With osteochondrosis of the spine, many are not familiar with popular gears from the television screen, but from their own sad experience.Statistics are hard: Up to 80% of the population suffer from this disease, which are also significantly younger.When earlier complaints about problems in the spine were mainly among the older generation, the osteochondrosis for children is no longer surprising.And the fault of a seated lifestyle and the so -called "advantages of civilization".
Osteochondrosis of the cervical spine is polished a progressive disease, which manifests itself by degeneration of the intervertebral discs and dystrophy of the spine.Everyone knows the symptoms first -hand, but this knowledge is fragmentary;We will try to structure them and talk about the principles of diagnosis and treatment of osteochondrosis of the cervical spine.
The causes of osteochondrosis
Medical science cannot answer clearly, which is why osteochondrosis occurs.It is reliably known that the sitting lifestyle that a modern person tends to negatively influence the progression of this disease.It is interesting that both hypodynamics and colossal load of athletes lead to a proxy from discs.An inherited factor plays a leading role.The following reasons are differentiated:
- hereditary history burdened;
- Obesity;
- Hypodynamics;
- Metabolic disorders in the body;
- traumatic damage to the spine;
- Long static overloads and work associated with the lifting of weights (work on the computer, weight lifting, miner, move, etc.);
- Scoliosis;
- dysfunctional environmental situation;
- flat feet and pregnancy;
- Settlement and stress that often cause deterioration in the disease.
There are several neurological syndromes:
- Shoulder -Shoulder -periarthritis;
- Root;
- Heart;
- Vail arteries syndrome.
Shoulder -Shoulder -periarthritis.It is characterized by pain in the neck, shoulder, shoulder joint.The leading neurogenic contracture of the shoulder joint is formed, which is naturally protecting because it protects the axillary nerve from distances (antalgic pose).With this position, the muscles that surround the joint are in tension.The severity of pain syndrome depends on the degree of aggravation in osteochondrosis: a slight restriction of the amplitude of the movements in the joint to the so -called "frozen shoulder" when movements cause severe pain.The pain exacerbates when the shoulder is redirected and pronounced, since these movements improve the tension of the axillary nerve.
Royshift syndrome (cervical radiculite).Most of the time, cervical osteochondrosis occurs.At the same time, the spine of the nerve of the spine is pressed due to the "lowering" of the intervertebral discs and the growth of East Fiten or the lead of the windows in a lateral direction.Pain syndrome is specific: intensive burning, tearing, pressing, pressing pain, which also intensifies when the patient moves his head.Antalgic pose is also found in the neck muscles, they are sharp and painful, the volume of the movements is limited.There is pain in the back of the head, neck, the front chest, the shoulder, between the shoulder blades.The disturbance of sensitivity by the type of "half -jacket with short sleeves" is characteristic.
Cardial syndrome.The name of the syndrome is responsible for itself: the clinical picture is very similar to the angina pectoris.In this case there is no organic damage to the heart, at the amount of pain syndrome, violations of the coronary blood flow are not determined by EKG, and such patients are well tolerated.A typical feature of angina pectoris: the pain takes place after taking nitrates, and in the case of osteochondrosis does not change and does not bother for a long time.In contrast to angina pectoris, the localization of pain is mainly in the heart on the left.With the irritation of the roots of the segments C8 - T1, rhythm disorders in the form of tachycardia and extraselstole are possible.This is not due to damage to the conductive system of the heart, but by violating the sympathetic innovation of the heart muscle (extracardial damage).In the differential diagnosis of angina pectoris and heart syndrome, the fact that the patient determines the increase in the pain in the shoulder joint and the neck, which are associated with lifting or rough movements, in addition to cardiac complaints.
Vail arteries syndrome.The vertebral artery takes place in a channel, which is formed by holes in the transverse processes of the vertebrae.This artery is paired, it is responsible for the brain's blood supply.Accordingly, every narrowing of this channel has a very negative impact on the diet of the brain tissue.The syndrome of the vertebral artery develops directly with the compression of the artery itself and with irritation of the likeable nervous plexus, which is located around it.The pain in this pathology burns or pulsates in the occipital region with spreading to whiskey, tutorial arches, crows.It is created on both sides.Patients usually associate the deterioration with the condition after sleep in a non -physiological pose, the transportation trips.In the case of pronounced symptoms, hearing loss, dizziness, noise in the ears, nausea, vomiting, loss of consciousness and increasing blood pressure, are possible.Such symptoms are not specific and are very similar to complaints in the brain stroke.This pathology is characterized by the syndrome of the Sistine Chapel: a fainting that comes back when the head is overturned (heavy brainemia).It was described by visitors to the Sistine chapel in the Vatican when they examined the frescoes in their arches.It is also possible to fall with sharp headlamps without loss of consciousness.
As with any diagnosis in medicine, the diagnosis of osteochondrosis is determined on the basis of patient complaints, anamnesis of the disease, clinical examination and help research methods.X -Ray of the cervical spine in direct and lateral projections, if necessary, are carried out in special positions (with an open mouth).At the same time, experts are interested in the height of the intervertebral discs, the presence of osteofite.IAMR and CT research is used by modern research methods, which enable the diagnosis to be checked most precisely.In addition to the methods of additional research listed, consultations of related specialists (cardiologist, ophthalmologist, neurosurge) may be necessary, and the examination of the neurologist is simply important.The neurologist is involved with the treatment of osteochondrosis.After examining the patient, he will prescribe the required minimum examination at the discretion.
Treatment of osteochondrosis
Osteochondrosis is a polyetiological disease because a therapy course is not healed.You cannot drink "magical pill" and everything will pass.It is necessary to fundamentally change your lifestyle because the withdrawal is hypodynamy.The most material results are easier to achieve in the early stages of the disease if the symptoms are minimal and there are no compression syndromes and the spine artery.In the acute stage of the disease, pronounced pain is prescribed in the following groups of medicines: Pain syndrome is pronounced:
- Therapeutic paravertebral blockade (to relieve pain and removal of the muscle cramp);
- NSAIDS;
- Ointments with NSAIDS and reflex effect;
- Muscle relaxants;
- B vitamins V.
If the inflammatory process decreases and the relief of pain syndrome, go to the treatment of physio therapy.The following techniques are mostly used:
- Laser therapy;
- Electrophoresis;
- Acupuncture;
- Training therapy;
- Therapeutic massage;
- Manual therapy.
It is important to understand that osteochondrosis takes place with exacerbation and remission periods.It is therefore very important to influence the cause and not to treat the examination.