The phenomena listed, despite their own perseverance, 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 under consideration, which occurs due to a lack of blood flow in the system responsible for supplying the brain stem with blood.The peak arteries act as the main vessels forming such a system.We emphasize the main types of syndromes that are important in this case.

• Hypothalamic syndromeSIt is most commonly diagnosed, manifested in symptoms showing impaired hypothalamus, or more recently in the form of neurotic disorders.It is irritability and increased fatigue, anxiety and touch, mood instability and sleep disorders (its surface, sleep is characterized by the ease of rise without a sense of rest, difficulty in falling asleep).Also, the ability to concentrate on something is lost, the ability to remember is reduced, unpleasant sensations often occur in different organs.Severe cases are accompanied by the onset of idle, anger, longing, anxiety.Patients are pale, they have limbs cooling, increased sweating, increase in pressure and pulse.Appetite, like the sexual urge, decreases, and urination is accelerated.
• Drop syndromeSIt consists in the attacks of seamlessly entering the patient with simultaneous loss of consciousness (probably without his loss), which also occurs due to vascular spasm.Restoration of consciousness occurs quickly enough when the patient is laid in a horizontal position (the head is lowered).After the attack, patients have pronounced weakness in the legs and collapse, headache is possible.
• Vestibular barrel syndromeSThe only manifestation of the syndrome in the initial stage of the disease is the dizziness, which 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 eyeball movements, instability while walking.
• Kochlear-Barrel SyndromeSIt manifests itself in the form of ringing and tinnitus, mainly on one side.The hearing can reduce, the congestion of the ear occurs, mainly the syndrome is related to the previous one, but its 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-BoardSThe main manifestations consist of the appearance of a foreign object in the throat, which causes difficulty swallowing, as well as this feeling of dry throat is possible in itching.The voice loses its sound, survival occurs in the larynx and in the throat, pain in these areas.Fatigue is noted during a conversation, which requires rest, difficulties in ingesting thick foods, along with the esophagus spasm, and the decrease in such manifestations occurs after rest.
• Visual disordersSDifferent types of visual disorders: "fog" in front of the eyes, decline in visual acuity, etc., alternation of various disorders during the day.

Treatment

Complete recovery with the disease we are considering is not possible, since its treatment is usually focused on slowing the current process and more specially a certain period of the course of the disease.Exacerbations require hospitalization and semi -warning regime.

As for drug therapy, it consists in the appointment of various types of analgesics, the possibility of using Novocaine muscle blockage is not excluded.In parallel with treatment, the main focus is on vitamin therapy, muscle relaxants can be prescribed.The effectiveness of the results in the treatment of cervical osteochondrosis is achieved with the use of physiotherapy methods (electrophoresis using anesthetics, ultrasound procedures, etc.).Treatment of cervical osteochondrosis also implies the need to wear bone collar, massage procedures are prescribed for periods of remission.

The diagnosis of cervical osteochondrosis is carried out by a neurologist and the direction of this specialist can be obtained with a wrong assumption when the visit of Laura, therapist, cardiologist and other specialists.

Migraine is a very common neurological disease, accompanied by a pronounced paroxysmal headache.Migraines, the symptoms of which are actually in pain, concentrated from one half of the head mainly in the eye, temples and foreheads, in nausea, and in some cases when vomiting occurs without reference to tumor formations of the brain, to shocks and serious injuries to the head, although it may indicate the applicability of certain pathologies.

Chronic fatigue syndrome (Sokr. CU) is a condition in which mental and physical weakness occurs due to unknown factors and for a long time of six months or more.Chronic fatigue syndrome, whose symptoms are assumed to be associated with infectious diseases, in addition, are closely associated with an accelerated rate of life and an increased information flow that literally collapses on a person for their subsequent perception.

Ischemic stroke is an acute type of cerebral cerebral circulation due to insufficiency of the reading of a particular area of the blood brain or of the complete termination of this process, in addition, it is damaged by brain tissue in combination with its functions.Ischemic stroke, whose symptoms, as well as the disease itself, are most commonly observed among the most common types of cerebral diseases, is the cause of subsequent damage and often fatal result.

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

Astanogetative syndrome (ABC) is a pathological process in which a functional violation of the autonomous system is carried out, 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 exercise and restraint, most people can do without medication.