Features of unco-vertebral arthrosis of the cervical spine
Unco-vertebral arthrosis of the cervical spine is a degenerative-dystrophic lesion of one or several intervertebral discs and / or facet joints. And this can contribute to the development of pathological changes in the anatomical structure of the transverse canal, which often leads to compression or displacement of the vascular-neural bundles in it( sympathetic trunk, vertebral vein and artery).
Causes of development of unco-vertebral arthrosis of the cervical department
At present, many conditions and human diseases are known, the presence of which to some extent contributes to the occurrence of cervical arthrosis. They are divided into purchased and congenital.
Among the congenital pathologies, it should be noted anomalies of the development of the cervical spine segment, especially in the I-II region of the cervical vertebra. An example is the occipitalization of the atlant( or the Aulenic syndrome).
Of all the acquired diseases that promote the development of cervical arthrosis, experts most often refer to:
- Injuries of the cervical spine segment;
- Dislocation of the head of the hip;
- Consequences of poliomyelitis.
Also important in the development of unco-vertebral arthrosis of the cervical spine have such factors as:
- Excess weight;
- Hypodinamia( or sedentary lifestyle);
- Unregulated physical activity, including constant weight lifting, etc.
Mechanism of development of the disease
The disease affects primarily the intervertebral disc. It is a kind of elastic "padding" consisting of cartilaginous tissue between adjacent vertebrae. Which absorbs with various movements, thereby protecting against possible damage passing nearby vertebral nerves, vessels and even muscles.
Along with the progression of the disease, the intervertebral cartilaginous tissue also becomes thinner. It gradually loses fluid, and as a result, its elasticity, which is so necessary for normal operation, also decreases. Simultaneously, special bony growths, or osteophytes, begin to develop on the cervical vertebrae. And the latter grow on closely spaced vertebrae and are directed towards each other. And in addition to this, the ligaments of the cervical spine segment also begin to lose elasticity and strength, due to the increasing calcification.
After the intervertebral disc becomes less elastic, it gradually begins to protrude in the posterior and forward directions, while squeezing the ligaments and other nearby tissues that restrict it. And this always leads to the development of the corresponding symptomatology of the disease. In the first place - this incessant pain in the neck.
Symptoms of unco-vertebral arthrosis of the cervical spine
One of the earliest signs of the disease is the pain in the neck. Moreover, it is almost always local( it occurs exactly where the "problem cervical vertebra" is) and very strong.
This symptom is due to the fact that the intervertebral discs pushing forward and back strongly press on the surrounding ligaments, which, in turn, are rich in nerve endings. In addition, the muscles in this area are constantly reflexively tensed and remain in this state for a long time, and this greatly affects the ability to produce free movement of the neck.
At the beginning of the disease, the pains are periodic and provoked by any sharp neck movements( slopes, turns) and excessive lifting of gravity.
It should be immediately said that by applying to the doctor at this stage of the disease, a person can very quickly( 1-2 weeks) eliminate the violations that have appeared. If you neglect treatment, the disease will continue to progress.
In the future, the disease manifests itself in the emergence of instability in the cervical segment of the spine. This is indicated by the increasing incidence of subluxation of the joints between the arcuate processes. In addition, if a person is a long time in one position, the pain begins to increase. That is why patients with this disease try to change their position often enough to somehow mitigate the growing pain. In this they are also well helped by therapeutic walking and gymnastics.
Pain can weaken both spontaneously and after manual therapy. Moreover, the cessation and restoration of the habitual operation of the joint is accompanied by a specific click in the area of the joint itself.
Another strong indication of the patient's cervical arthrosis is a strong crunch, which is observed when the neck is bent, bent and turned.Also you can read:
Dizziness in the neck chondrosis
In addition, arthrosis of unco-vertebral articulations can trigger the following symptoms:
- Sensation of weakness and instability;
- Visual impairment;
- Horse racing;
- Pain in the chest.
This is due to the fact that the protrusion of the intervertebral disc becomes more pronounced. And the resulting hernia squeeze the nearby blood vessels and nerve roots.
Diagnosis of the disease
In order to correctly establish the diagnosis of "unco-vertebral arthrosis of the cervical region," the doctor should carefully examine the patient. From this he draws conclusions about the nature of the disease, the causes of its occurrence and the frequency of manifestations. Also, the doctor finds the most painful points in the region of the cervical segment( which tells him about the localization of pathological muscle spasms).
However, the main methods of diagnosing the disease are all possible imaging methods: MRI and X-ray of the cervical spine. They allow the specialist to verify the presence of osteophytes in the vertebrae( beak-shaped outgrowths) and signs of damage to the blood vessels and ligaments in the problem area.
Treatment of unco-vertebral arthrosis
Most often, the treatment of this disease is done on an outpatient basis. The main goal is the removal of pain and the provision of muscle rest in the problem areas of the neck. This is especially true of the stage of exacerbation of the disease.
The following methods are used for treatment:
- Reduction of motor activity. To this end, the shantz collar is fixed, fixing the neck and reducing the load on the cervical vertebrae and nearby muscles;
- Drugs for pain and muscle spasms. For the removal of pain most commonly used NSAIDs( naproxen, diclofenac, celecoxib, nimesul).With strong local muscle spasms, the intake of muscle relaxants( sirdalud, etc.) is recommended;
- Improvement of blood flow in the damaged area. To do this, use medicines such as curantyl, actovegin, prodectin or pentoxifellin;
- Drugs that accelerate the restoration of cartilage tissue, or chondroprotectors. The main active substances in them are chondroitin sulfate and glucosamine.
- Physiotherapy. Among them, the most effective are:
- Electrophoresis and phonophoresis with novocaine or lidocaine;
- Amplipulse therapy;
- Sine-wave modulated currents.
At the stage of remission( if there is no pain syndrome) doctors recommend acupuncture and therapeutic gymnastics.
Causes of the appearance and treatment of uncoarthrosis in the cervical spine
Unco-vertebral arthrosis of the cervical spine is a chronic degenerative-dystrophic process, the progression of which leads to partial destruction of the interlayers of the cartilaginous tissue located between the vertebral bodies. The pathological process leads to a pronounced disruption of normal movement in the cervical spine. At the same time there are various neurological disorders associated with the involvement of blood vessels and neural bundles in the disease.
Causes of unco-vertebral osteoarthritis of
Factors, the impact of which leads to the development of the disease, can be divided into congenital and acquired. It is impossible to exclude the combined effect of these causes.The most frequent congenital causes of the development of this disease is the Aulenic syndrome, which is expressed in a change in the normal structure of the first cervical vertebra( atlanta).The most common reasons for the occurrence of uncoovertebral osteoarthritis are:
- acute and chronic injuries of the cervical spine;
- flat feet;
- the consequences of a previous history of poliomyelitis;
- dislocations of the hip joint;
- physical inactivity;
- excess weight;
- physical work, which is accompanied by lifting weights.
Changes in the spine with arthrosis
The initial stage of unco-vertebral arthrosis of the cervical spine is accompanied by the destruction of the cartilaginous tissue of the intervertebral disc - because of this, the amortization processes necessary for free and painless movement are violated. This leads to the fact that the load on the spine is distributed unevenly, so the nerves, vessels and muscles of the neck are constantly traumatized. The cartilage loses its fluid, its structure gradually breaks down, and bone osteophytes directed toward each other are formed to compensate for the loadings occurring on the vertebrae. At the same time, calcium deposits occur in the ligaments present in the cervical spine - this leads to a breakdown in their strength and reduced elasticity.
Bunches cease to "restrain" the intervertebral disc - it begins to protrude beyond the vertebral bodies in the posterior and forward directions, which causes damage to the anatomical formations located near the spine. It is the protrusions of the disc that most often cause the appearance of pain in the neck - at first it appears only in movement, but in the late stages of the disease this unpleasant sensation exists and at rest.
Symptoms of the disease - an occasion to seek medical help
The main symptoms of the disease are:
- pain in the neck;
- limitation of the mobility of the vertebrae of the cervical spine;
- development of instability in the spinal column( in the cervical region) - periodically subluxations of joints located on the arcuate processes of the vertebrae, which is manifested by dull severe pain in the neck, discomfort that disappear when the body position changes, performing gymnastic exercises or massage the affected area;
- the appearance of a strong, audible even at a distance of the crunch that occurs when moving.
When a significant degree of degenerative process is expressed in the spine, severe neurological disorders can occur-chest pains, blood pressure jumps, visual and hearing impairments, dizziness, gait unsteadiness and instability.
Patient examination program
If the doctor suspects the patient of unco-vertebral arthrosis, the examination program provides:
- clinical examination of the patient with the definition of neurologic status;
- radiography of the cervical spine;
- computed tomography( CT);
- magnetic resonance imaging( MRI).
If necessary, additional studies and consultations of doctors of related specialties - cardiologist, vascular surgeon, otolaryngologist, ophthalmologist, neurosurgeon - can be prescribed.
How to treat arthrosis of cervical vertebrae?
In the stage of exacerbation of the disease, therapeutic measures are directed to the elimination of pain and to ensure the rest of the damaged segment of the spinal column. That is why in the acute stage of the disease is shown wearing a collar of Shantz - an orthopedic device that helps to ensure proper immobility and relieve the load from the vertebrae and muscles surrounding them. Specific terms for the use of this orthopedic device are determined by the doctor who observes the patient. As the condition improves, a program of treatment of the degenerative-dystrophic process in the tissues of the intervertebral discs includes massage and the performance of a special set of exercises of therapeutic physical training.
The acute phase medical treatment for relief of pain and muscle spasm, which inevitably occurs with unco-vertebral arthrosis, involves the use of non-steroidal anti-inflammatory drugs and muscle relaxants. To prescribe any analgesic and antispasmodic agent and control the process of therapy should the doctor - the duration of treatment should be the minimum possible.
It is necessary to prescribe drugs that activate blood circulation processes in the structures of the spine, metabolism in tissues - prescribe antiplatelet agents and vascular drugs with sufficiently long courses. At the same time chondroprotectors can be prescribed - these drugs inhibit the processes of degeneration in the cartilaginous tissue and allow to slow the progression of the accompanying symptoms.
The use of physiotherapeutic procedures is mandatory - in the course of treatment electrophoresis and phonophoresis, amplipulse therapy and darsonvalization, as well as reflexotherapy can be used.
Unco-vertebral arthrosis of the cervical spine: symptoms and treatment
Deforming or unco-vertebral arthrosis of the cervical spine is a lesion of the joints of the spine and intervertebral discs, in which there are bony outgrowths on the cervical vertebrae. From Latin, unco-vertebral means: the formation is like a hook + vertebra.
Many of us who feel pain and an unpleasant crunch when turning the head, can have this pathology. Let's see how dangerous it is and whether it can be treated.
Causes of unco-vertebral arthrosis
The causes that cause the disease can be conditionally divided into congenital and acquired. Congenital pathologies include anomalies in the development of cervical vertebrae. Among the acquired causes, the most common injuries are the cervical spine and the effects of flat feet.
A sedentary lifestyle and excess weight may provoke the disease. And this affects most urban residents. But the rest of the population may be at risk, because weight lifting and unregulated physical activity can also cause disease.
What changes occur in the affected spine? In unco-vertebral arthrosis, the intervertebral disc is affected. Its cartilaginous tissue plays the role of a cushioning "padding" between the vertebrae. It protects the intervertebral nerves and vessels from damage. During the disease, the cartilaginous disc loses its fluid, becomes thin and less elastic. As a result, he can not perform his functions to the fullest, bulges out and squeezes nearby tissues, causing painful symptoms.
In addition, on the cervical vertebrae begin to appear osteophytes - acute spines from bone tissue. They grow towards each other and injure sensitive ligaments of the spine.
Symptoms and signs of
The main symptoms of development of arthrosis of univervertebral joints * are:
* Uncovertebral joints are joints( neoarthroses) forming between the hook-like processes of the cervical vertebrae and the base of the arch and / or the body of the overlying vertebra. Normally do not exist, are formed as a result of a decrease in the height of intervertebral discs.
- Severe pain in the area of the affected vertebra that is provoked by abrupt movements
- Subluxation of joints between arcuate processes that serve to connect two adjacent vertebrae
- Soreness that increases with prolonged exposure in one posture
- Severe crunch when turning the neck
- Blood pressure changes
If you have these symptoms, you need an urgent examination with a neurologist or orthopedist-vertebrologist. In the initial stages, this disease can be overcome. In later stages, treatment can only bring temporary relief.
Treatment of unco-vertebral arthrosis is performed on an outpatient basis and is aimed at the removal of pain syndrome and muscle spasm. When the disease worsens, the use of an orthopedic collar is necessary. It will help reduce the burden on the cervical vertebrae.
Medical treatment methods
Nonsteroidal anti-inflammatory drugs for pain relief and inflammation( diclofenac, nimesulide)
Muscle relaxants for the removal of muscular tension( sirdalud)
For the improvement of blood circulation and microcirculation in affected areas, it is necessary to take actovegin, curantyl
Chondroprotectors - drugs supplying cartilage cells with the necessary substances for their recovery. These medicines allow you to suspend the course of the disease and slow the destruction of intervertebral discs.
The treatment regimen and dosage of medications are prescribed individually after a thorough examination of the patient.
Physiotherapy has a good analgesic and anti-inflammatory effect, helps to eliminate unpleasant symptoms. The following 3 methods are the most effective and will really help to overcome uncoovertebral arthrosis:
- magnetotherapy - relieves pain, inflammation and swelling in the affected area with the help of a magnetic field
- sinusoidal modulated currents( amplipulse therapy) - the device "Amplipulse", which helps to get rid of painaid of modulated currents of different directions and frequency
- phonophoresis with a solution of novocaine or lidocaine - administration of an anesthetic drug to the patient site with the help of ultrasound
Massages are a very effective method. In combination with curative gymnastics and acupuncture, the health effect improves significantly. However, it must be remembered that the course is conducted during remission( without exacerbation of symptoms) - when there are no severe pains.
Absolute contraindication to the massage is the loss of the herniated intervertebral disc. This disease can be a complication of spinal arthrosis. Therefore, before proceeding to treatment, it is necessary to consult a specialist.
Remember that a timely visit to the doctor will help you maintain your health. Only an experienced specialist can choose a complex treatment that will help to eliminate all unpleasant symptoms and will lead a full life.
Unco-vertebral arthrosis of the cervical spine - what is it and how to treat it?
The initial stage of unco-vertebral osteoarthritis usually passes without pronounced symptoms. There may be short-term pain in one or two cervical vertebrae, for example, with physical exertion, a sharp turn of the head, or a sudden increase in gravity.
With the progression of the disease, the pathological process passes into the stage of severe symptoms. As a rule, uncoarthrosis is manifested by three main syndromes:
- Pain syndrome. Pain sometimes occurs even with minor movements of the head. It is localized, as a rule, in the projection of the affected vertebra. The pain is usually accompanied by a pronounced crunch at any movements of the neck.
- Syndrome of the vertebral artery. When compression( compression) of the vertebral artery, symptoms of cerebral circulation disorders appear. Their severity depends on the degree of compression. Patients complain of dizziness, frequent headaches. Often there is an arterial hypertensia. Sometimes there are symptoms such as impaired vision, hearing, memory, etc.
- Radicular syndrome. Clinical symptoms can be very different and depend on the level of compression( compression).This pathology can be manifested, for example, by pain and / or muscle weakness in the entire upper limb or part of it( shoulder, hand, forearm, fingers).As well as numbness of individual parts of the neck, upper limbs, clavicle area, scapula, etc.
Based on typical complaints and examination, it is possible to suspect osteoarthritis in the joints of Lushka. Diagnosis of unco-vertebral osteoarthritis is possible only on the basis of additional research methods. The most widely used radiography in a direct and oblique projections. Modern methods of research are computer and magnetic resonance imaging( CT and MRI).
Treatment of patients with unco-vertebral ostearthrosis is performed by an orthopedic physician or a vertebrologist. Let's consider what therapies are used for this disease.
A prerequisite for treatment is the creation of a proper lifestyle. It is necessary to form a correct posture when reading, writing, working at the computer. Restrictions on wearing heavy weights, sudden head movements, excessive physical activity. To sleep it is necessary on a special orthopedic pillow.
In the acute phase of the disease, a special orthopedic neck collar( Shantz) is used. This collar softly stretches the skeleton in the neck and reduces the load on it. After reducing the acute process, gradually restore the motor activity of the neck.
The treatment of drugs with this pathology has three main objectives:
- Pain and muscle spasm. To do this, use non-steroidal anti-inflammatory drugs( NSAIDs) - ibuprofen, indomethacin, etc. Sometimes, with severe muscle spasms, muscle relaxants are prescribed.
- Correction of vascular disorders. Appointed drugs that improve microcirculation and antiaggregants - trental, curantyl, actovegin, etc.
- Improve the restoration of the structure and nutrition of cartilaginous tissue. Such preparations are called - chondroprotectors( glucosamine sulfate and chondroitin sulfate).Their use strengthens the cartilage and improves its quality characteristics.
It should be remembered that all medicines and their doses should be prescribed only by a doctor. For example, NSAIDs with improperly selected dosages can significantly affect the metabolism in the cartilaginous tissue and complicate the course of the disease.
For physiotherapeutic treatment on the neck area, the following apply:
- Sinusoidal modulated currents.
- Phonophoresis and electrophoresis with pain medication.
- Applicative thermal therapy.
- Local Barotherapy.
Massage and manual therapy should be performed by a specialist with a medical background. An incorrect technique of manual influences can lead to an exacerbation of the disease and even disability. In the absence of pain symptoms can be applied acupuncture of the neck.
LFK and gymnastics
Physiotherapy exercises should be done outside the period of exacerbation. The complex of exercises of therapeutic gymnastics is selected in such a way that when they are performed, painful sensations do not arise.
Gymnastics must be performed daily.
A good therapeutic effect is also provided by swimming.
Surgical treatment of
In case of ineffectiveness of conservative measures and worsening of the patient's condition with unco-vertebral osteoarthritis surgical treatment is applied, for example, removal of osteophytes.
Unco-vertebral arthrosis: symptoms and methods of treatment
Unco-vertebral arthrosis is such a chronic degenerative disease of the spine, in which the cartilaginous tissue between the vertebrae is partially destroyed. The result of this picture is a violation of the normal movement of the cervical vertebrae and the formation of various neurologic symptoms, since in this area - small blood vessels and nerve endings.
Causes: congenital and acquired
There are a number of reasons and factors that contribute to the development of unco-vertebral arthrosis. Among them, the most common are both congenital and acquired diseases. Congenital are various anomalies in the development of cervical vertebrae, especially if the disease affects the first and second cervical vertebra.
The following are considered to be acquired:
- cervical injury;
- heavy physical work.
Symptoms of the disease
This disease, like arthrosis of the unco-vertebral articulations of , can not be asymptomatic. The patient feels not only severe discomfort, but also severe and aching pains, from time to time passing and again arising. The very first sign of a disease that begins to disturb a person already in the early stages of development is local neck pain. At first, the pains are infrequent and rapidly passing, subsequently turning into strong and aching. The pains arise because the intervertebral discs, displaced and protruding back, begin to press on the nerve endings. Moreover, the patient, because of pain, strains muscles in this area, which remain in a spasm condition for a long time, which worsens not only the movement of the neck, but also the well-being of the patient himself.
If you contact a doctor at an early stage, when the patient is concerned only with the pain that occurs with sudden movements of the head and lifting weights, then the treatment can have a 100% result. Otherwise, when a patient delays a visit to a doctor, the disease can take a chronic and more protracted character, which is not always fully cured.
A timely visit to the doctor is also necessary in order to avoid problems in the cervical spine, manifested in the occasional subluxation of the joints. The patient is concerned about a strong and dull pain with the slightest movement of the head. This is another of the obvious symptoms of cervical spine arthrosis. Very often the disease begins precisely with a crunch, which manifests itself with each turn of the head, during the flexion or extension of the affected joints of the cervical region. All this leads to the fact that patients begin to complain of constant headache, dizziness, unpleasant and monotonous noise in the ears, vision impairment, numbness of the fingers, whole arm or shoulder, a sense of instability, loss of coordination. In case the patient is impaired by a sympathetic trunk, including nerve impulses passing through this trunk, then the following deviations occur:
- descending of the upper eyelid( ptosis);
- , in the eye socket of the eyeball( enophthalmos);
- decrease in sweat production by certain facial glands( anhidrosis).
Diagnosis is the main step in the full recovery
To select the right treatment aimed at eliminating symptoms of unco-vertebral arthrosis and alleviating the patient's condition, it is necessary to conduct a thorough examination in order to establish an accurate diagnosis. The doctor's task is to ask the patient in detail about the symptoms, the nature of the pain, its periodicity, and so on.
The examination of the patient includes:
- • X-ray in this method examines the cervical spine;
- • Magnetic resonance imaging( MRI), which makes it possible to detect osteophytes on the vertebrae, as well as a hint of damage to ligaments, tendons and blood vessels in the area of the affected area.
Treatment of unco-vertebral arthrosis of the neck: medication, physiotherapy
Treatment of arthrosis of unco-vertebral arches includes not only the use of medications to relieve pain, muscle spasms, restoration of cartilaginous tissue, but also such procedures as physiotherapy and manual therapy. As a rule, unco-vertebral arthrosis is treated at home with certain recommendations of the doctor. The treatment is aimed at relieving pain, providing muscular relaxation and rest in the neck. Based on these considerations, the doctor prescribes a number of anti-inflammatory drugs( for example, diclofenac, ibuprofen, naproxen and others) aimed at the gentle and effective elimination of symptoms disturbing the patient.
However, these drugs should be taken only as prescribed by the doctor in charge, because they are strong and have an irritating effect and can damage the gastric mucosa.
In addition to anti-inflammatory drugs, a specialist, based on the patient's clinical picture, can prescribe a number of medications that are aimed at stopping the destruction of the cartilage tissue of the affected area, which occurs with exacerbation of arthrosis of the unco-vertebral articulations. We are talking about hondoprotectors, which restore cartilaginous tissue, thereby stopping the development of the disease and improving the work of joints.
Physiotherapy involves wearing the collar of Shantz, which allows you to fix the neck in a certain position, which reduces the burden on the cervical vertebrae and muscles. Subsequently, as the pain decreases, therapeutic massage and gymnastics are performed.
In parallel, procedures are prescribed such as:
- sinusoidal modulated currents,
- phonophoresis and electrophoresis with the use of analgesic solutions for pain relief,
Manual therapy Manual therapy presupposes a therapeutic massage, which, with arthrosis, gives the maximum health effect. The type of massage, its duration and other moments are determined by the attending physician, since during an exacerbation of the disease the massage is contraindicated.